What Align Senior Care does

Align Senior Care is a Medicare Advantage Special Needs Plan (SNP) carrier operating HMO, HMO I-SNP, and HMO-POS I-SNP products under CMS contracts in California, Florida, Michigan, and Virginia. The company is fully owned and operated by Curana Health, which since 2013 has built provider-sponsored managed care plans serving vulnerable senior populations; Align Senior Care, established in 2022, is the brand through which Curana Health delivers its I-SNP, C-SNP for dementia, and D-SNP franchises to roughly 12,000+ member residents across 554 contracted senior living settings (assisted living, long-term care, and skilled nursing facilities). Plan members receive Medicare Parts A, B, and D coverage supplemented with dental, vision, hearing, transportation, an over-the-counter flex card, and care coordination via a dedicated Care Ally who serves as a single point of contact across providers and family members.

The operating platform is built around a CMS-approved Model of Care, a value-based care incentive model that rewards care teams for keeping members healthy and out of the hospital, and HealthX-hosted Member and Provider Portals. Members access eligibility, claims, authorizations, and reimbursement workflows online; providers use the portal for eligibility verification, prior authorizations, and remittance, with claims support handled through SSI Claimsnet. A CMS-9115-F compliant Interoperability and Patient Access API and ONC 21st Century Cures Act conformance enable third-party application access to member health data. Supplemental benefits are delivered through named vendor partnerships: Navitus (Part D PBM), Liberty Dental, Nations Benefits (hearing), and The Helper Bees (OTC flex card, transportation, in-home support). A CMS-required Medication Therapy Management program is delivered through Navitus clinicians.

Commercially, Align Senior Care earns revenue primarily through CMS monthly capitation payments for enrolled SNP members, supplemented by member premiums (typically $0, up to $12 per month depending on plan and Extra Help eligibility) and integrated Part D subsidies. Members enroll directly via the Align website or member services phone lines, with additional flow-through from brokers, SHIP counselors, authorized representatives, and referral channels tied to contracted senior living communities and a provider network exceeding 12,000. The company has 11-50 employees on its own roster and relies on Curana Health for shared clinical, compliance, and administrative functions, led by Chief Compliance Officer Gillian Kotun and Chief Compliance and Privacy Officer Melanie Crowe.

Name

Align Senior Care

Legal name

Align Senior Care

Website

https://alignseniorcare.com

Company type

Private

Founded year

2022

Operating status

Operating

Headcount range

11–50 employees

Short description

Align Senior Care is a Curana Health-owned Medicare Advantage Special Needs Plan carrier offering I-SNP, C-SNP, and D-SNP products to seniors in assisted living, long-term care, and skilled nursing facilities across California, Florida, Michigan, and Virginia.

Ownership category

akta.pro rank

Product category

Medicare Advantage Health Insurance

NAICS

Services for the Elderly and Persons with Disabilities (624120)

SIC

Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Care Coordination & Navigation (Multi-Provider) (HLADALAB)

akta.pro secondary industries

Care Transitions Management (Hospital/SNF-to-Home) (HSABAIAC), Benefits, Insurance & Entitlement Navigation (Medicare/Medicaid/VA/LTC) (HSABAIAG)

Keywords

• Medicare Advantage Plans
• Special Needs Plans
• Senior Healthcare Insurance
• Institutional Care Coordination
• Value-Based Senior Care

Headquarters

HQ city

Glen Allen

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Medicare Advantage Plan Premiums: Monthly plan premiums collected from members, including $0 to $12 per month depending on plan type and Extra Help eligibility. Full-dual eligible members may pay $0 premium.
2. CMS Capitation Payments: Fixed monthly payments from Medicare for each enrolled member under Medicare Advantage special needs plans (I-SNPs, C-SNPs, D-SNPs).
3. Part D Prescription Drug Coverage: Integrated Medicare Part D prescription drug coverage provided through Navitus pharmacy benefit management, with coverage for tiers 1-5 medications.

Pricing tiers

Go-to-market motion3 records

Distribution channels5 records

Marketing channels5 records

Core offering

Align Senior Care sells Medicare Advantage Special Needs Plans (I-SNPs, C-SNPs, and D-SNPs) that combine Medicare Part A, Part B, and Part D coverage with supplemental benefits (dental, vision, hearing, transportation, OTC flex card, in-home support) and embedded Care Ally care coordination for seniors living in institutional settings such as assisted living facilities, long-term care, and skilled nursing facilities. Plans are delivered through on-site primary care teams, value-based care contracting, and a network of 12,000+ providers across 554 partnered senior living communities in California, Florida, Michigan, and Virginia.

Product overview

Align Senior Care is a Medicare Advantage Special Needs Plan (SNP) provider offering three named health plan products — Advantage Care (HMO), Senior Care (HMO I-SNP), and Premier Care (HMO I-SNP) — alongside a suite of member-facing and provider-facing digital tools and vendor-administered benefit programs. The plans are built around institutional special needs plan (I-SNP), dual-eligible special needs plan (D-SNP), and chronic care special needs plan (C-SNP) models targeting vulnerable senior populations in long-term care, assisted living, and dementia care settings. Core plan features are supplemented by benefit administration vendors (The Helper Bees for Flex Card/transportation/in-home support, Liberty Dental, Nations Benefits for hearing, Navitus for pharmacy benefit management) and digital portals (Member Portal and Provider Portal) hosted on the HealthX platform. The company is fully owned and operated by Curana Health.

Differentiator

Problem solved

Functional benefit

Brands

• Advantage Care (HMO): Medicare Advantage HMO plan offering basic coverage for seniors.
• Senior Care (HMO I-SNP)
• Premier Care (HMO I-SNP)

Products and services

• Advantage Care (HMO) Medicare Advantage HMO plan providing Medicare Part A and Part B coverage for members with Medicare Parts A and B, offered with a $0 monthly premium and available in California.
• Senior Care (HMO I-SNP) Institutional Special Needs Plan (I-SNP) targeting seniors residing in long-term care and senior living communities, covering Medicare Part A, Part B, and Part D benefits with supplemental benefits and premiums ranging from $0 to $12.00 per month depending on state and Extra Help eligibility.
• Premier Care (HMO I-SNP) Premium institutional special needs plan offering the most comprehensive benefits among Align Senior Care plans, including enhanced on-site primary care with $0 copay for in-room or office visits, available with a $0 monthly premium for senior living residents.
• Premier Care (HMO-POS I-SNP) HMO with Point of Service Institutional Special Needs Plan offering in-network benefits plus out-of-network flexibility at higher cost, available with a $0 monthly premium in Michigan and Virginia.

Quantifiable outcome

• 36% to 37% reduction in unnecessary hospitalizations through value-based care approach
• +1 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

Feature5 records

Partnerships

Four partnerships are on record, tiered core and minor.

• Curana HealthcoreStrategic or Co-development PartnerAlign Senior Care is fully owned and operated by Curana Health. Curana Health began reforming the health system in 2013 by enabling leading long-term care providers to launch provider-sponsored managed care plans for vulnerable senior populations. Today Curana Health manages Medicare Advantage I-SNPs, C-SNPs for dementia, and D-SNPs through Align Senior Care. Compliance and administrative functions (Compliance Officer Gillian Kotun, member portal support) are handled through Curana Health.
• Navitus Health SolutionscoreTechnology or IntegrationFull-service pharmacy benefit management (PBM) company providing Medicare Part D prescription drug coverage. Manages formulary, prior authorizations, step therapy criteria, and pharmacy network. Navitus Clinical Engagement Center provides Comprehensive Medication Reviews. Helpdesk: 1-866-270-3877 (TTY: 711). Prescribers and pharmacies access portals through Navitus website.
• HealthXcoreTechnology or IntegrationTechnology platform providing secure web-based Provider Portal (secure.healthx.com/AlignSeniorCare.Provider) and Member Portal (secure.healthx.com/AlignSeniorCare.Member) for claims, eligibility, authorizations, and benefit information access.
• URACminorOthersAlign Senior Care follows health plan standards developed by URAC, a healthcare accreditation organization, as part of their quality program. URAC standards complement CMS requirements and NCQA HEDIS measure standards.

Scale indicators4 records

Recent moves5 records

Expansion highlights4 records

Direct peers

• American Health Advantage: American Health Advantage operates Medicare Advantage Institutional Special Needs Plans (I-SNPs) focused on senior living and skilled nursing facility residents across multiple states. Most directly comparable specialized I-SNP competitor with similar community-partnership distribution model and member profile.
• agilon health: agilon health partners with primary care groups to deliver value-based care for Medicare Advantage seniors, sharing risk and providing care coordination infrastructure. Highly comparable operating model — value-based MA care delivery for complex senior populations with embedded PCP partnerships.
• Oak Street Health (CVS Health): Oak Street Health operates value-based primary care clinics dedicated to Medicare beneficiaries, particularly in underserved senior communities. Acquired by CVS Health, its model of embedded senior primary care with MA risk-sharing directly parallels Align's care-team-in-community approach.
• PruittHealth Premier: PruittHealth Premier is an I-SNP offered by PruittHealth, a senior care provider operating across the Southeast. Similar vertically integrated model combining senior living operations with an institutional SNP health plan, particularly relevant given geographic overlap in states like Florida and Virginia.
• Lasso Healthcare: Lasso Healthcare offers Medicare Advantage I-SNPs targeting seniors in skilled nursing and assisted living facilities across multiple states. Smaller-scale specialized I-SNP competitor with a comparable focus on community-based SNP distribution.

Broad incumbents

• Humana: Humana is the second-largest Medicare Advantage insurer in the U.S. and operates I-SNP products targeting senior living and institutional populations through its CenterWell brand. While a much larger diversified carrier, Humana's I-SNP offerings directly compete for the same institutional senior segment that Align Senior Care serves.
• UnitedHealthcare: UnitedHealthcare is the largest Medicare Advantage carrier and offers I-SNP and D-SNP products serving senior living residents. Competes with Align for institutional SNP enrollment and has materially deeper provider networks and brand recognition, but is a broad MA player rather than an institutional-specialist.
• Elevance Health (Anthem): Elevance Health operates Medicare Advantage plans across many states, including D-SNP products serving dual-eligible seniors. A large diversified payer competing for similar dual-eligible and senior populations but without Align's institutional-living specialty focus.
• CVS Health (Aetna): CVS Health/Aetna is one of the largest Medicare Advantage insurers and operates institutional SNP and D-SNP products. Competes for senior SNP enrollment, with the addition of Oak Street Health providing a parallel value-based primary care platform. Broad incumbent rather than an institutional specialist.

Emerging players

• P3 Health Partners: P3 Health Partners is a value-based care operator focused on Medicare Advantage seniors, partnering with primary care physicians to manage total cost of care. Emerging competitor in the value-based senior care space with overlapping model elements but smaller scale and geographic concentration.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Align Senior Care