Alignment Healthcare, Inc. (ALHC) reported that its Medicare Advantage membership reached 275,300 as of January 1, 2026, a 31% year‑over‑year increase from the roughly 210,000 members counted on January 1, 2025. The jump reflects the company’s care‑management model and its recent expansion into California, North Carolina, Nevada, Arizona, and Texas, which together added more than 65,000 members in the first quarter of the year.
The company projected year‑end 2026 membership to fall between 290,000 and 296,000, representing a 24%–27% increase over the midpoint of its 2025 guidance. ALHC also reiterated its 2026 adjusted EBITDA guidance of about $145 million, the same range it had set for the full year of 2025. The guidance reaffirmation signals management’s confidence that the growth trajectory will continue without requiring a change in capital allocation or cost‑control plans.
All 275,300 members are enrolled in plans rated four stars or higher, a metric that has been 100% for two consecutive years. The company attributes the high quality rating to its integrated care‑management platform, which coordinates care across providers and leverages data analytics to reduce avoidable hospitalizations. The model has also helped keep member acquisition costs lower than the industry average, supporting the sustained membership growth.
John Kao, founder and CEO, said the results demonstrate that “our care‑centered model is delivering on its promise to seniors: better outcomes and lower costs.” He added that the company’s technology platform, AVA, is scaling across the new markets, creating a repeatable growth engine that can be replicated in other states. The CEO’s comments underscore the strategic focus on expanding high‑quality, cost‑efficient Medicare Advantage plans.
In the broader Medicare Advantage landscape, several larger competitors have scaled back or exited markets, creating a tailwind for companies that can manage costs while maintaining quality. Alignment Healthcare’s membership growth, coupled with its 100% four‑star rating and strong guidance, positions it to capture additional market share in a tightening environment. The company’s compounded annual membership growth of roughly 30% since its IPO in 2021 further highlights its ability to scale efficiently.”
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