Alignment Healthcare has seen a significant increase in its Medicare Advantage enrollment, with numbers jumping more than 30% compared to the previous year. This growth comes at a time when some larger competitors are scaling back their offerings in the privatized coverage market for older adults. The company recently released its enrollment report on Monday, January 12, 2026.
As of January 1, 2026, Alignment Healthcare reported a total of 275,300 members, representing a 31% year-over-year increase. This marks the company’s second consecutive profitable quarter, with a consistent annual growth rate of 30% or more since its initial public offering in 2021. Following the annual enrollment period, Alignment expects to reach a health plan membership of 290,000 to 296,000 by the end of 2026, showing a growth rate of approximately 24% to 27% compared to the previous year.
In terms of financial performance, Alignment Healthcare anticipates achieving an adjusted EBITDA of around $145 million in 2026, aligning with its full-year guidance range. The company plans to provide further guidance during its fourth-quarter 2025 earnings call. This positive outlook comes as many rival health insurance companies, particularly those with Medicare Advantage business, are facing challenges in cost control.
Medicare Advantage plans offer additional benefits and services to seniors beyond traditional Medicare coverage, such as disease management and wellness programs. While some major players in the Medicare Advantage market have scaled back their operations this year due to rising costs and market evaluations, Alignment Healthcare has continued to expand its offerings. The company currently operates in five states and 45 counties, with plans to expand its benefit packages from 56 to 68 this year.
Alignment Healthcare’s founder and CEO, John Kao, emphasized the company’s commitment to delivering high-quality care, better outcomes, and lower costs for seniors. Kao stated, “As we mark five years as a public company, we are proving strong business performance comes from delivering on our promise to seniors: better care, better outcomes, and lower costs. The strength of our model is driving industry-leading performance in MA today and positions us for scalable, repeatable growth.”
Overall, Alignment Healthcare’s impressive growth in Medicare Advantage enrollment and financial performance sets it apart as a leader in the industry. With a focus on delivering value to its members and expanding its offerings, the company is well-positioned for continued success in the evolving healthcare landscape.
