Alignment Healthcare tackles one of the toughest problems in U.S. healthcare: keeping seniors healthy while controlling costs. Founded in 2013 by John Kao, the company built AVA — a proprietary data and analytics platform that tracks patient risk, predicts health deteriorations, and coordinates interventions before conditions worsen.
AVA ingests clinical, claims, behavioral, and social data to create real-time risk profiles for each member. Care teams — nurses, social workers, pharmacists — get automated alerts when a patient misses medications, skips appointments, or shows early signs of a health decline. The platform also handles prior authorization workflows, network adequacy monitoring, and quality metric tracking for Medicare’s Star rating system.
Alignment operates its own Medicare Advantage plans under the Access brand in California, North Carolina, Nevada, Arizona, and Texas, serving over 175,000 members. It also partners with other health systems and physician groups through value-based care arrangements where Alignment provides its technology and clinical services while the partner maintains the patient relationship. Revenue passed $2 billion, driven by steady membership growth. The company went public in 2021 and employs around 3,500 people. Alignment’s bet is that investing heavily in preventive care and early intervention pays off through fewer hospitalizations and emergency visits — and the data from its growing membership base keeps making the AVA platform smarter.
