LAS VEGAS and ORANGE, Calif., July 20, 2022 (GLOBE NEWSWIRE) — Alignment Health Plan, an award-winning Medicare Advantage plan from Alignment Healthcare (NASDAQ: ALHC), plans to expand into three Nevada counties — Carson City, the state’s capital, and neighboring Douglas and Storey counties — and introduce its preferred provider organization (PPO) plans for the primary time to the Silver State, pending regulatory approval from the Centers for Medicare & Medicaid Services (CMS).1
If approved, the corporate’s Medicare Advantage prescription drug plans can be available in six Nevada counties, providing more alternative and adaptability to greater than 530,000 residents, or 93% of the state’s Medicare-eligible population, starting Jan. 1, 2023.
Among the many three fastest growing states for people 65 and over, Nevada is predicted to age at higher rates than the remaining of the country through 2030, in line with Elders Count Nevada 2021, a report from the nonprofit Center for Healthy Aging.2 Access to health care services and infrastructure most utilized by aging adults, nevertheless, varies greatly between urban and rural areas of the state because 87% of Nevada’s seniors live in three counties (Carson City, Clark and Washoe) that make up only 13% of its geographic footprint. Nevadans within the state’s 14 remaining counties, which generally have the next per capita of older adults, are sometimes forced to travel large distances to keep up their health.
“At Alignment Health Plan, we provide all-in-one Medicare Advantage plans designed to satisfy the health and lifestyle needs of the senior population, each time and wherever they need it,” said Dawn Maroney, markets president, Alignment Healthcare, and CEO of Alignment Health Plan. “We’re desirous to introduce our PPO plans to Nevada and extend popular advantages and services comparable to 24/7 telehealth, mail-order prescription delivery and non-emergency transportation into the state’s capital and its more rural surroundings, giving Nevadans more alternative and higher access to care.”
In Clark, Nye and Washoe counties, the corporate currently offers HMO plans, including chronic condition special needs plans (HMO C-SNPs) for individuals with qualifying conditions like diabetes and dual-eligible special needs plans (HMO D-SNPs) for those enrolled in Medicaid and Medicare. Unlike HMOs, PPO plans allow members to see any doctor and use any hospital with out a referral, typically paying less when receiving care from in-network providers.
If approved by CMS, Alignment would extend its HMO options to Carson City, Douglas and Storey, and convey PPO plans — including a PPO D-SNP — to all six counties. Combined with recently announced planned expansions in Arizona, California, North Carolina, Florida and Texas, Alignment would reach a complete of 8.2 million eligible seniors across 52 counties in six states in 2023, subject to CMS approval.
Alignment Health Plan members can use the corporate’s ACCESS On-Demand Concierge team at no additional cost to attach with a board-certified doctor by phone or video at any time of day or get help with scheduling medical appointments and understanding their plan’s advantages. Alignment’s plan portfolio is consistently ranked for exceptional quality by individual members and CMS, and most recently received the 2022 Excellence in Quality Award from the Pharmacy Quality Alliance for achievements in medication safety. In Reno, its Platinum (HMO) plan was recognized for Excellence in 2022 Medicare Advantage Advantages Value by HealthMetrix Research Inc.
While Medicare beneficiaries may qualify for special enrollment periods all year long, Medicare’s annual enrollment period for coverage starting Jan. 1, 2023, starts Oct. 15 and ends Dec. 7. For more information, visit www.alignmenthealthcare.com.
1 Centers for Medicare & Medicaid Services Medicare Advantage/Part D Contract and Enrollment Data, June 2022 MA State/County Penetration, https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/MCRAdvPartDEnrolData/MA-State-County-Penetration
2 “Elders Count Nevada 2021,” Nevada Aging and Disability Services Division, Department of Health and Human Services, https://adsd.nv.gov/uploadedFiles/adsdnvgov/content/About/Reports2/Elders%20Count%202021%20-%20FINAL%201.28.2021.pdf
About Alignment Healthcare
Alignment Healthcare is a consumer-centric platform delivering customized health care in the USA to seniors and people who need it most, the chronically ailing and frail, through its Medicare Advantage plans. The corporate provides partners and patients with customized care and repair where they need it and once they need it, including clinical coordination, risk management and technology facilitation. Alignment Healthcare offers health plan options through Alignment Health Plan, and in addition partners with select health plans to assist deliver higher advantages at lower costs.
Forward Looking Statements
This release comprises forward-looking statements throughout the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995, as amended. Forward-looking statements are subject to risks and uncertainties and are based on assumptions which will prove to be inaccurate, which could cause actual results to differ materially from those expected or implied by the forward-looking statements. Actual results may differ materially from the outcomes predicted, and reported results mustn’t be regarded as a sign of future performance. Essential risks and uncertainties that might cause our actual results and financial condition to differ materially from those indicated within the forward-looking statements include, amongst others, the next: our ability to draw recent members and enter recent markets; including the necessity for certain governmental approvals; our ability to keep up a high rating for our plans on the Five Star Quality Rating System; risks related to being a government contractor; changes in laws and regulations applicable to our business model; changes in market or industry conditions and receptivity to our technology and services; results of litigation or a security incident; the impact of shortages of qualified personnel and related increases in our labor costs; and the impact of COVID-19 on our business and results of operation. For an in depth discussion of the chance aspects that might affect our actual results, please check with the chance aspects identified in our Annual Report on Form 10-K for the 12 months ended December 31, 2021, and the opposite periodic reports we file with the SEC. All information provided on this release is as of the date hereof, and we undertake no duty to update or revise this information unless required by law.
mPR, Inc. for Alignment Healthcare