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bipartisan interest grows in reforming medicare advantage and health equity initiatives

The potential for reform in Medicare Advantage (MA) is gaining bipartisan interest, with discussions around quality bonus payments, risk adjustment, and the Health Equity Index (HEI). While the Trump administration may favor MA expansion, concerns about health equity and budget cuts loom, creating uncertainty about future policies. The political landscape suggests a complex interplay between healthcare priorities and fiscal conservatism, leaving stakeholders wary of potential disruptions.

alignment healthcare reports membership growth but remains unprofitable

Alignment Healthcare reported a net loss of $26 million despite a 57.7% year-over-year increase in Medicare Advantage membership, reaching 182,300 members. The company raised its full-year membership and revenue guidance, projecting 184,000 to 186,000 members, while aiming for adjusted EBITDA profitability by 2025. CEO John Kao expressed confidence in achieving a $40 million adjusted EBITDA in 2025, bolstered by a five-star rating from CMS for one of its Medicare Advantage plans.
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