Oscar Health, Inc.

OSCR Healthcare Healthcare Plans

Oscar Health, Inc.’s revenue for fiscal 2025 (year ended December 2025) was $11.7 billion, up 27.5% from fiscal 2024. In the quarter to June 2026, revenue grew 70.4%, EPS grew 234.8%, free cash flow grew 316.3% and total debt rose 43.9%, each against the same quarter a year earlier. Revenue growth for five consecutive years; insiders bought in the last twelve months.

33.79 0.22 −0.65%
Market cap
$10.5B
P/E
19.8×
Fwd P/E
29.7×
Dividend yield
—
F-score
3/9
Altman Z
1.07
Beneish M
−2.18
Dividend safety
n/a

Oscar Health, Inc. (OSCR) Business Profile

Updated before January 2025

Company Overview

Oscar Health, Inc. (OSCR) is a technology-driven health insurance company headquartered in New York City, New York. Founded in 2012 by Mario Schlosser, Kevin Nazemi, and Joshua Kushner, the company was established with the mission of simplifying health insurance and making healthcare more accessible and transparent for consumers. Oscar Health leverages technology and data to provide a user-friendly experience for its members, focusing on personalized care and cost transparency.

The company went public in March 2021, listing on the New York Stock Exchange under the ticker symbol “OSCR.” Mario Schlosser serves as the CEO and has been instrumental in driving the company’s vision of transforming the healthcare experience. Oscar Health operates primarily in the United States and has expanded its footprint across multiple states, offering individual, family, and small business health insurance plans.

Core Business Segments

Oscar Health operates across several core business segments, offering a range of products and services tailored to meet the needs of its members. These include:

1. Individual and Family Plans

Oscar Health provides health insurance plans for individuals and families, primarily through the Affordable Care Act (ACA) marketplaces. These plans are designed to offer comprehensive coverage, including preventive care, prescription drugs, and mental health services. Members benefit from Oscar’s user-friendly mobile app, which allows them to manage their healthcare needs, schedule appointments, and access telemedicine services.

2. Small Business Plans

Oscar offers health insurance plans for small businesses, enabling employers to provide affordable and high-quality healthcare coverage to their employees. These plans are designed to be flexible and cost-effective, catering to the unique needs of small businesses.

3. Medicare Advantage Plans

Oscar Health has entered the Medicare Advantage market, offering plans tailored to seniors. These plans include additional benefits such as dental, vision, and hearing coverage, as well as wellness programs and fitness memberships.

4. Virtual Care Services

Oscar Health is a pioneer in integrating telemedicine into its offerings. Members have access to 24/7 virtual care services, allowing them to consult with healthcare professionals from the comfort of their homes. This service is particularly valuable for addressing non-emergency medical issues and managing chronic conditions.

5. Technology and Data Analytics

Oscar Health’s proprietary technology platform is a key differentiator. The platform uses data analytics to provide personalized recommendations, optimize care delivery, and improve health outcomes. The company’s mobile app and website offer seamless navigation, enabling members to find doctors, track deductibles, and access health resources.

Business Model

Oscar Health’s business model revolves around leveraging technology to enhance the healthcare experience. The company integrates its products and services through a member-centric approach, focusing on:

  • Personalized Care: Oscar uses data analytics to tailor healthcare recommendations and provide members with personalized care plans.
  • Cost Transparency: The company emphasizes transparency in pricing, helping members understand their healthcare costs and make informed decisions.
  • Digital Engagement: Oscar’s mobile app and online platform serve as central hubs for members to manage their healthcare needs, access telemedicine services, and receive real-time support.
  • Revenue Generation: Oscar generates revenue primarily through premiums paid by members and reimbursements from government programs like Medicare. The company also earns revenue from partnerships with healthcare providers and employers.

Strategic Direction

Oscar Health is focused on expanding its market presence and enhancing its product offerings. Key strategic priorities include:

  • Geographic Expansion: The company aims to enter new markets and increase its footprint in existing states to reach more members.
  • Product Diversification: Oscar plans to expand its Medicare Advantage offerings and explore new product categories to cater to diverse customer needs.
  • Technology Innovation: Continued investment in technology and data analytics is a cornerstone of Oscar’s strategy. The company is working on enhancing its digital tools and developing new features to improve member engagement.
  • Sustainability Goals: Oscar is committed to promoting sustainable healthcare practices, including reducing waste and optimizing resource utilization.

Competitive Landscape

Oscar Health operates in a highly competitive industry, facing competition from both traditional health insurance companies and technology-driven startups. Key competitors include:

  • UnitedHealth Group: A leading health insurer with a broad range of products and services.
  • Anthem, Inc.: A major player in the health insurance market, offering individual, group, and Medicare plans.
  • Cigna: Known for its global presence and diverse healthcare offerings.
  • Bright Health: A technology-focused health insurance company with a similar emphasis on digital engagement.
  • Other Startups: Companies like Clover Health and Devoted Health also compete in the Medicare Advantage and technology-driven insurance space.

Risk Factors

Oscar Health faces several risks that could impact its business operations and financial performance:

  • Regulatory Changes: Changes in healthcare regulations and policies could affect Oscar’s ability to operate and compete effectively.
  • Market Dependence: The company’s reliance on ACA marketplaces and Medicare Advantage programs exposes it to market-specific risks.
  • Competition: Intense competition from established players and new entrants could pressure margins and limit growth opportunities.
  • Supply Chain Disruptions: Disruptions in partnerships with healthcare providers and suppliers could impact service delivery.
  • Financial Performance: As a relatively young company, Oscar has yet to achieve consistent profitability, which may concern investors.

Recent Developments

Oscar Health has made significant strides in recent years, including:

  • Expansion into New Markets: The company has entered additional states and regions, broadening its reach.
  • Enhanced Telemedicine Services: Oscar has upgraded its virtual care offerings, making telemedicine more accessible and efficient for members.
  • Partnerships: The company has formed strategic partnerships with healthcare providers and technology firms to enhance its service offerings.
  • COVID-19 Response: Oscar played a proactive role during the pandemic, offering free COVID-19 testing and virtual consultations to members.

Investment Considerations

Strengths:

  • Strong focus on technology and innovation.
  • Member-centric approach with personalized care.
  • Growing presence in the Medicare Advantage market.
  • Commitment to cost transparency and digital engagement.

Risks:

  • Intense competition in the health insurance industry.
  • Dependence on ACA marketplaces and government programs.
  • Financial challenges related to achieving profitability.
  • Exposure to regulatory and market-specific risks.

Conclusion

Oscar Health, Inc. is a disruptive force in the health insurance industry, leveraging technology to transform the healthcare experience. While the company faces challenges such as intense competition and regulatory risks, its focus on innovation, personalized care, and digital engagement positions it well for future growth. As Oscar continues to expand its market presence and enhance its product offerings, it remains a compelling player in the evolving healthcare landscape.