Oscar Health, Inc.
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ROIC.AI
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- Oscar Health, Inc. (OSCR) is a healthcare technology company that provides health insurance plans and +Oscar platform solutions to individuals, families, small groups, employers, and Medicare Advantage members across the United States. The company offers Individual & Family plans in Affordable Care Act (ACA) metal tiers including Catastrophic, Bronze, Silver, Gold, and Platinum; Small Group plans and Cigna+Oscar administered plans for businesses; Medicare Advantage plans; specialized programs such as Diabetes Care, Breathe Easy for pulmonary conditions, and a new multi-chronic condition plan addressing diabetes, pulmonary, and cardiovascular needs; innovative offerings like the first individual market Menopause Plan (HelloMeno) with $0 primary care, gynecological, and behavioral health visits plus hormone and density scans; Guided Care HMO with primary care provider coordination; Buena Salud for Spanish-speaking members; $0 virtual urgent care and primary care; $3 prescription medications; dedicated Care Teams; and AI-powered tools including the Oswell health AI agent for personalized virtual care. Through its full-stack technology platform, Oscar delivers telemedicine, transparent claims pricing, data analytics, virtual care, cost estimators, and member engagement tools to enhance clinical outcomes and user experience. Founded in 2012 and headquartered at 75 Varick Street in New York, New York, the company operates in 20 states covering 573 counties as of 2026 plans, with offices in Los Angeles, California, and Tempe, Arizona, serving approximately 2.1 million members. In recent developments, Oscar expanded its ACA individual market presence to 504 markets in 18 states for 2025 and further to 573 counties in 20 states including new entries in Alabama and Mississippi for 2026, alongside launches in specific markets like Charlotte, Tampa, San Antonio, Southern Florida, Phoenix, Orlando, New Jersey, Ohio, Tennessee, Kansas City, Iowa, and Georgia. The company acquired early-stage assets including an individual market brokerage (IHC Specialty Benefits), direct enrollment technology platform (INSX Cloud), and consumer education site (healthinsurance.org) to bolster its Individual Coverage Health Reimbursement Arrangements (ICHRA) capabilities and launched a Hy-Vee Health branded ICHRA plan with concierge medicine in Des Moines, Iowa, for 2026. Additional strategic moves encompass appointing Mark Bertolini as CEO in 2023 with Mario Schlosser transitioning to President of Technology, naming R. Scott Blackley as CFO, Dr. Sean Martin as Chief Medical Officer, and adding board members Bill Gassen and Laura Lang; extending partnerships with Centrus Health in Kansas City and MercyOne in Iowa; and introducing AI-driven clinical tools like AgenTeq for care direction.
Company News
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