{ "company": "oscar-health", "as_of": "2026-09-24", "choices": [ { "id": "oscar-health-p02", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Care access", "statement": "Telemedicine through a TeleDoc partnership promised a doctor by phone within 20 minutes with no co-pay, alongside online price comparisons.", "event_date": "2013-08-19", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS17" ] }, { "id": "oscar-health-g02", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Target buyer", "statement": "Targeted young, healthy and uninsured New Yorkers through traditional and nontraditional media.", "event_date": "2013-08-19", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS17" ] }, { "id": "oscar-health-p01", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Entry product", "statement": "Launched on New York's exchange with four plan tiers, unlimited telephone access to doctors, free generic drugs on select plans and a search tool matching symptoms to appropriate doctors.", "event_date": "2013-10-03", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS16" ] }, { "id": "oscar-health-g01", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Channel and capital", "statement": "Sold first through New York's state exchange; $29 million of a $40 million round was held in state-required reserves.", "event_date": "2013-10-03", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS16" ] }, { "id": "oscar-health-p03", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Member tools", "statement": "Members had a timeline of visits, symptom search with cost estimates and zero-copay generics; nearly all members had used the website and 5% used it daily.", "event_date": "2014-02-24", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS19" ] }, { "id": "oscar-health-p19", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Price position", "statement": "New York City silver premium averaged $449 a month over 2014 to 2016, 8.6% above the $414 market median, on a rented MagnaCare network.", "event_date": "2016", "date_precision": "year", "evidence_kind": "documented_offer_or_action", "sources": [ "OS59" ] }, { "id": "oscar-health-p04", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Provider network", "statement": "Dropped Memorial Sloan Kettering, NewYork-Presbyterian affiliates including Weill Cornell, and New York Methodist from the New York network, keeping NYU- and Mount Sinai-affiliated hospitals.", "event_date": "2016-02-24", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS30" ] }, { "id": "oscar-health-p05", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Provider network", "statement": "Built Texas networks around Tenet and Baylor Scott & White in Dallas and Tenet's Baptist Health System in San Antonio.", "event_date": "2016-02-24", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS30" ] }, { "id": "oscar-health-p06", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Provider contracting", "statement": "Formed a risk-sharing network with Providence Health in Los Angeles in which both parties share costs and profits.", "event_date": "2016-02-24", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS30" ] }, { "id": "oscar-health-g03", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Pricing", "statement": "Schlosser: in California 'we don't underprice. We price for a good margin'; Oscar's LA mid-level plan was $23 a month above Anthem's while its San Antonio plan was the cheapest mid-level option.", "event_date": "2016-02-24", "date_precision": "day", "evidence_kind": "participant_account", "sources": [ "OS30" ] }, { "id": "oscar-health-g04", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Geography", "statement": "Exited Dallas and New Jersey exchanges for 2017 (33,000 enrollees) and raised New York premiums 16%.", "event_date": "2016-08-24", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS5" ] }, { "id": "oscar-health-g05", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Segment", "statement": "Entered the small-group market in 2017.", "event_date": "2017", "date_precision": "year", "evidence_kind": "documented_offer_or_action", "sources": [ "OS4" ] }, { "id": "oscar-health-p07", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Provider partnership", "statement": "Partnered with the Cleveland Clinic to sell individual plans in Ohio for 2018.", "event_date": "2017-06-21", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS29" ] }, { "id": "oscar-health-g06", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Geography", "statement": "Filed for 2018 entry into Ohio and Tennessee, expansion in Texas and California, and a return to New Jersey; raised New York prices up to 30%.", "event_date": "2017-06-21", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS29" ] }, { "id": "oscar-health-g07", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Broker channel", "statement": "Entered Florida in 2018 in four counties with 1,600 appointed agents and sued Florida Blue over exclusive broker contracts.", "event_date": "2018-11-13", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS18" ] }, { "id": "oscar-health-p12", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "New line", "statement": "Launched Medicare Advantage plans in 2020.", "event_date": "2020", "date_precision": "year", "evidence_kind": "documented_offer_or_action", "sources": [ "OS4" ] }, { "id": "oscar-health-g08", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Partnership", "statement": "Launched co-branded Cigna + Oscar small-group plans, sold by Cigna and partially reinsured by Oscar.", "event_date": "2020", "date_precision": "year", "evidence_kind": "documented_offer_or_action", "sources": [ "OS4" ] }, { "id": "oscar-health-p08", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Member service", "statement": "Each member assigned a Care Team, typically five Care Guides and a registered-nurse Case Manager.", "event_date": "2021-02", "date_precision": "month", "evidence_kind": "company_described_offering", "sources": [ "OS4" ] }, { "id": "oscar-health-p09", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Virtual care", "statement": "In-house virtual care used by 37% of members in 2020; it accounted for 19% of primary, urgent and outpatient emergency visits in Q4 2019.", "event_date": "2021-02", "date_precision": "month", "evidence_kind": "company_described_offering", "sources": [ "OS4" ] }, { "id": "oscar-health-p10", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Architecture", "statement": "Founders state they chose from the start to build a full-stack platform controlled end-to-end, knowing it made the startup harder.", "event_date": "2021-02", "date_precision": "month", "evidence_kind": "participant_account", "sources": [ "OS4" ] }, { "id": "oscar-health-g09", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Capital", "statement": "IPO of 37 million shares at $39, raising about $1.4 billion at a $7.9 billion valuation.", "event_date": "2021-03-03", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS26" ] }, { "id": "oscar-health-g10", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Geography", "statement": "Exited Arkansas and Colorado exchanges in 2022.", "event_date": "2022", "date_precision": "year", "evidence_kind": "documented_offer_or_action", "sources": [ "OS37" ] }, { "id": "oscar-health-g20", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Broker commissions", "statement": "Joined Bright, Molina and some Blue plans in stopping broker commissions on new enrollees during the 2022 low-income special enrollment period.", "event_date": "2022-04-05", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS57" ] }, { "id": "oscar-health-p13", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Retirement", "statement": "Exited Medicare Advantage in New York and Texas for 2023 (4,577 MA members), keeping one partner plan in Broward County, Florida.", "event_date": "2022-11-09", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS7" ] }, { "id": "oscar-health-p14", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Platform", "statement": "Paused new +Oscar technology-platform deals after Health First abandoned the platform over rollout problems.", "event_date": "2022-11-09", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS7" ] }, { "id": "oscar-health-g11", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Growth control", "statement": "Paused new ACA enrollment in Florida for 2023 to manage growth.", "event_date": "2022-12-21", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS20" ] }, { "id": "oscar-health-g12", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Geography", "statement": "Paused participation in California's individual market for 2024 because the plan had not met targets.", "event_date": "2023-05-10", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS24" ] }, { "id": "oscar-health-p11", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Architecture", "statement": "Schlosser says the company spent more time building its own claims system than on the member experience, to fix larger sources of error and friction.", "event_date": "2023-09", "date_precision": "month", "evidence_kind": "participant_account", "sources": [ "OS10" ] }, { "id": "oscar-health-g13", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Segment", "statement": "Bertolini named ICHRA, employer-funded individual coverage, as Oscar's first market opportunity.", "event_date": "2024-01-10", "date_precision": "day", "evidence_kind": "participant_account", "sources": [ "OS25" ] }, { "id": "oscar-health-p18", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "ICHRA product", "statement": "Launched a Hy-Vee Health-branded ICHRA plan in Des Moines with concierge care through Hy-Vee clinics.", "event_date": "2025-08-06", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS38" ] }, { "id": "oscar-health-g14", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Acquisitions", "statement": "Acquired INSXCloud, IHC Specialty Benefits and healthinsurance.org to support ICHRA and individual distribution.", "event_date": "2025-08-06", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS38" ] }, { "id": "oscar-health-p16", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "AI service", "statement": "An agentic AI assistant for care guides cut peak response times by 67%, and the Oswell member agent answers 86% of member questions.", "event_date": "2026-02-10", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS15" ] }, { "id": "oscar-health-p17", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Plan design", "statement": "For 2026 the membership mix shifted from 71% silver to 39% bronze, 36% silver and 25% gold after a new suite of lower-cost products.", "event_date": "2026-02-10", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS15" ] }, { "id": "oscar-health-g16", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Pricing", "statement": "Weighted average 2026 rate increase of about 28%, refiled in states covering 99% of membership, assuming subsidy expiry.", "event_date": "2026-02-10", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS15" ] }, { "id": "oscar-health-p15", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "product", "dimension": "Platform", "statement": "+Oscar's Campaign Builder engagement platform serves nearly 0.6 million client lives.", "event_date": "2026-02-13", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS8" ] }, { "id": "oscar-health-g15", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Broker channel", "statement": "The vast majority of members are acquired through brokers, who typically enroll them on enhanced direct enrollment platforms; some come directly through marketplaces and Oscar's site.", "event_date": "2026-02-13", "date_precision": "day", "evidence_kind": "company_described_offering", "sources": [ "OS8" ] }, { "id": "oscar-health-g17", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Broker enablement", "statement": "Gave brokers lists of affected members and product recommendations ahead of the 2026 subsidy expiry.", "event_date": "2026-05-06", "date_precision": "day", "evidence_kind": "participant_account", "sources": [ "OS39" ] }, { "id": "oscar-health-g19", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "ICHRA distribution", "statement": "Bertolini described the Lucie ICHRA marketplace as earning margin without putting up risk capital.", "event_date": "2026-05-06", "date_precision": "day", "evidence_kind": "participant_account", "sources": [ "OS39" ] }, { "id": "oscar-health-g18", "business": "US individual-market health insurance sold mainly on ACA exchanges, with Medicare Advantage, small-group and +Oscar platform lines tried and cut back", "category": "go_to_market", "dimension": "Geography", "statement": "Offered exchange plans in 20 states for 2026, newly entering Alabama.", "event_date": "2026-06-11", "date_precision": "day", "evidence_kind": "documented_offer_or_action", "sources": [ "OS21" ] } ] }