What is Oscar Health?
Technology-enabled health insurance company with $11.7B 2025 revenue; $4.647B Q1 2026 revenue scale.
- Category
- Technology-enabled health insurance
- Headquarters
- New York, NY
- Founded
- 2012
- Employees
- 2,900+
- Total funding
- Public company; not venture-round led
- Status
- NYSE: OSCR
What is Oscar Health?
Oscar Health is a Technology-enabled health insurance company headquartered in New York, NY. As of June 2026, its clearest scale signal is $11.7B 2025 revenue; $4.647B Q1 2026 revenue.
Oscar Health operates a health insurer focused on individual market and ACA plans, member experience, care navigation, provider tools, and plan operations. Its core customer set includes individual and family plan members, brokers, providers, regulators, exchange marketplaces, and reinsurance or risk-adjustment stakeholders, and its public product surface includes ACA individual and family plans, Oscar Care, Care Guides, Provider portal, Broker tools. The current scale signal is $11.7B 2025 revenue; $4.647B Q1 2026 revenue, which makes this a mid-market public account with real enterprise procurement capacity rather than an early-stage startup.
The company competes where healthcare buyers care about evidence, reliability, compliance, integrations, and measurable operational or clinical outcomes. Vendor evaluation usually involves business owners plus finance, security, legal, procurement, data, clinical, quality, compliance, and IT stakeholders.
For sellers, the account should be approached as a public-company buying center. The strongest angles connect directly to growth, retention, margin expansion, reimbursement, quality, member or patient experience, regulated data handling, workflow automation, or lower cost to serve.
What does Oscar Health offer?
Oscar Health offers ACA individual and family plans, Oscar Care, Care Guides, Provider portal and related healthcare workflows.
- ACA individual and family plans· Core product
- Oscar Care· Core product
- Care Guides· Core product
- Provider portal· Workflow
- Broker tools· Workflow
- Virtual care navigation· Workflow
- Claims operations· Platform
- Plan analytics· Platform
How does Oscar Health make money?
Oscar earns premium revenue from health insurance members plus investment income and other revenues, while profitability depends on membership, rates, risk adjustment, medical-loss ratio, and SG&A leverage.
Oscar earns premium revenue from health insurance members plus investment income and other revenues, while profitability depends on membership, rates, risk adjustment, medical-loss ratio, and SG&A leverage. Growth is driven by the same operating levers buyers track internally: customer volume, recurring revenue, utilization, reimbursement, renewal rates, attach rates, product expansion, and disciplined cost control.
Plan pricing is regulated and market-specific: monthly premiums, subsidies, deductibles, networks, actuarial values, and risk-adjustment economics vary by county, metal tier, and member profile. In practice, commercial packaging usually separates strategic enterprise accounts, standard commercial customers, implementation services, support, usage, and renewal economics.
For a seller, budget access depends on showing a near-term connection to revenue capture, margin improvement, compliance, uptime, provider or member experience, data quality, clinical evidence, or workflow throughput. Generic efficiency claims are weaker than quantified impact on one of those operating levers.
Who leads Oscar Health?
Oscar Health is led by Mark Bertolini, with finance, product, clinical, technology, commercial, and operations leaders influencing major vendor decisions.
- Mark BertoliniChief Executive OfficerCEO since 2023Leads insurer operations, capital discipline, and growth strategy.
- Mario SchlosserCo-founder and President of TechnologyCo-founderLeads technology vision and platform strategy.
- Scott BlackleyChief Financial OfficerCFOOwns finance, actuarial, and capital allocation.
- Rhiannon IduChief Operating OfficerOperations leaderLeads operating execution across insurance workflows.
How do you contact Oscar Health's leadership?
Oscar Health publishes an official investor-relations or corporate contact route, but this profile does not present guessed personal executive emails as verified. Use the official contact listed here, the company contact page, or a relationship-based introduction for executive outreach.
ir@hioscar.com (official published/company IR contact); personal executive format not verifiedHow much funding has Oscar Health raised?
Oscar Health is a public company (NYSE: OSCR), so the current capital story is public-market status, operating cash flow, debt or equity access, and acquisitions rather than a private startup round stack.
2012: Founded - Oscar is founded to build a consumer-focused health insurer. 2021: IPO - Oscar lists publicly on NYSE. 2023: CEO transition - Mark Bertolini becomes CEO and sharpens insurance operating discipline. 2025: Full-year results - Oscar reports $11.7B revenue, 20 states, and an 87.4% medical loss ratio. 2026: Q1 results - Oscar reports approximately $4.647B of first-quarter revenue and 3.2M members.
As of June 2026, Oscar Health's practical funding capacity is best read through NYSE: OSCR, $11.7B 2025 revenue; $4.647B Q1 2026 revenue, its latest annual or quarterly filings, cash flow, balance sheet, and guidance. For public mid-market healthcare companies, the next budget cycle is usually governed by operating plans and investor commitments, not by a new venture round.
Seller signal: public-company status gives Oscar Health access to mature procurement and repeat budget cycles, but it also raises the proof bar. Successful pitches need a measurable business case, clean implementation plan, security and compliance readiness, and executive sponsorship from the functional owner.
How did Oscar Health get here?
Oscar Health grew through founding, product expansion, public-market milestones, and its latest June 2026 operating update.
- 2012Company foundedOscar launches around consumer-centered ACA health insurance.
- 2014Exchange growthOscar expands individual and family plans.
- 2021Public listingOscar lists on NYSE.
- 2023Operating resetMark Bertolini joins as CEO.
- 2025Revenue reaches $11.7BMembership and rates drive revenue growth, with MLR pressure.
- 20263.2M membersOscar reports 3.2M members as of March 31, 2026.
Who are Oscar Health's competitors?
Oscar Health competes with public companies, private healthcare platforms, software vendors, services firms, and specialized workflow providers depending on the buyer's problem.
- CenteneLarge managed-care company with ACA marketplace scale.
- Elevance HealthBlue plan operator and ACA competitor in multiple states.
- UnitedHealthcareLargest diversified health insurer.
- CVS HealthAetna parent and diversified payer-provider-pharmacy competitor.
- Molina HealthcareManaged-care competitor in Medicaid and marketplace plans.
- Clover HealthTechnology-enabled Medicare Advantage insurer.
Oscar Health — frequently asked questions
