Obamacare Insurer Oscar Health Sees 2026 ‘Return To Profitability'

Core Insights - Oscar Health reported a third quarter loss of $137 million but anticipates a return to profitability as the health insurance industry navigates rising costs and policy uncertainties in Washington [2][3][5] Financial Performance - Oscar's total membership increased by 28% to over 2.1 million compared to the same quarter last year, contributing to a 23% rise in total revenue to nearly $2.9 billion [4] - The company reported a loss of $137.5 million, or 53 cents per share, compared to a loss of $54.6 million, or 22 cents per share in the previous year [4] Industry Context - Oscar is part of a group of health insurers providing government-subsidized insurance that have faced significant challenges due to rising costs, leading to lowered profit forecasts and plans to increase rates next year [5] - The company aims to achieve positive net income next year by balancing membership growth with profitability [5] Future Outlook - Oscar has resubmitted rate filings in states covering nearly 99% of its current membership for 2026, reflecting elevated cost trends and higher market morbidity [6] - The company sees an opportunity to gain market share as competitors like CVS Health's Aetna withdraw from the market, while Oscar's CEO believes the individual market will continue to expand due to macroeconomic trends [6][8]