Oscar Health

The company was founded in 2012 by Mario Schlosser, Josh Kushner, and Kevin Nazemi, who were classmates at Harvard Business School.[4][6] Schlosser and Kushner's inspirations were drawn from their experience with a complicated hospital billing system in 2012 (Schlosser for his wife's pregnancy, and Kushner for his sprained ankle). They named the company Oscar after Kushner's great-grandfather, in order to bring a human element to the ethos of the healthcare company.[7] Oscar began selling insurance for the same year[8] that the Affordable Care Act exchanges and individual mandate went into effect for the 2014 plan year. In its first year, Oscar secured 16,000 members. In 2015, Oscar expanded coverage to New Jersey and grew to about 40,000 members.[9]

In 2016, Oscar had 145,000 members in New York, New Jersey, California, and Texas.[9] Oscar expanded its operations to Tempe, Arizona in August 2016, where it decided to locate its Concierge teams, their name for their member services model.[10] On August 23, 2016, Oscar announced it would be exiting the New Jersey Marketplace at the end of 2016, citing uncertainties in the market that would make it challenging “to operate effectively and continue to deliver access to quality healthcare."[11] Oscar also announced that it would halve the size of its provider network in New York amidst rising premiums in order to “gain more control over pricing and patient experience.[12]

In November 2016, Oscar opened the Oscar Center in partnership with Mount Sinai Health System. Located in Brooklyn Heights, next to the Jay Street–MetroTech station, the Oscar Center had a primary care practice only available to Oscar policyholders, with a doctor, nurse practitioner, and a behavioral health specialist. It also hosted free classes for members, such as yoga classes or classes for expectant mothers.[13] On March 13th, 2020, Oscar closed the Oscar Center "until further notice."[14]

On April 25, 2017, Oscar announced its entrance into the small group insurance market, offering health plans in New York.[15] On June 15, 2017, Oscar announced its partnership with Cleveland Clinic to offer individual health insurance plans to consumers in five counties in Northeastern Ohio.[16]

On June 21, 2017, Oscar announced its intention to expand to additional markets in 2018 in areas of Tennessee, Ohio, Texas, New Jersey and California.[17] On July 12, 2017, Oscar announced that it would be selling small group insurance in the Nashville metro area to companies with up to 50 employees through a strategic partnership with Humana.[18]

In January 2020, Oscar announced a partnership with Cigna to bring health insurance plans to small businesses. The partnership, Cigna + Oscar, will “launch in select markets in 2020 and plan to expand the partnership over time.”[19]

As of June 2020, Oscar had sold individual health insurance plans, both directly and through health insurance marketplaces, in New York, Texas and California. Oscar sells Medicare Advantage plans in New York City and Houston, Texas.[20] Mario Schlosser is the company’s CEO, after serving as Co-CEO with Nazemi until the latter’s departure in early 2015. While Kushner does not hold a formal role in Oscar’s daily operations, he remains a major shareholder and Schlosser confirmed (as of 2017) that he has “significant input in multiple aspects of the company like strategy, hiring, and marketing."[21]

Oscar has raised capital through a series of funding rounds. Its investors include Thrive Capital, General Catalyst Partners, Khosla Ventures, CapitalG, and Fidelity Investments.[3][6][7]

During the May 2014 Series A round, Peter Thiel's Founders Fund led the series investing $30 million. By the close of Series A, Forbes reported the valuation of the company at $800 million.[3]

During the 2015 Series B round, Oscar Health raised $145 million, bringing the total capital raised to $300 million, thus valuing the company at $1.5 billion.[3][33] Series B investors included Formation 8, Horizons Ventures, Wellington Management Company, and Goldman Sachs.[3]

In September 2015, Oscar announced a funding round with Google Ventures and Google Capital, valuing the company at $1.75 billion.[34][35]

During the 2016 Series C round, Oscar raised $400 million led by Fidelity Investments, with secondary participation from previous investors, with a reported valuation of $2.7 billion.[36] In 2018, Alphabet invested $375 million in Oscar Health.[37] As of 2019, the company had raised $1.3 billion, and was valued at $3.2 billion.[38]

In June 2020, Oscar raised $225 million in funding, in which the funding round saw participation from previous investors and also new investors, namely Baillie Gifford and Coatue.[39]

In 2014, New York magazine reported that as of May 2014, Oscar Health had 16,000 subscribers enrolled in its insurance program producing an estimated $72 million.[40] In 2015, Forbes reported that Oscar Health had 40,000 subscribers with an average subscriber paying annual fees of $4,500, placing Oscar Health's revenue estimates at $180 million.[3]

Vox reported that in 2015, Oscar Health lost $92.4 million in New York as the firm's analytical models failed to accurately forecast "the people who signed up for coverage were sicker than the company had expected."[26]

By 2016, Oscar Health had 135,000 subscribers, with roughly half residing in New York State.[41]

In February 2017, Bloomberg reported that Oscar had lost $204.9 million in 2016.

In May 2017, Bloomberg reported that Oscar's first quarter loss had narrowed by nearly half, writing that the company was “beginning to get a handle on its medical costs."[42] In August 2017, Bloomberg also reported that Oscar had posted a $57.6 million loss in the first half of 2017, down from the $83 million lost posted the year prior.

In December 2017, TechCrunch reported that Oscar would expect to generate $1 billion in revenue and enroll 250,000 in 2018.[43]

In January 2020, TechCrunch reported that Oscar served 400,000 members and expected to bring in $2 billion by the end of the year.[44]