**Oscar Health Reports Financial Results for Fiscal Year 2025**

Oscar Health, Inc. (NYSE: OSCR) reported a total revenue of $11.7 billion for the year ended December 31, 2025, compared to $9.18 billion for the year ended December 31, 2024. This increase was primarily driven by higher premium revenue, which reached $11.47 billion, up from $8.97 billion in the previous year, reflecting growth in membership. Investment income also contributed, increasing to $202.9 million from $185.7 million in 2024, while other revenues rose to $28.6 million from $20.6 million.

The company experienced a net loss attributable to Oscar Health, Inc. of $443.2 million for 2025, a decrease compared to a net income of $25.4 million in 2024. Medical expenses increased to $10.02 billion, up from $7.33 billion in the prior year, resulting in a Medical Loss Ratio (MLR) of 87.4%, compared to 81.7% in 2024. Selling, general, and administrative expenses also increased to $2.05 billion from $1.76 billion, but the SG&A expense ratio decreased to 17.5% from 19.1%.

Key operational developments included an increase in total membership to approximately 2.04 million effectuated members as of December 31, 2025, compared to 1.68 million in the prior year. The company expanded its offerings to 20 states for 2026, up from 18 states in 2025. Strategic initiatives in 2025 included the acquisitions of Lucie, Inc., IHC Specialty Benefits, Inc., and Healthinsurance.org, LLC, aimed at supporting the company's Individual Coverage Health Reimbursement Arrangement (ICHRA) strategy.

Looking ahead, Oscar Health plans to focus on building an individual consumer health marketplace, driving market growth through expansion, and investing in its consumer experience and product innovation. The company anticipates that the expiration of enhanced Advanced Premium Tax Credits (eAPTCs) at the end of 2025 and the implementation of new program integrity rules by CMS may impact future membership and market dynamics. The company also expects to continue to invest in AI and machine learning technologies to drive efficiencies and improve member and provider experiences.

About Oscar Health, Inc.

Oscar Health, Inc. is a healthcare technology company that offers health insurance plans primarily through ACA marketplaces, serving individuals and families across 18 states. Its core business combines innovative, technology-driven health plans with a proprietary platform that enhances member engagement, provider network management, and care navigation. Focused on consumer experience, affordability, and data-driven insights, Oscar aims to improve health outcomes and streamline healthcare delivery.

This description was generated via AI from an annual report. Updated 8 months ago.

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