Major Rating Factors:
Weak profitability index (0.9 on a scale of 0 to 10) with operating losses during each of the last five years. Average return on equity has been poor at -41.2%. Fair overall results on stability tests (3.0) based on a decline in the number of member physicians during 2022, a significant -40% decrease in enrollment during the period. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Fair liquidity (3.1) as cash resources may not be adequate to cover a spike in claims.
Other Rating Factors:
Excellent capitalization index (7.2) based on good current risk-adjusted capital (severe loss scenario). However, risk-adjusted capital has reached as low as the weak level during recent years. Excellent quality investment portfolio (9.9) containing small junk bond exposure.
Principal Lines of Business:
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Licensed in:
AZ, IL
Principal Enrollment Breakdown:
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Other Highlights
Medical Loss Ratio
Medical Expense
Per Member Per Month ($)
Provider Compensation ($000)
Capitation Pay
Fee For Service
Contractual Pay
Salary
Bonus
Other
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Member Physicians
Enrollment
Total Patient Encounters
Physician
Non-Physician
Corporate Info
Group Affiliation
Oscar Health Inc
Investment Rating
Company Address
615 South River Drive
Tempe, AZ 85281
Tempe, AZ 85281
Phone Number
(646) 403-3677
NAIC Number
16337
Website
Largest Affiliates