Major Rating Factors:
Fair overall results on stability tests (3.4 on a scale of 0 to 10) based on an excessive 82% enrollment growth during the period, a decline in the number of member physicians during 2022. Rating is significantly influenced by the weak financial results of Oscar Health Inc. Weak profitability index (2.0) with operating losses during 2018, 2020 and 2021. Average return on equity over the last five years has been poor at -7.4%. Excellent capitalization index (8.3) 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.
Other Rating Factors:
Excellent quality investment portfolio (9.9) containing little or no exposure to mortgages, junk bonds, or unaffiliated stocks. Excellent liquidity (7.9) with ample operational cash flow and liquid investments.
Principal Lines of Business:
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Licensed in:
OH
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
75 Varick Street
New York, NY 10013
New York, NY 10013
Phone Number
(646) 403-3677
NAIC Number
16416
Website
Largest Affiliates