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Oscar Health (OSCR)
NYSE:OSCR
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Oscar Health (OSCR) AI Stock Analysis

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OSCR

Oscar Health

(NYSE:OSCR)

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Neutral 45 (OpenAI - 4o)
Rating:45Neutral
Price Target:
$14.50
▼(-20.15% Downside)
Oscar Health's overall stock score is primarily impacted by its financial performance and valuation challenges. Despite revenue growth and membership expansion, the company's profitability issues and negative cash flow position weigh heavily on its score. Technical analysis provides a neutral outlook, but the negative P/E ratio and lack of dividend yield further detract from its attractiveness. The earnings call highlights potential future improvements, but current financial metrics remain a concern.
Positive Factors
Revenue Growth
The significant revenue growth indicates strong market demand and effective business strategies, supporting long-term financial stability and expansion.
Membership Increase
The growth in membership base enhances revenue potential and market presence, contributing to sustainable business growth and competitive positioning.
Innovative Products and AI Integration
The introduction of innovative products and AI integration can improve customer experience and operational efficiency, driving long-term competitive advantage.
Negative Factors
Profitability Challenges
Ongoing operational losses indicate challenges in achieving profitability, which may affect long-term financial health and investment capacity.
Medical Loss Ratio Increase
The rising medical loss ratio suggests increasing costs relative to premiums, potentially impacting margins and financial sustainability.
Cash Flow Concerns
Weak cash flow generation limits financial flexibility and may hinder the company's ability to invest in growth opportunities and manage debt.

Oscar Health (OSCR) vs. SPDR S&P 500 ETF (SPY)

Oscar Health Business Overview & Revenue Model

Company DescriptionOscar Health (OSCR) is a health insurance company focused on providing innovative, technology-driven health care solutions. Operating primarily in the health insurance sector, Oscar Health aims to simplify the health insurance experience through user-friendly digital platforms and personalized care management. The company offers individual and family health plans, employer-sponsored insurance, and Medicare Advantage plans, emphasizing transparency and accessibility in health care services.
How the Company Makes MoneyOscar Health generates revenue primarily through premiums collected from policyholders who enroll in its health insurance plans. The company earns money by charging monthly premiums to individuals and families for coverage, as well as from employer contributions in the case of group plans. Oscar also receives reimbursement from the federal government for Medicare Advantage members. Additional revenue streams may include ancillary services, such as telehealth offerings, and value-based care arrangements that incentivize Oscar to improve patient health outcomes while managing costs. Key partnerships with health care providers and technology platforms further enhance Oscar's ability to deliver value and potentially increase its earnings.

Oscar Health Earnings Call Summary

Earnings Call Date:Nov 06, 2025
(Q3-2025)
|
% Change Since: |
Next Earnings Date:Feb 05, 2026
Earnings Call Sentiment Neutral
The earnings call presented a mixed outlook. While Oscar Health demonstrated significant revenue growth and membership expansion, challenges such as increased medical loss ratio and operational losses weigh heavily on their financials. The integration of innovative products and AI highlight future potential, but current financial metrics indicate hurdles remain.
Q3-2025 Updates
Positive Updates
Revenue Growth
Oscar Health reported total revenue of approximately $3 billion for the third quarter, a 23% increase year-over-year.
Membership Increase
Oscar ended the first nine months of 2025 with more than 2 million members, a 28% increase over last year.
SG&A Expense Ratio Improvement
The SG&A expense ratio improved by approximately 150 basis points year-over-year to 17.5%.
Market Expansion
Oscar is expanding into 20 states, including two new states, Alabama and Mississippi, and entering new markets for 2026.
Innovative Products and AI Integration
Oscar introduced new products like HelloMeno and is integrating AI with Oswell, powered by OpenAI, to enhance member experience.
Negative Updates
Medical Loss Ratio Increase
MLR increased approximately 380 basis points to 88.5% due to higher market morbidity.
Operational and Net Losses
Oscar reported a $129 million loss from operations and an adjusted EBITDA loss of $101 million. The net loss for the third quarter was $137 million.
Risk Adjustment Payable Increase
The third quarter MLR was impacted by a $130 million increase to the risk adjustment payable for 2025.
Program Integrity Challenges
Oscar anticipates the overall market to contract due to the expiration of enhanced premium tax credits and program integrity efforts.
Company Guidance
In the third quarter of 2025, Oscar Health provided updated guidance, highlighting several key financial metrics and market expectations. The company reported a 23% increase in total revenue, reaching approximately $3 billion, alongside an increase in their medical loss ratio (MLR) by 380 basis points to 88.5%. Operating losses were reported at $129 million, with an adjusted EBITDA loss of $101 million. Oscar ended the first nine months of 2025 with over 2 million members, marking a 28% increase from the previous year. For 2026, Oscar anticipates a weighted average rate increase of approximately 28%, reflecting elevated market morbidity and other market dynamics, while maintaining a disciplined pricing strategy. The company reaffirmed its full-year guidance, expecting total revenue towards the low end of the $12 billion to $12.2 billion range, with a full-year MLR between 86.0% and 87.0%. Oscar remains confident in expanding margins and returning to profitability by 2026, driven by strategic pricing and cost management measures.

Oscar Health Financial Statement Overview

Summary
Oscar Health is experiencing revenue growth, but profitability and cash flow remain significant challenges. The balance sheet shows moderate leverage and a healthy equity ratio, but the negative return on equity and declining cash flows highlight the need for strategic improvements. The company must focus on enhancing profitability and cash flow generation to strengthen its financial position.
Income Statement
45
Neutral
Oscar Health has shown a moderate revenue growth rate of 5.24% in the TTM, indicating some positive momentum. However, the company is struggling with profitability, as evidenced by negative net profit and EBIT margins. The gross profit margin is relatively low at 21.20%, suggesting high cost structures. Overall, while revenue is growing, profitability remains a significant challenge.
Balance Sheet
50
Neutral
The company's debt-to-equity ratio of 0.67 in the TTM indicates a moderate level of leverage, which is manageable but has increased compared to previous years. The return on equity is negative, reflecting ongoing losses. The equity ratio is healthy, showing that a good portion of the company's assets are financed by equity. The balance sheet shows stability but highlights the need for improved profitability.
Cash Flow
40
Negative
Oscar Health's cash flow situation is concerning, with a significant decline in free cash flow growth of -38.78% in the TTM. The operating cash flow to net income ratio is low, indicating challenges in converting earnings into cash. The free cash flow to net income ratio is close to 1, suggesting that cash flows are closely aligned with earnings, but the overall cash flow position is weak.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue11.29B9.18B5.86B4.13B1.92B589.64M
Gross Profit11.29B9.18B5.86B4.13B1.92B589.64M
EBITDA-183.34M89.31M-212.00M-572.17M-551.25M-390.98M
Net Income-244.09M25.43M-270.73M-606.27M-572.61M-406.82M
Balance Sheet
Total Assets5.75B4.84B3.60B4.53B3.32B2.27B
Cash, Cash Equivalents and Short-Term Investments3.04B2.15B2.56B2.96B1.69B1.19B
Total Debt686.29M299.56M298.78M298.00M0.00142.49M
Total Liabilities4.72B3.82B2.80B3.63B1.93B3.57B
Stockholders Equity1.02B1.01B803.97M890.38M1.39B-1.30B
Cash Flow
Free Cash Flow735.64M950.30M-297.74M351.34M-207.63M208.71M
Operating Cash Flow769.77M978.19M-272.16M380.35M-181.75M222.73M
Investing Cash Flow-223.80M-1.39B577.19M-226.52M-774.51M-344.71M
Financing Cash Flow394.86M68.39M6.45M301.11M1.24B611.71M

Oscar Health Technical Analysis

Technical Analysis Sentiment
Positive
Last Price18.16
Price Trends
50DMA
18.20
Negative
100DMA
17.11
Positive
200DMA
15.97
Positive
Market Momentum
MACD
-0.71
Negative
RSI
57.54
Neutral
STOCH
91.20
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For OSCR, the sentiment is Positive. The current price of 18.16 is above the 20-day moving average (MA) of 15.78, below the 50-day MA of 18.20, and above the 200-day MA of 15.97, indicating a neutral trend. The MACD of -0.71 indicates Negative momentum. The RSI at 57.54 is Neutral, neither overbought nor oversold. The STOCH value of 91.20 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for OSCR.

Oscar Health Risk Analysis

Oscar Health disclosed 46 risk factors in its most recent earnings report. Oscar Health reported the most risks in the "Finance & Corporate" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Oscar Health Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
63
Neutral
$28.61B22.297.15%1.21%9.87%-5.58%
61
Neutral
$7.47B9.0119.71%13.71%-18.02%
59
Neutral
$3.83B-15.06%47.39%85.35%
58
Neutral
$19.49B-21.93%14.92%-286.72%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
50
Neutral
$1.27B-21.16-16.90%15.23%38.79%
45
Neutral
$4.81B-16.15-22.32%37.38%-912.18%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
OSCR
Oscar Health
18.16
1.33
7.90%
CNC
Centene
39.46
-20.47
-34.16%
HUM
Humana
245.99
-46.58
-15.92%
MOH
Molina Healthcare
148.33
-148.27
-49.99%
CLOV
Clover Health Investments
2.45
-0.97
-28.36%
ALHC
Alignment Healthcare
19.22
6.39
49.81%

Oscar Health Corporate Events

Oscar Health’s Earnings Call: Growth Amid Challenges
Nov 8, 2025

Oscar Health’s recent earnings call presented a mixed sentiment, reflecting both optimism and challenges. While the company showcased impressive revenue growth and a substantial increase in membership, it continues to grapple with issues such as a rising medical loss ratio and operational losses. The introduction of innovative products and AI integration suggests promising future potential, yet current financial metrics reveal significant hurdles that need to be addressed.

Oscar Health Reports Q3 2025 Financial Results
Nov 7, 2025

Oscar Health, Inc. is a healthcare technology company that offers individual and family health plans, focusing on providing affordable and innovative healthcare solutions through its technology platform. The company is dedicated to enhancing the member experience and expanding its market presence.

Business Operations and StrategyFinancial DisclosuresPrivate Placements and Financing
Oscar Health Enters $250M Exchange Agreement with Oasis
Neutral
Nov 6, 2025

On November 3, 2025, Oscar Health entered into an exchange agreement with Oasis FD Holdings, LP, allowing the exchange of up to $250 million of its convertible senior notes for shares and cash, with $187.5 million already exchanged by November 5, 2025. This move is part of Oscar’s strategy to manage its capital structure and reduce future interest obligations. Additionally, Oscar reported its third-quarter 2025 financial results, showing increased revenue but also higher losses compared to the previous year, reaffirming its full-year 2025 guidance and highlighting its focus on market expansion and cost management.

The most recent analyst rating on (OSCR) stock is a Hold with a $19.50 price target. To see the full list of analyst forecasts on Oscar Health stock, see the OSCR Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Oscar Health Issues $410M Convertible Notes for Growth
Positive
Sep 18, 2025

On September 18, 2025, Oscar Health, Inc. issued $410 million in Convertible Senior Subordinated Notes due 2030, with net proceeds of approximately $395.8 million. The funds will support strategic initiatives, including AI-driven expansion and enhanced consumer healthcare experiences, while also addressing potential growth opportunities like premium tax credits.

The most recent analyst rating on (OSCR) stock is a Sell with a $11.00 price target. To see the full list of analyst forecasts on Oscar Health stock, see the OSCR Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Oscar Health Announces $355M Convertible Notes Offering
Positive
Sep 16, 2025

On September 16, 2025, Oscar Health announced the pricing of its upsized $355 million offering of 2.25% convertible senior subordinated notes due 2030, aimed at scaling long-term growth and adoption in the individual market. The proceeds from this offering will support general corporate purposes, including strategic AI initiatives and potential extension of premium tax credits, while also managing share dilution through capped call transactions.

The most recent analyst rating on (OSCR) stock is a Sell with a $11.00 price target. To see the full list of analyst forecasts on Oscar Health stock, see the OSCR Stock Forecast page.

Business Operations and StrategyPrivate Placements and Financing
Oscar Health Amends Investment Agreement for $350M Offering
Positive
Sep 15, 2025

On September 11, 2025, Oscar Health, Inc. amended its investment agreement to facilitate a private offering of $350 million in convertible senior subordinated notes due 2030. The proceeds from this offering are intended to support Oscar’s long-term growth initiatives, including strategic AI projects and enhancing consumer healthcare experiences, as well as potentially terminating its revolving credit facility.

The most recent analyst rating on (OSCR) stock is a Buy with a $19.00 price target. To see the full list of analyst forecasts on Oscar Health stock, see the OSCR Stock Forecast page.

Business Operations and StrategyFinancial Disclosures
Oscar Health to Reaffirm 2025 Guidance at Conference
Neutral
Sep 3, 2025

Oscar Health, Inc. announced its participation in the 2025 Wells Fargo Healthcare Conference on September 3, 2025. During the event, the company plans to reaffirm its updated full-year 2025 guidance, which was initially shared in its preliminary financial results for the second quarter of 2025. This move is likely to impact the company’s operations by reinforcing its financial outlook and could influence stakeholder confidence.

The most recent analyst rating on (OSCR) stock is a Buy with a $19.00 price target. To see the full list of analyst forecasts on Oscar Health stock, see the OSCR Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Nov 25, 2025