2019
Oscar Strategy
Teardown:
How The Health Insurance
Upstart’s Patient-Centric Vision
Is Driving Its Expansion
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2
Oscar Strategy Teardown: How The Health Insurance
Upstart’s Patient-Centric Vision Is Driving Its Expansion
Table of Contents
WHAT SETS OSCAR APART
5
•
CONCIERGE
•
VIRTUAL CARE
• NARROW NETWORK
•
CLAIMS PROCESSING
OSCAR BY THE NUMBERS
17
•
ENROLLMENT
• MEDICAL LOSS RATIO
• NET UNDERWRITING PROFIT
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Oscar Strategy Teardown: How The Health Insurance
Upstart’s Patient-Centric Vision Is Driving Its Expansion
Health insurance upstart Oscar has raised more than $1.25B to
fund its goal to disrupt traditional health insurance by building a
direct relationship with its members.
In simple terms, the company’s goal has been to put a human face
on private health insurance. It aims to make its customers love
health insurance — as opposed to seeing it as a necessary evil —
and put Oscar at the center of people’s health and wellness needs,
acting as their “healthcare guide.”
The company has weathered its share of challenges while burning
through hundreds of millions of dollars: participation in the
individual exchanges has been far lower than initially expected, and
Oscar has faced an uphill battle in the small business market.
In summer 2018, news mentions of the company skyrocketed with
the announcement of a $375M investment from Google parent
company Alphabet. The tech giant now reportedly holds a roughly
10% stake in Oscar.
Oscar has tried to disrupt health insurance
with a focus on customer experience and
technology, but has had trouble finding its
market. As the company launches a third
product offering in Medicare Advantage,
we look at what its future could hold.
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Oscar Strategy Teardown: How The Health Insura