Oscar looks beyond the ACA for business

Dive Brief:

Dive Insight:

Oscar, which operates in New York, Texas and California, has been looking to change the paradigm of a conservative health insurance industry via a customer-focused, technologically savvy approach. 

Oscar claims to be adaptable and able to cope with the loss of the ACA, with or without a replacement. “We’re in this for the long haul,” co-founders Mario Schlosser and Josh Kushner wrote a November 2016 blog post. However, even if key aspects of the ACA were to survive, any cut to subsidies will no doubt have an impact on the bottom line.

In addition to the Brooklyn clinic, the company may open a chain of clinics across the U.S., possibly worksite clinics, an approach that will align them with employers instead of the ACA marketplace. Meanwhile, Oscar has taken action to tighten up its provider networks in New York, Los Angeles and San Antonio and is pulling out of the Dallas and New Jersey markets in 2017. It will expand into the San Francisco area this year, Bloomberg reported.

Filed Under: Payer Policy & Regulation
Top image credit: Depositphotos