Oscar Health said it will report a loss from operations of about $230 million and a net loss of roughly $228 million for the quarter ended 30 June, according to preliminary figures released ahead of its scheduled earnings report on 6 August. Despite the second-quarter shortfall, the New York-based insurer raised its full-year 2025 revenue forecast to $12.0 billion–$12.2 billion from $11.2 billion–$11.3 billion. It now expects a full-year operating loss of $200 million to $300 million and a medical loss ratio of 86%–87%, reflecting higher claims costs in its Affordable Care Act plans. Oscar attributed the revised outlook to new risk-adjustment data showing greater morbidity in ACA marketplaces and continued elevated utilisation by its 2 million members. The company said it will resubmit 2026 premium rate filings in states representing about 98% of its membership to account for the higher risk profile, joining other insurers confronting rising costs in the individual market.
$OSCR -4% [Oscar Health projects significant 2025 losses ($200M-$300M operating) and a high medical loss ratio (86-87%) due to higher ACA Marketplace risk. Member utilization is up, prompting 2026 pricing adjustments. Other insurers face similar problems.] https://t.co/9kxCkX1nrG https://t.co/xedihpfHSm
$OSCR bad earnings and poor guidance. Downward revision. Should consolidate back down to $11/$12 before a move upward https://t.co/nKlT2LgQm9
Oscar Health cut its outlook and missed estimates, the latest health insurer to be rocked by trouble in Affordable Care Act marketplaces https://t.co/hkmMPgQ3oG