Mark BertolinCEO

Oscar is a technology-first health insurance company built specifically for the ACA marketplace. Unlike traditional insurers that rely on older systems, we operate on a modern digital platform with a single source of data, allowing us to use AI, improve efficiency, and deliver a better experience for members.

Most large insurers treated the ACA market as a small side business. We made it our core focus. By dedicating our best people and technology to the market, we learned how to build products that work for consumers and compete effectively.

Early on, insurers focused heavily on attracting healthier members. Today, risk adjustment mechanisms have changed the incentives. Success now comes from building effective provider networks and helping people manage their health rather than avoiding higher-risk patients.

Different people have different needs. Someone managing diabetes, menopause, asthma, or another condition benefits from care specifically designed around that journey. Healthcare works better when products are personalized rather than forcing everyone into the same average plan.

Most employer plans are designed for the average employee, but nobody is average. People have different medical needs, doctors, and priorities. A system that gives individuals more choice allows them to select coverage that fits their lives instead of settling for a one-size-fits-all solution.

The goal is to move healthcare toward a model where people own their insurance relationships. As life changes, individuals can adjust coverage while keeping the doctors, hospitals, and networks they trust. That creates continuity and better long-term outcomes.

In almost every major spending category, consumers can compare options and make informed decisions. Healthcare is one of the few areas where transparency is limited. Giving people visibility into costs and options allows them to make smarter choices.

Technology helps by making information available when people need it. If patients understand costs, treatment options, and provider choices upfront, they can avoid unnecessary expenses and make decisions that deliver better value.

AI powers many parts of our business. We use large language models and AI agents to support members, improve operations, and streamline processes. Because our data exists on a unified platform, implementing AI is much easier and more effective.

Most patients don't know what something will cost until after it happens. We want to change that. By helping members understand prices, treatment pathways, and available alternatives in advance, they gain more control over their healthcare decisions.

We want to build lifetime relationships with members. The focus is not just treating illness after it happens but investing in prevention, support, and personalized care that keeps people healthier over the long run.

Digital tools help members organize medical information, understand treatment plans, and navigate complex healthcare journeys. The easier it is to access information, the more likely people are to engage with their care and make informed decisions.