Q1 2025 Oscar Health Inc Earnings Call Transcript
Key Points
- Oscar Health Inc (OSCR) reported a 42% year-over-year increase in total revenue, reaching $3 billion for the first quarter of 2025.
- The company achieved a significant improvement in net income, reporting approximately $275 million, which is $98 million higher than the previous year.
- Oscar Health Inc (OSCR) improved its operating margin by 110 basis points year over year to 9.8%.
- The company reported the lowest SG&A ratio in its history at 15.8%, a 260-basis point improvement year over year.
- Oscar Health Inc (OSCR) closed the quarter with approximately 2 million effectuated members, marking a 41% increase year over year.
- The medical loss ratio (MLR) increased by 120 basis points year over year to 75.4%, primarily due to a risk adjustment true-up for 2024.
- Oscar Health Inc (OSCR) anticipates membership to trend down in the latter half of the year due to the proposal to end the continuous SEP for individuals below 150% of the federal poverty level.
- The company faces potential challenges from CMS's proposed program integrity initiatives, which could constrain Americans' ability to shop for plans.
- Oscar Health Inc (OSCR) is concerned about the impact of shortened enrollment windows on consumers' ability to find suitable plans.
- The company is preparing for potential pricing issues in 2026 due to changes in premium tax credits and integrity regulations, which could impact the uninsured rate.
Good morning, everyone. My name is Ellie, and I will be your conference operator for today. At this time, I would like to welcome everyone to the Oscar Health's first quarter 2025 earnings conference call. At this time, after the speaker's prepared remarks, there will be a question-and-answer session.
(Operator Instructions)
Thank you. I would now like to turn the call over to Chris Potochar, Vice President of Treasury and Investor relations.
Good morning, everyone.
Thank you for joining us for our first quarter 2025 earnings call. Mark Berlini, Oscar Health's Chief Executive Officer, and
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