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Oscar Health Lifts 2026 Operating Profit Outlook as Q2 Margins Expand

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Oscar Health, Inc. (OSCR) has raised its 2026 operating earnings outlook to a range of $500 million to $700 million, up from its previous projection of $250 million to $450 million. The company reaffirmed its full-year revenue expectation of $18.7 billion to $19 billion, indicating that the guidance hike reflects margin expansion and expense discipline rather than top-line growth alone.

The updated outlook follows second-quarter earnings of $1.10 per share as revenues rose 70.4% year over year to $4.9 billion. Profitability gains were driven by a first-half medical loss ratio of 75%, down from 83% a year earlier, alongside a company-low administrative expense ratio of 14.2%. However, results benefited from $164 million in favorable prior-period reserve development, which may not recur in future quarters.

In the second half of the year, the insurer expects monthly member churn of 2% to 4% and retroactive disenrollment of 250,000 to 300,000 members due to program-integrity actions. Investors will watch whether margin improvements can offset anticipated seasonal cost increases and elevated open-enrollment spending in the fourth quarter.

Key points

  • Oscar Health, Inc. (OSCR) raised its 2026 operating earnings target to $500M-$700M while keeping its revenue view at $18.7B-$19B.
  • Second-quarter revenue grew 70.4% year over year to $4.9 billion, yielding earnings of $1.10 per share and $415.3 million in adjusted EBITDA.
  • The medical loss ratio improved to 75% in the first half, aided by disciplined pricing and $164 million in favorable prior-period reserve adjustments.
  • Second-half headwinds include projected monthly churn of 2% to 4% and up to 300,000 retroactive member disenrollments.

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Questions and answers

Why did Oscar Health raise its 2026 operating profit outlook?

Oscar Health raised its 2026 operating earnings outlook to $500 million-$700 million due to improved medical loss ratios, disciplined pricing, and lower administrative expense ratios in the second quarter.

What were Oscar Health's Q2 earnings and revenue?

Oscar Health reported Q2 earnings of $1.10 per share on $4.9 billion in revenue, up 70.4% year over year. Adjusted EBITDA reached $415.3 million, up from a loss of $199.4 million a year earlier.

What risks does Oscar Health face in the second half of the year?

The company anticipates monthly churn of 2% to 4%, retroactive disenrollment of 250,000 to 300,000 members, higher seasonal medical costs, and increased fourth-quarter open-enrollment expenses.