Oscar Health Posts 70% Revenue Growth as ACA Expansion Outpaces Market Decline
Oscar Health, Inc. (OSCR) reported strong second-quarter 2026 financial results, with revenues jumping 70.4% year over year to $4.9 billion and membership climbing 46.2% to 2.96 million. The health insurance provider turned profitable during the period, recording earnings of $1.10 per share compared to an 89-cent loss per share a year earlier, while adjusted EBITDA reached $415.3 million. Oscar Health gained market share even as overall Affordable Care Act enrollment fell about 12% to 19.2 million.
The company's expansion into individual coverage health reimbursement arrangements and proprietary programs helped drive top-line momentum, supported by medical expense growth of 48.6% that lagged revenue growth. However, earnings benefited from $164 million in favorable prior-period reserve adjustments that may not recur. Valuation remains elevated relative to peers, with the stock trading at 18.6 times forward earnings and 5.5 times trailing tangible book value.
Investors should monitor second-half operational execution as regulatory enforcement is anticipated to retroactively disenroll between 250,000 and 300,000 members under federal program-integrity rules. Oscar Health also expects monthly member churn to rise to 2% to 4% alongside sequential increases in its medical loss ratio, though $10.2 billion in total cash and investments provides substantial financial cushioning.
Key points
- Oscar Health reported second-quarter 2026 revenue of $4.9 billion, up 70.4% year over year, while total membership rose 46.2% to 2.96 million.
- The company achieved earnings of $1.10 per share and adjusted EBITDA of $415.3 million, aided by $164 million in favorable prior-period developments.
- CMS program-integrity rules are expected to retroactively disenroll 250,000 to 300,000 members, with monthly churn projected at 2% to 4% in late 2026.
- Oscar Health finished the quarter holding $10.2 billion in total cash and investments, including $1.9 billion in subsidiary capital.
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How we writeDisclaimerQuestions and answers
How did Oscar Health perform in the second quarter of 2026?
Oscar Health reported $4.9 billion in revenue, up 70.4% year over year, and earnings of $1.10 per share. Total membership increased 46.2% to 2.96 million.
What risks is Oscar Health facing in the second half of 2026?
The company expects 250,000 to 300,000 members to be retroactively disenrolled due to federal program-integrity rules, higher monthly churn of 2% to 4%, and a higher sequential medical loss ratio.
How is Oscar Health's valuation compared to its sub-industry?
Oscar Health trades at 18.6 times forward price-to-earnings and 5.5 times trailing tangible book value, well above sub-industry averages of 10.0 times and 1.2 times, respectively.
