Joanna Deetrup's questions to Oscar Health Inc (OSCR) leadership • Q1 2025
Question
Joanna Deetrup of Bank of America inquired about Oscar's perspective on the final provisions of CMS's proposed program integrity rule, its potential enrollment impact, the outlook for the extension of enhanced subsidies, and the percentage of Oscar's membership that is fully subsidized.
Answer
CEO Mark Bertolini expressed support for CMS's integrity goals but voiced concern that a shortened enrollment window could harm consumers. CFO Scott Blackley confirmed they are planning for the limitation of the continuous SEP in 2025. Regarding subsidies, Blackley stated that a significant portion of Oscar's book has always received subsidies but did not provide a specific percentage, noting the outcome is intertwined with the new integrity rules.