Sam Begren

Sam Begren asked about Oscar Health's key levers for achieving EBITDA profitability without enhanced subsidies and the main headwinds/tailwinds impacting MLR and SG&A from 2025 to 2026.

Answer

Mark Bertolini, Oscar Health Chief Executive Officer, identified growth, AI-driven efficiency (reducing costs and improving member experience), and continuous work on contracts and utilization management to control MLR as key levers. R. Scott Blackley, Oscar Health Chief Financial Officer, clarified that the guidance is for EBIT, with adjusted EBITDA expected to be $115 million higher than earnings from operations.