From CNBC: 2024-06-07 10:01:56

Mark Bertolini, CEO of Oscar Health, is leading the company’s profitability efforts by focusing on the employer market. With plans to reach 4 million members by 2027, Bertolini aims for 20% annual revenue growth and $2.25 per share in earnings by 2027. Next up, Oscar will tackle PBM contracts for cost control.

Bertolini’s previous experience at Aetna aids his efforts to disrupt the health insurance market with Oscar Health. After negotiating favorable terms with CVS Caremark for Oscar’s PBM contract, Bertolini looks to Blue Shield of California’s new PBM model for inspiration. He believes transparency in pricing is key for PBMs to stay relevant.

Oscar Health’s move into the employer market signals a shift in strategy towards profitable growth. By understanding the needs of employers and employees, Bertolini plans to optimize plan designs and underwriting processes to achieve market expansion. With a focus on keeping costs down, Oscar is poised for success in the competitive healthcare space.

Analysts predict a successful financial future for Oscar Health under Bertolini’s leadership. The company envisions significant growth in revenue and earnings by 2027, driven by expanding membership and strategic initiatives. By tapping into the employer market and improving PBM contracts, Oscar aims to solidify its position as a key player in the health insurance industry.



Read more at CNBC: Oscar Health CEO Mark Bertolini set to take on employer market