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OSCR: Upgrading to EW on Greater Confidence in Exchange Market Trajectory in 2026, PT to $20
研报英文原文证据摘录
OSCR: Upgrading to EW on Greater Confidence in Exchange Market Trajectory in 2026, PT to $20
Equity Research
Rating Change — June 4, 2026
Managed Care
Oscar Health, Inc.
Upgrading to EW on Greater Confidence in Exchange Equal Weight
Market Trajectory in 2026, PT to $20 Price Target: $20.00
Notable Changes
Our Call $ (Dec) Current Prior % Chg
We are upgrading OSCR to Equal Weight and raising PT to $20 from $11. We are now Rating EW UW
increasingly comfortable with the trajectory of the exchange market in 2026, but visibility Price Target $20.00 $11.00 81.8%
remains low beyond that, and we expect payment integrity will remain a focus. EBITDA 524.1 393.4 33.2%
(MM) 2026
Early Exchange Read. Based on our deep-dive analysis of stat filings, it appears EBITDA 729.7 483.3 51.0%
enrollment and morbidity outcomes on the exchanges are trending better than feared, (MM) 2027
with the industry showing material MLR improvement while seeming to book risk Rev. (MM) 2026 17.16B 18.82B -8.8%
adjustment too conservatively (opposite of last year's dynamic). Florida, OSCR's most Rev. (MM) 2027 15.22B 15.50B -1.8%
important state at ~64% of premiums, has only seen membership decline 13.5% y/y, with
MLRs improving 370bps y/y despite 640bps of potential conservatism on risk adj. Ticker OSCR
Upside/(Downside) to Target (2.4)%
Key Model Inputs. OSCR guided to ~20% net risk adjustment payable (as % of direct Price (06/03/2026) $20.50
premiums) in 2026 vs. ~18.5% in 2025. We assume ~500bps higher risk adjustment, as 52 Week Range $10.69 - 25.58
we remain somewhat skeptical it truly makes sense for OSCR to report the lowest Q1 Market Cap (MM) $6,760
MLR in group given pricing strategy / gold shift / significant membership growth. We also
Enterprise Value (MM) $4,416
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