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Oscar Health Goldman Sachs 47th Annual Global Healthcare Conference 2026 summary

Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.
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Goldman Sachs 47th Annual Global Healthcare Conference 2026 summary8 Jun, 2026

Business performance and outlook

  • 2026 began strongly, with planning for the expiration of enhanced subsidies reflected in current results.

  • Membership ended open enrollment at 3.4 million, declining to about 3 million in Q2, tracking as expected.

  • Utilization through May remained modestly favorable to expectations, supporting strong performance.

  • The final 2025 Wakely report was $130 million favorable to accruals, providing a significant tailwind.

  • Full-year guidance was reaffirmed, with healthy tailwinds anticipated for the quarter close.

Market morbidity and risk adjustment

  • Early 2026 data suggests market morbidity may be lighter than initially expected, potentially offering upside.

  • The 2025 Wakely report showed market morbidity was not accelerating as feared, positively impacting guidance and pricing.

  • Enhanced data and third-party insights provided more information on incoming membership risk scores for 2026.

  • Risk adjustment remains challenging, but recent data helps refine models and state-level predictions.

  • Market contraction for 2026 is estimated at 20%-30%, with current data not indicating the higher end of that range.

Product strategy and membership dynamics

  • Conservative planning for subsidy expiration informed product design, especially for Bronze and Gold plans.

  • Product strategy enabled retention of existing members and acquisition of new ones, with intentional shifts in metal demographics.

  • Membership trends are on track, with market contraction estimates aligning with internal and external data.

2025 Wakely tailwind impact on 2026 morbidity
AI influence on hospital coding and utilization
Regulatory litigation effects on 2027 pricing
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Leroy DaleyApp Store
One of the very few apps you could call perfect. If something was to add to it, maybe the share price of the company when you search for it, but it's already excellent.
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Eferix Drawings Google Play
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