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Do you have a holistic view of your

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networks compared to competitors?

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or Most health plan executives cannot, at least

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not at the level needed to truly make

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an impact.

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This is Laura D with the Becker Healthcare

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podcast.

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I'm thrilled today to be joined by Alyssa

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Quan, Executive Vice President and Chief Insurance Officer

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at Oscar Health. Us It's a pleasure to

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have you on the podcast today.

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Thank you for having me. It's pleasure to

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be here. Now I'm really looking forward to

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our discussion and learning more about some of

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the cool things that you're doing at Oscar.

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But before we dive in, can you tell

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me a little bit more about yourself in

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your background?

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Discussion Sure. So

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as as you noted,

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I am the chief insurance officer at Oscar

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Health.

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I've been at Oscar

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just over 3 years and in leading the

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insurance

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business there, you know, basically, we're focused on,

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furthering our company's mission, just which is to

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make a healthier life affordable and accessible for

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all. So I spend a lot of my

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time focusing on,

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the things that are important, which is you

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know, which markets we're in, what

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segments of the markets we want serve how

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our products can make sure that they meet

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the needs of those markets and how we

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can

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keep them

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affordable for for the folks in those those

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markets. So

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I'm excited about that. My overall background

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is that I have been in the insurance

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space for for over 3 decades.

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I'm in act actuarial by training,

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and so I've spent my entire career in

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both domestic. And international insurance markets across commercial

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and

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and personal lines. So that's a little bit

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about me.

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Thick That's fantastic to hear. You know, and

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it sounds like you've had some great experience

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and and we're able to bring that to

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Oscar her. What are some of the big

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trends and headwind that you're following right now.

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What's really top of mind for you?

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I think for me there's sort of 3

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major trends that we think... As a that

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I think and and our team is certainly

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focused on that are really sort of accelerating

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within health care and and potential accelerating the

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innovation

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within health care.

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The first of those is around the

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consumer expectations, I think that that most people

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in the country would agree that, health care

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is becoming less and less affordable,

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and therefore focusing I'm that that share of

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wallet and the affordability of the care that

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people really need in order to live a

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healthier life is an important thing for everyone

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to focus on.

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The amount that the average family is paying

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or that an employer is paying per employee

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per year has really been on the rise,

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And so,

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I think focused by by the industry

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and

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the, you know,

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political fear the... And really just, you know,

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more generally the the population. On this is

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something that that we're definitely focused on and

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I think that that we need to to

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continue

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to do it in the future as well.

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The second thing that I would say is,

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you know, we're in the as we're in

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the Aca space. So a lot of my

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focus is very specific to to that space.

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And as you're probably aware it's the faster

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this growing segment in the U. S. From

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an insurance, health insurance

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perspective

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with just almost 22000000 lives in the Aca

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as of now. And, you know, now that

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the Aca

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has seen this amount of growth. It is

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a very...

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It's the largest single risk pool. You know,

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in the Us bigger than any 1 employer

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bigger than any, you know, particular date, and

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that is creating greater stability for that market,

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which is helping to lower cost trends relative

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to other parts of the industry, etcetera.

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And so now that it can reach the

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size, which makes it a more permanent

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structure, if you will,

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in the healthcare space,

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it really has the opportunity to

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better serve the diverse populations that are within

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that that market itself.

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And so our focus in that as a

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result is is what I would say is

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probably the second.

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Key trend that that I'm really focused on.

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And then the third is around disruptive technology.

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Right? Everybody is talking about Ai,

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there's a lot of

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opportunity for that to

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help

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lower administrative costs,

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which will in turn make there's

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healthcare care products more affordable

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to potentially improve the overall experience within the

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healthcare care system

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for, for

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individuals as well as providers, and others that

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that are participating. So I think that's also

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a... Probably, like, the third trend that as

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an organization we're focused on, I'm personally,

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like, less focused in the the the technology

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space but Oscar is clearly a big.

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A big player in that and is a

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large focus for our organization.

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Well, it's great to hear. You know, and

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really fascinating to think about all the different...

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Trends coming up right now, whether as... As

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you mentioned the consumer expectations, some of the

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different,

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access and and then looking to it at

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Ai and from your perspective as, someone who

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is involved with those types of initiatives, how

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are you thinking about growth for the future,

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what is happening today and and what's possible

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going forward?

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That that I think is a great question.

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You know, I think there's still room for

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the Aca itself to grow. We still have

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an uninsured population, a lot of the growth

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that we've seen to get the market to

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where it is today. Has come from that

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uninsured space.

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And and so, you know, I think there's

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still room for that to to continue to

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grow there. And I think that in order

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to

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move people out of that uninsured base and

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into something like the Aca, it's important that

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there are products out there that are,

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attractive and actually meet their needs. Right?

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And so that's something that, you know, I

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think we should

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you know, we certainly as oscar and I

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think that our our competitors should should also

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be thinking about

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as we as we move forward. Forward. I

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think the other thing that, you know, I'm

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sure you've you've heard our Ceo talk about

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it

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that we think

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will be key to continuing to grow the

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individual market is

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is ic.

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And, you know,

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this is a

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a long term opportunity, I would say to

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serve a broader set of customers.

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And what is it, you know, for for

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those listing that might not be familiar what

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what an acre does is that it allows

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an employer of any size to reimburse their...

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Employees for health insurance premiums

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and that they can then go and purchase

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an individual plan

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on the Aca

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and that employee then has that full choice

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of which plan is best for them, which

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network, which,

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formula

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does the plan, you know, meet of a

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specific health need that this individual

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is trying to deal with, etcetera. And that's

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independent of their employer,

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and there are... You know, there's ways that

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these can be structured such that they maintain

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some of the the tech the facts or

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advantages that, you know, come with a typical

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employer plan.

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And so we see this as a, you

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know, a the there's pros for the employer

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as well as as the employee.

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But

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this is a really good way. I think

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to think about growth as we move forward.

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So if we think about the size of

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the Ach aca today, Right? So it's just

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under 22 22000000 people, the small

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medium sized businesses, so those that are

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let's call it under 1000

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employees.

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There's 75000000

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dollars to people in that today. So even

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if a a portion of those,

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you know, take advantage of this type of

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this this opportunity through aircraft, there's substantial

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opportunity in order to continue to grow that

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singular risk pool,

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which will you know, really help provide even

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additional stability if you will, which then allows

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those that participate in that market to continue

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to provide,

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innovative plans as well at that are affordable

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and attractive

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to more and more people. And so I

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think it's just

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that when I think about gross for future,

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I see that as, like a really, you

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know, really great opportunity and 1 that, you

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know, has a has a very long runway.

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That's that's a, I think a key area

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focus for for me and for the team

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right now. Yeah. That sounds great. You know,

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And certainly.

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Exciting that there are are such awesome some

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opportunities for collaboration and

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you know, really a way to move health

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care forward and and ensure that access to

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care that we've been talking about? And along

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those lines, I'm wondering, could you tell me

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about a project or initiative

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from the last year or so at Oscar

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that's really yielded the best results?

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Yeah. So,

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I guess the thing that I would would

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choose to sort of tell you about is

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if I... First off, if I guess so

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that, I take a step back, and I

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think about,

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you know, why oscar was founded and it

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was to, you know, help... To, make the

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system

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clearer to people easier to navigate to really

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kind of help people meet their their health

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their needs what we tend to do is

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think about the individual we're very member focused.

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I'm sure you've heard that about us. And

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in thinking about that member, we're often looking

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to try to kinda solve issues that they

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might be having

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within that healthcare care ecosystem. And so

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with that in mind, 1 of the things

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that we focused on was

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the

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Hispanic and Latin

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population, which is the fastest growing segment in

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the Aca, and it actually represents about a

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third of Oscars membership

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And so we were looking at ways to

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see whether or not we could really improve

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their experience within

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the system.

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And,

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we developed something which we call Ola oscar,

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and it's

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it's a culturally authentic,

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kind of personalized

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experience

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for these members.

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And, you know,

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really what it does is it helps us

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provide them or help, I guess, we provide

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them with

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AAA

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culturally authentic experience that's in their own language

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that serves up

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providers or other elements of the

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of the health care system that, better meet

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their cultural needs,

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and allows them to, you know, feel that

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they're hurt or that they have the opportunity

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to engage with someone who,

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better understands, their culture, their,

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health care needs, etcetera.

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And what we found in in doing this

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is that,

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our Spanish speaking. I mean, has a real

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impact on

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retention,

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as well as,

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our net promoter score, which we've found both

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of those things to be higher with our

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overall Spanish speaking population than we have with

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our non Spanish speaking population,

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And we've also found that this program has

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assisted with the the N mps with our

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brokers because our Spanish speaking brokers.

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They have, like, a

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about a 30 percent higher satisfaction level than

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our non Spanish speaking.

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And I think there's just a lot of

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benefit to the... The tools and the experience

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that was provided. That's most importantly, in a

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language that they all understand, but that's that's

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more

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the culturally aware for them. And so we've

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been really excited about this. We've

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launched in in limited markets

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so far until we're really looking to scale

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this to even more markets to address more

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of this population,

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and then to see whether or not you

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know, we have a possibility to replicate this

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kind of experience for other,

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you know,

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different cultural cohorts if you will, in the

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future. So we're really excited about it, and

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it's an area that we're we're gonna continue

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to focus. And I think, you know, that's

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1 of the things that we... Or we

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kind pride ourselves on

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is to do something that's innovative and to

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really try to continue with our very member

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centric focused.

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Which is aligned with our mission. So...

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That's fantastic here. Alyssa that

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I really appreciate you being here today. This

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has been a such a fun conversation, and

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I look forward connect with you again soon.

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I really appreciate you having me, and

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I appreciate you allowing me to take part

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in this this series. So thanks for your

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time.