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Oscar Health Plan

Oscar Insurance Corp. is a New York-based health insurance company founded in 2013 that specializes in offering its members intuitive technology tools aimed at guiding them to better care. Oscar has offerings in the health insurance marketplace in New York. New to Covered California this year, Oscar Health Plan of California will have offerings in pricing regions 16 and 18 in 2016.

Consumer tools

Oscar offers innovative technology tools for members to make it easier for them to find health facilities and medication and estimate costs. In other states where Oscar operates, 45 percent of Web users have downloaded the mobile app. Via the Web or the mobile app, consumers can use:

  • Search tools offering natural language processing that does not require users to know the exact spelling or condition in order to be directed to the right place.
  • Provider directories that can be filtered based on distance, language, years of experience, common conditions treated and hospital admitting privileges, among other things.
  • A care routing menu that can help the member find the most appropriate type of provider or location for a particular health condition, including cost estimates.
  • Cost estimates that are personalized based on the type of plan a member has and health care costs incurred to date (i.e., deductible and out-of-pocket maximum information).

Health risk assessments

Members can complete a health risk assessment online and receive a customized preventive care checklist. In other states where Oscar operates, 68 percent of new members have completed a health risk assessment.

Access to personal health records

Oscar offers members a personal timeline that aggregates all of their information, such as past physician visits and prescriptions, in a searchable format available to them online.

Doctor On Call

Among Oscar’s members insured in other states, 15 percent have used telemedicine services. Integrated care through an integrated network partnership. Providence Health & Services of Southern California and Oscar are working to create a new health care experience for patients. Providence is leading the developmentof an integrated network of care, partnering with other quality-focused physicians, hospitals and health systems in Southern California to offer superior access and choice while delivering better care coordination through the sharing of clinical data and aligned incentives for value.

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