$OSCR - This will be a $100B company. We are witnessing the next $PLTR and $HOOD right before our eyes. Oscar's TAM could very like 3-4x over the next two years with the ICHRA push. There was a 171% growth of employees offered ICHRAs between 2022-2023. Just wait until it goes mainstream. It's better for the employer & the employee - it's a no brainer better wait to do healthcare. Now, legislation is very slow moving and these things take time but the path we are going on is clear. With 20% of US GDP spent on healthcare and a clear problem with Debt/GDP a solution isn't just ideal it's essential for the solvency of US debt.
Lets break a few key things down:
ICHRA = the payment mechanism (employer allowance)
ACA = the actual insurance marketplace providing the plans
Employees use the ICHRA funds to go shop for ACA marketplace plans.
Old model (traditional group insurance):
Employer → Buys group plan → Employees stuck with that plan.
New model
Employer → Gives $$ to employee → Employee → Buys an ACA individual plan
So the employee ends up in the ACA market, which is Oscar’s stronghold.
If ICHRA adoption grows, millions of employees move off group plans into ACA plans, increasing: ACA enrollment, Quality risk pools, Oscar’s revenue + margins.
Oscar tends to be: Price-competitive, Lower premium than legacy carriers, Attractive UI + member support, & Solid provider access.
----------------------------------------------------
In the ACA market, Risk Adjustment (RA) = the difference between making money or losing money.
Oscar’s entire stack is engineered around RA:
-predicting risk
-identifying missing codes
-guiding care
-stratifying members
-closing gaps automatically
When the massive shift happens when employers get off of group plans (Think Pensions to 401ks) - Anthem, United, Cigna, & Others will need to compete. (They will be nowhere near as successful). Oscar is a Tesla and the rest of the market is a 95 Honda Civic.
If RA becomes increasingly tech-driven (it is), Oscar has a long-term moat.
Other insurers will NEED Oscar's tech stack - but they won't build it. Why? Building a new core system = multi billion dollar death march. You can't just buy "Oscar's stack" - Oscar build in house. This is why +Oscar is a major future revenue stream that could turn this into an AI Healthcare Software Company. They can sell claims automation, risk adjustment engines, member engagement tools, care navigation models. Essentially becoming the shopify of insurance ops.
bUt whAt aBouT the sUbSidies???
Thanks for listening.
$SPY $QQQ
November remains to be choppy and a weak month so far.
I believe the liquidity has more to do with this than most realized or give credit for.
For example: sentiment gauges like Fear and Greed Index has been hovering around extempore fear and the AAII Survey (American Association of Individual investors) which comes out every Thursday just hit multi months high for bearishness in its most recent report. Most of you know that when I bring things up like AAII Survey this is because I mostly see it as a contrarian indicator
The take away for me is that when I think about the sentiment has been weak for several weeks now yet the market at times has been consolidating near all times highs and I lay this in the context of liquidity I believe that the Government shutdown and all those weekly paychecks that go into 401K contributions has firstly has n impact on individual sentiment as they have not been getting paid, and secondly that lack of 401K contributions has a lagging effect as it takes time to work through the system explains to me why sentiment has been so weak and why we are seeing the effect’s of it now.
With the Government shutdown concluded I believe the laws of physics will have an equal and opposite reaction as sentiment starts to turn and liquidity starts to recenter into the market. On a side note, the Government shutdown also weighs on banking liquidity as it messes with cadence of reverse repos.
Bullish seasonality starts to kick in as well as we approach the end of November. I foresee a breadth thrust coming soon to put the entire collage of my thesis together as both Technology and Small Caps are near support and may market participants technicians have complained about the lack of breadth, a breadth thrust would achieve that frown to turn upside down exactly improved sentiment.
When I hear phrases like the worst November since 2008 while we are still in a FED easing cycle as the FED will most likely cut interest rates once again in the December FOMC meeting as we are still too high above neutral rate pain inflation expectations and the unemployment rate is rising.
The stock market will sniff all of out soon and will heat to all times highs.
My target is $SPX 7000 - 7200
Not financial advice!
$NVDA’s stock price has closely tracked its NTM EPS estimate.
Bears call it a bubble given the sharp price run-up, but bulls focus on business future performance.
Sometimes we forget how lucky we are just to wake up.
There are over a billion people who would trade places with you in a heartbeat.
People battling sickness, grief, war, or oppression.
People who would give anything for your problems, your peace, your today.
If you’ve got your health, even just some of it…
If you’ve got people in your corner, even just one or two…
If you’ve got passions, hobbies, or the freedom to chase what lights your soul on fire…
Then you’re already rich.
Take a moment and really feel that.
You get another day to be here.
That’s a blessing.
Live like it.