How to Build an AI-Native Health Plan with Mario Schlosser

Health Plan Creation

Creating a health insurance plan from scratch involves a unique journey, as Mario Schlosser shares. He and his co-founder, Josh, were inspired to start Oscar Health after personal experiences with healthcare and a desire to innovate in the insurance space. Mario highlights the importance of controlling the infrastructure and capital to influence both member and provider behavior effectively 1.

The insurance company is the only entity in the healthcare system that has the power of deploying these kind of tools as well.

--- Mario Schlosser

This approach allowed them to become the first newly licensed insurer in New York in 25 years, emphasizing the need for autonomy in plan design and execution 2.

   

Insurance Innovation

Oscar Health's innovative strategies are deeply rooted in leveraging technology to redefine insurance. Mario Schlosser explains that Oscar's goal was to become a tech-driven insurance company, controlling all aspects from infrastructure to plan design, which was novel at the time 2.

We have to be our own insurance company, because only then can you control the infrastructure and you control the capital, the reserve capital, and the plan design and things like that.

--- Mario Schlosser

He also discusses the challenges of integrating AI into health plans, noting that while data interoperability has improved, real-time action triggers remain a significant hurdle 3.