39 CEO Os­car Health, New York City

Modern Healthcare - - UP & COMERS - — Va­lerie La­pointe

Mario Schlosser’s path into the health­care in­dus­try was an un­con­ven­tional one. Af­ter em­i­grat­ing from Ger­many in 2001, he founded and served as CEO for Vostu, the largest so­cial games de­vel­oper in Brazil and Latin Amer­ica. Then, the birth of his first child steered him in a dif­fer­ent di­rec­tion.

Go­ing into the ma­ter­nity ward for his daugh­ter’s birth, he took a print­out of C-sec­tion rates for var­i­ous doc­tors in the hospi­tal. His wife wanted to have a nat­u­ral birth and he wanted to make sure no doc­tor was go­ing to push her too hard on that choice.

“When Os­car Health got started, my wife was go­ing through her first preg­nancy and I ex­pe­ri­enced first­hand how com­pli­cated the health­care sys­tem was to nav­i­gate, and how ex­pen­sive it was,” said Schlosser, who co­founded the com­pany in 2012. Os­car has raised $720 mil­lion in six rounds of fund­ing and some es­ti­mates put the com­pany’s value at $2.7 bil­lion. It is the first tech­nol­ogy-based health in­sur­ance com­pany and serves more than 100,000 en­rollees across mul­ti­ple states.

“There isn’t any en­tity in health­care that has enough data vis­i­bil­ity to help you nav­i­gate the sys­tem. This is the data-driven way that I like to think about the world and I didn’t think any­one else was ap­ply­ing that think­ing to in­sur­ance,” he said.

Schlosser is cur­rently lead­ing Os­car in form­ing an in­no­va­tive part­ner­ship with the Cleve­land Clinic to of­fer the clinic’s first-ever health in­sur­ance plan. The com­pany is also a na­tional leader in telemedicine uti­liza­tion—23% of Os­car mem­bers use telemedicine— sav­ing pa­tients the cost of an ex­pen­sive spe­cial­ist or ur­gent-care visit. In the past year, Os­car ramped up its ef­forts to build tools for providers, em­pow­er­ing them with con­tex­tual pa­tient data and gen­er­at­ing clin­i­cally rel­e­vant alerts driven by ma­chine learn­ing.

“This is the data-driven way that I like to think about the world.”

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