Amwell, Oscar, Lemonade Battle to Keep Digital Edge as Healthcare Modernizes

Telehealth

Highlights

Digital transformation has shifted from experimental to expected in healthcare and insurance, with investors prioritizing profitability, margins and operational discipline over pure tech novelty.

Amwell, Oscar Health and Lemonade are using automation, analytics and proprietary platforms to integrate data into operations, but they must balance rapid scaling with exposure to use, claims and churn.

In regulated, competitive markets, success depends on converting tech advantages into consistent profitability, while incumbents rapidly close the digital gap.

At the midpoint of 2025, the digital transformation of healthcare and insurance has moved fully from experimental to expected.

    Get the Full Story

    Complete the form to unlock this article and enjoy unlimited free access to all PYMNTS content — no additional logins required.

    yesSubscribe to our daily newsletter, PYMNTS Today.

    By completing this form, you agree to receive marketing communications from PYMNTS and to the sharing of your information with our sponsor, if applicable, in accordance with our Privacy Policy and Terms and Conditions.

    Investors are no longer dazzled by technology promises alone; they want numbers, margins and credible paths to profitability. Second-quarter earnings reports from companies like Amwell, Oscar Health and Lemonade offer a snapshot of how three different companies positioned at the intersection of technology and regulated markets are navigating that reality.

    While each business targets a distinct segment (telehealth, health insurance and Insurtech), their earnings tell a common story. Digital-native models are maturing, scaling brings operational friction, and the capital markets are rewarding evidence of discipline as much as innovation.

    However, the biggest takeaway is how much the healthcare and insurance space has evolved over the past few years, thanks to the ability of digital innovation to streamline traditionally fragmented legacy processes.

    Read also: A Dose of Digital: How Modernizing Payments Is Revitalizing Healthcare

    Data as a Growth Engine Is the Common Digital Thread

    Across Amwell, Oscar and Lemonade, the competitive edge for the most recent quarter was in how effectively they collect, integrate and act on data.

    Advertisement: Scroll to Continue

    Telehealth provider Amwell’s second-quarter earnings results underscored the company’s pivot away from being primarily a visit-volume platform toward becoming a software-driven infrastructure player for healthcare systems. Software revenue increased 47% year over year and now accounts for nearly 60% of total revenue. Amwell’s pivot deepens its role as the connective tissue between patient interactions and provider workflows, creating a data-rich environment for clinical decision support and operational optimization.

    Oscar Health’s integrated platform captures touchpoints from enrollment to care delivery, enabling targeted interventions. But it also means utilization spikes are quickly visible in the financials.

    Lemonade’s artificial intelligence models learn from every policy and claim, thereby tightening underwriting over time. However, they must be continually retrained to reflect changing consumer behavior and emerging risks.

    In all cases, the interplay between automation, analytics and market realities determines whether digital scale translates into financial resilience. The same platforms that enable rapid growth can also expose companies to faster swings in use, claims and churn.

    Meanwhile, incumbents are catching up. Traditional health insurers now deploy advanced member portals and telehealth offerings. Large property and casualty insurers are investing heavily in digital claims and policy management. In telehealth, well-capitalized players like Teladoc maintain scale advantages.

    For Amwell, Oscar and Lemonade, differentiation depends on execution speed, brand trust and the ability to use proprietary tech in ways that are hard to replicate.

    See also: Embedded Finance Helps Healthcare Providers Improve Revenue and Patient Loyalty

    The Maturation of Digital Health and Insurance

    The market reactions to these earnings varied. Lemonade’s 30% stock jump contrasted with more muted or cautious responses to Amwell and Oscar. However, the common denominator in analyst commentary was the demand for proof.

    For Amwell, proof will mean converting its growing software share into consistent, high-margin cash flow. For Oscar, proof will mean controlling medical costs while sustaining revenue growth in competitive, regulated markets. For Lemonade, proof will mean maintaining improved loss ratios across economic cycles.

    The digital dynamics driving these Q2 results can’t be separated from the broader regulatory and competitive context.

    Healthcare regulation remains a double-edged sword. Affordable Care Act markets offer a large addressable base for Oscar, but shifts in risk adjustment and enrollment patterns can quickly alter profitability trajectories. At the same time, telehealth reimbursement rules continue to evolve post-pandemic, influencing demand for Amwell’s enterprise software solutions while insurance regulation and reinsurance costs shape Lemonade’s ability to price competitively while improving margins.

    The technology is no longer the question. The question now is whether these companies can make the economics work at scale, consistently, quarter after quarter. In that sense, the digital dynamics of 2025 are less about disruption for its own sake and more about building enduring, profitable systems in industries where trust, regulation and capital discipline are as decisive as code.

    For all PYMNTS digital transformation coverage, subscribe to the daily Digital Transformation Newsletter.