Included Health to Acquire Firefly Health
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Included Health to Acquire Firefly Health

The deal aims to create a scaled health plan alternative for employers nationwide.

7/28/2026
Ghita Khalfaoui
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Included Health, a comprehensive healthcare company delivering personalized services, has announced its definitive agreement to acquire Firefly Health, a provider known for its advanced primary care and integrated health plan. This strategic acquisition aims to create a new, scaled health plan alternative for employers nationwide, addressing persistent challenges in the market. The merger combines cutting-edge technology and a proven care model to fundamentally reduce healthcare costs while significantly enhancing the member experience.


A Strategic Move to Reshape Employer Healthcare

The transaction, expected to close in the third quarter of 2026 pending customary regulatory approval, will unite two innovative forces in healthcare. Included Health brings its AI-native, clinician-in-the-loop platform, while Firefly Health contributes its clinically-integrated plan that has demonstrated over 15% in total cost of care savings. This powerful combination is designed to offer employers a clear path to long-term savings through a modern, connected benefits experience.

Owen Tripp, CEO of Included Health, highlighted the shared vision of both companies to address long-standing frustrations within the healthcare system. He emphasized that investing in primary care and guiding members to high-quality providers is the most effective way to lower unnecessary costs. This approach directly contrasts with traditional methods like narrowing networks or increasing member cost-sharing, which often compromise care quality.

Proven Results and a New Model

Firefly Health brings a strong and verifiable track record of success to the partnership, having delivered a 15% reduction in total cost of care across its full book of business in 2025. This impressive financial achievement was accompanied by a 90% member satisfaction rate, underscoring the effectiveness of its member-centric model. These results are driven by a combination of team-based primary care and intelligent navigation to high-value virtual and in-person providers.

The acquisition comes as employers face the steepest rise in healthcare costs in over a decade, creating significant market demand for new solutions. Many businesses are actively seeking an integrated model where care delivery, navigation, and plan design work together seamlessly to produce durable savings. This merger directly addresses that need by offering a comprehensive solution that avoids sacrificing access or experience for cost control.

Integrating Technology and Care Delivery

The combined entity will leverage Included Health's extensive national clinical team and AI-powered platform with Firefly's specialized assets for a comprehensive offering. These assets include an NCQA-accredited advanced primary care model, a nationwide ecosystem of over 2,300 partners, and a health plan architecture with a proven history of results. This integration promises a complete, end-to-end solution for employers seeking better outcomes and predictable costs.

Fay Rotenberg, CEO of Firefly Health, explained that their model inverts the traditional system by aligning incentives to make the highest-quality care the most affordable option for members. This trust-first, high-engagement approach naturally leads to superior clinical and financial outcomes for both employees and their employers. Together with Included Health, this innovative model will now be available on a national stage for businesses of any size.


This acquisition marks a significant development for the employer-sponsored healthcare market, offering a credible and proven alternative to conventional health plans. By combining advanced technology with a clinically-integrated care model, Included Health and Firefly Health are poised to meet the growing demand for cost-effective, high-quality healthcare solutions. With nearly 41% of employers actively exploring new plan designs, this partnership provides a tangible and scalable path forward for the industry.