Firefly Health Reports 15%+ Total Cost of Care Savings for ASO Book of Business

Firefly’s clinically-integrated health plan continues to drive financial results for self-insured employers while delivering health outcomes and member satisfaction

WATERTOWN, Mass.--(BUSINESS WIRE)--Firefly Health, a clinically-integrated health plan, announced a 15% lower total cost of care (TCOC) in 2025 across its Administrative Services Only (ASO) book of business when compared against a market-typical benchmark. All customers reported TCOC savings in 2025, with one customer reporting more than 17% savings. These savings are driven by strong clinical results and navigation to high-value providers, all while maintaining a member satisfaction greater than 90%.

“When you make it easy for members to engage in primary care, help them navigate to high-value specialists and align financial incentives, good things happen for both the member and the plan,” said Fay Rotenberg, CEO of Firefly Health. “Medical plan savings are hard to come by these days. Unfortunately, some are producing any amount of savings by cost-shifting or by making it difficult for members to get the care they need. But Firefly turns that on its head. Our model encourages the member to engage with high-value care and that engagement is what drives savings.”

“The status quo isn’t working for employers, and the result is unsustainable medical trend. If you want different results, you need to change how healthcare is financed, delivered and paid for,” said Brian Marcotte, former head of the Business Group on Health and Firefly Health advisor. “Firefly embodies that different approach.”

The Firefly Health Plan Model

Firefly Health differentiates itself as a clinically-integrated health plan that manages total cost of care by combining in-house, NCQA-accredited advanced primary care with data-driven network navigation. Unlike traditional plans that rely on member cost-shifting or narrow networks, Firefly uses a proactive, engagement-focused approach to manage health and direct utilization toward high-value providers. Firefly’s model aligns incentives through novel benefit design, resulting in a plan offering where a better care experience drives sustainable, long-term savings.

Methodology Note

Firefly measures its book of business financial performance against external, risk-adjusted commercial medical spend benchmarks matched for demographics, health conditions and geographic location. Firefly utilizes Merative MarketScan Research Databases, the most widely available commercial benchmark in the industry. MarketScan provides comprehensive, patient-level healthcare claims data from over 300 million unique patient lives. Firefly’s performance represents 2025 claims paid through April 1, 2026, inclusive of IBNR (Incurred But Not Reported) estimates.

About Firefly Health

Firefly is a primary care and health plan provider serving more than 20,000 individuals nationally. Firefly’s clinically-integrated health plan seamlessly integrates primary care, chronic condition management, mental healthcare and specialty care with intelligent provider navigation and a novel benefit design to align incentives for outcomes, experience and true cost control for members and employers alike. Learn more at fireflyhealth.com.