Firefly Health
Firefly Health is a US-based virtual-first healthcare company operating an ACA-compliant PPO alternative health plan integrated with team-based virtual primary care, serving self-insured employers, health plans, and individual members nationwide.
- Company typePrivate
- Founded2016
- HeadquartersWatertown, United States
- Headcount101–250
- GTM typeB2B
- OfferingServices
What Firefly Health does
Firefly Health, Inc. is a US-based, venture-backed virtual-first healthcare company founded in 2017 and headquartered in Watertown, Massachusetts. The company operates an integrated model combining a licensed virtual primary care medical group (Firefly Medical Group, P.C.) with an ACA-compliant PPO alternative health plan (the Firefly Health Plan). Members access team-based primary care via the Firefly mobile app, with each member supported by a physician or nurse practitioner, health guide, and behavioral health specialist. The platform extends beyond virtual-only delivery through Firefly Nearby, a proprietary network of 2000+ in-person care partner locations covering 82.7% of the US population within 15 miles and in-home care services in 35+ geographies.
The company's technology stack centers on a Care Key cost-sharing mechanism that reduces or eliminates member copays for high-value in-network providers, a data-driven Navigation Engine that directs members to providers based on cost, quality, and availability data, and a Provider Self-Service Portal (Reflect Health Portal) launched in 2026 for administrative workflows. Integrations span Cigna and Anthem for network access, Quest Diagnostics and Labcorp for labs, Apple Health and Google Fit for member-generated data, and multiple EDI clearinghouses (Waystar, Experian, Availity, Stedy, XFIN) for eligibility and claims. The platform holds NCQA Virtual Care Accreditation (first national primary care practice to achieve this, June 2025) and SOC 2 compliance.
Firefly generates revenue through employer-sponsored health plan premiums (predominantly with self-insured/ASO employers), risk-sharing and value-based care arrangements demonstrating 15%+ total cost of care savings, and health plan partnership revenue from carriers like Cigna, Anthem, and Community Health Options. Go-to-market is enterprise-led with direct sales to HR/benefits decision-makers, augmented by channel partnerships with benefits consultants, brokers, and health plan carriers. The company reports 50-80% better chronic condition outcomes versus NCQA benchmarks, 70+ NPS, and serves members across all 50 states and Washington DC. Firefly is backed by Andreessen Horowitz, F-Prime Capital Partners, and OAK HC/FT, with cumulative disclosed funding of approximately $52.2M.
Firefly Health firmographics
Firmographics- Name
- Firefly Health
- Legal name
- Firefly Health, Inc.
- Website
- https://www.fireflyhealth.com/
- Company type
- Private
- Founded year
- 2016
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Firefly Health is a US-based virtual-first healthcare company operating an ACA-compliant PPO alternative health plan integrated with team-based virtual primary care, serving self-insured employers, health plans, and individual members nationwide.
- Ownership category
- akta.pro rank
Firefly Health industry classification
Industry- Product category
- Virtual Primary Care
- NAICS
- Other Individual and Family Services (624190), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Social Assistance (624)
- SIC
- Services-Health Services (8000), Accident & Health Insurance (6321), Services-Home Health Care Services (8082)
- akta.pro primary industry
- Crisis Intervention & Emergency Planning/Response Coordination (HSABAIAN)
- akta.pro secondary industry
- Patient Self-Service Portal for Scheduling & Management (HLACADAK)
Keywords
Where Firefly Health is headquartered
LocationHeadquarters
- HQ city
- Watertown
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Firefly Health business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Employer-Sponsored Health Plan Premiums: Firefly operates as an alternative health plan sponsored by employers. Employers pay premiums for coverage, and employees access virtual-first primary care and comprehensive medical coverage through the plan.
- Risk-Sharing and Value-Based Care: The company shares risk for clinical success and cost savings through unique payment structures with self-insured employer clients. Demonstrated 15%+ total cost of care savings for ASO book of business.
- Health Plan Partnerships: Partnerships with health insurers where Firefly provides virtual primary care capabilities integrated into carrier offerings, generating revenue through capitation or value-based arrangements.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Virtual Primary Care - Included at no cost |
| Subscription | Annual | Specialist Care with Care Key - Reduced or $0 copay |
| Subscription | Annual | Standard In-Network Care - Copay/deductible/coinsurance |
Go-to-market motion3 records
Distribution channels4 records
Marketing channels7 records
Firefly Health product offering
Product offeringCore offering
Firefly Health is a virtual-first healthcare company that combines an ACA-compliant PPO health plan with team-based virtual primary care delivered through the Firefly Medical Group. Members access 24/7 care via mobile app, supported by a proprietary in-person network (Firefly Nearby) and a navigation engine that directs them to high-value, cost-efficient providers using Care Key cost-sharing waivers.
Product overview
Firefly Health operates as a virtual-first healthcare company offering an integrated health plan and primary care platform. The core offering combines the Firefly Health Plan (an ACA-compliant PPO) with Firefly Medical Group's team-based virtual primary care delivered via the Firefly App. Additional components include Firefly Nearby (in-person care network), Care Key (cost-sharing waiver for high-value providers), Provider Self-Service Portal, Provider Support Hub, and Network Navigation services. The architecture centers on the Firefly Health Plan as the coverage wrapper, with Firefly Medical Group providing embedded primary care and the Firefly App serving as the member engagement hub. Firefly Nearby extends access to in-person services while Care Key incentivizes utilization of high-quality, cost-efficient providers.
Differentiator
Problem solved
Functional benefit
Brands
- Firefly Nearby: A proprietary network of brick-and-mortar care options including urgent care, retail clinics, in-home providers, and at-home testing that complements 24/7 virtual access.
Products and services
- Firefly Health Plan ACA-compliant PPO health plan that provides comprehensive medical coverage including primary care, specialists, urgent care, medications, hospitalizations, and surgeries. Features embedded primary care, navigation services, and cost-control mechanisms for employers and members.
- Firefly Medical Group (Virtual Primary Care) Team-based virtual primary care delivered through physicians, nurse practitioners, and health guides. Provides comprehensive primary care services including preventive care, chronic condition management, acute concerns, mental health support, and referrals. Available to adults 18+ at no cost for Firefly Health Plan members.
- Firefly Nearby Proprietary network of in-person care partners including urgent care clinics, retail clinics, in-home providers, and at-home testing services that complements 24/7 virtual access. Covers 82.7% of US population within 15 miles with 2000+ clinic locations and in-home services in 35+ geographies.
Quantifiable outcome
- 15%+ total cost of care savings for ASO book of business
- +10 more outcomes
Companies that use Firefly Health
Customer profileNamed customers2 records
Segments4 records
Ideal customer profiles3 records
Firefly Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration12 records
Feature4 records
Firefly Health partnerships and signals
Strategic signalPartnerships
Seven partnerships are on record, tiered core, minor and supporting.
- Firefly Nearby Network PartnerscoreExpanded network of care provider partners including urgent care clinics, retail clinics, in-home providers, and at-home testing services that complement Firefly's 50-state virtual care infrastructure with complete in-person care nationwide.
- National Committee for Quality Assurance (NCQA)minorFirefly Health participated in the NCQA 2023 Virtual Care Pilot, an initiative defining and elevating standards of virtual care, which led to Firefly becoming the first national primary care practice to earn NCQA Virtual Care Accreditation.
- Community Health OptionscoreCommunity Health Options partnered with Firefly to offer virtual primary care to their members in Maine, expanding virtual health services and providing consistent care access when and where members need it.
- CignacoreCigna serves as a network partner for provider relations, with provider portal access through HealthX and payer ID 62308 for claims processing. Firefly members with Cigna-based plans can access Firefly services through this partnership.
- AnthemcoreAnthem Network manages all provider relations for Firefly including eligibility, billing, claims status, payment, prior authorization, and related inquiries. Provider portal access through Availity.
- Quest DiagnosticssupportingQuest Diagnostics is integrated with Firefly Nearby for lab services. Labs ordered by Firefly can be processed at Quest locations, with costs based on member health plan cost-share.
- LabcorpsupportingLabcorp is integrated with Firefly Nearby for lab services. Labs ordered by Firefly can be processed at Labcorp locations, with costs based on member health plan cost-share.
Scale indicators17 records
Recent moves7 records
Expansion highlights5 records
Firefly Health competitors and assessment
Company assessmentDirect peers
- Forward Health: Forward operates tech-forward, membership-based primary care combining virtual visits with in-person clinics. It targets similar employer/consumer buyers and competes for the same virtual-first primary care narrative.
- Included Health: Included Health (formerly Doctor On Demand + Grand Rounds) delivers virtual primary care, behavioral health, and care navigation to employer and health plan populations. Directly comparable to Firefly's combination of virtual care, navigation, and employer/payer distribution.
- Galileo: Galileo provides a virtual and in-home primary care practice built around team-based care for employer and payer populations, with risk-bearing contracts. Highly comparable to Firefly's integrated care team model and value-based employer contracts.
- One Medical: One Medical (acquired by Amazon in 2023) operates a membership-based primary care platform combining virtual and in-person care, sold to both consumers and employers. It is the closest direct peer to Firefly's virtual-first, team-based primary care model with employer distribution.
- Crossover Health: Crossover Health provides employer-sponsored primary care through on-site and near-site clinics plus virtual care. It targets the same self-insured employer buyer and competes on embedded, team-based care for working populations.
- Doctor on Demand: Doctor On Demand (now part of Included Health) provides 24/7 virtual primary care and behavioral health to employer and health plan members. Comparable telehealth delivery model and buyer profile to Firefly Medical Group.
Broad incumbents
- Evernorth Health Services: Evernorth is Cigna's health services portfolio (including MDLive and virtual care) and is one of Firefly's channel partners. It is a broad incumbent that could either continue as a partner or build competing virtual primary care capabilities.
- ChenMed: ChenMed is a physician-led, value-based primary care group serving seniors through owned clinics in multiple states. A broader incumbent in full-risk primary care that competes with Firefly for health plan risk-sharing arrangements.
- Oak Street Health: Oak Street Health (acquired by CVS Health in 2023) operates value-based primary care clinics primarily for Medicare-eligible seniors. A broader incumbent in value-based primary care with deeper payer relationships but a different (senior, Medicare) member focus.
- Amazon Clinic: Amazon Clinic offers on-demand virtual care for common conditions through the Amazon ecosystem. A broad incumbent in virtual care that overlaps with Firefly's telehealth delivery, though narrower in scope (no primary care relationship or health plan).
Market position
Weaknesses5 records
Competitive moat5 records
Key risks7 records
Customer concentration
Firefly Health social profiles
Digital presenceFirefly Health compliance and trust
Trust signalCompliance3 records
Firefly Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Firefly Health leadership team
Management profileNumber of profiles
Profiles15 records
Firefly Health subsidiaries and ownership
Company hierarchySubsidiaries1 record
Firefly Health funding detail
Funding detailFunding overview
Funding rounds4 records
Investors9 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Firefly Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Firefly Health
What does Firefly Health do?
Firefly Health is a virtual-first healthcare company that combines an ACA-compliant PPO health plan with team-based virtual primary care delivered through the Firefly Medical Group. Members access 24/7 care via mobile app, supported by a proprietary in-person network (Firefly Nearby) and a navigation engine that directs them to high-value, cost-efficient providers using Care Key cost-sharing waivers.
Is Firefly Health a public or private company?
Firefly Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Firefly Health founded?
Firefly Health was founded in 2016. It employs 101 to 250 people.
Where is Firefly Health based?
Firefly Health is headquartered in Watertown, United States, in the North America region.
How does Firefly Health make money?
Three revenue lines are on record. Employer-Sponsored Health Plan Premiums are the primary driver. The others are risk-Sharing and Value-Based Care and health Plan Partnerships.
Who are Firefly Health's main competitors?
Direct peers on record are Forward Health, Included Health, Galileo, One Medical, Crossover Health and Doctor on Demand. Broad incumbents are Evernorth Health Services, ChenMed, Oak Street Health and Amazon Clinic.
Does Firefly Health have an API?
No public API is recorded for Firefly Health.
What industry is Firefly Health in?
Firefly Health's product category is Virtual Primary Care. Its primary akta.pro industry code is HSABAIAN, Crisis Intervention & Emergency Planning/Response Coordination, with a secondary code of HLACADAK, Patient Self-Service Portal for Scheduling & Management. Its NAICS code is 624190 and its SIC code is 8000.