• Launches Next Generation Health Plans that Provide Consumers with Cost Surety, Better Information, for Treatments
• Program available today in Texas, New York, New Jersey and Connecticut
• Company supported by $90 million in investment, including $45 million Series B Round led by Eir Partners with participation from Optum Ventures

Oxbridge Health, Inc. (“Oxbridge”) today announced that it has closed a $45 million Series B financing led by Eir Partners, with participation from Optum Ventures and a group of experienced healthcare leaders. The round brings total investment in the company to $90 million, including capital from its founders and early investors, and marks the start of full commercial operations for Oxbridge’s Episode Advantage Health Plans. The company will use the new capital to expand sales and service for employers and brokers, add geographic markets, and bring its Episode Advantage Inside offering to health plan partners.

The financing follows three years in which Oxbridge built the data systems, analytics and software needed to price, guarantee and administer healthcare by episode of care. Four reinsurers offer stop-loss coverage on Oxbridge plans, giving self-funded employers risk protection.

Self-funded employers in Texas, New York, New Jersey and Connecticut, along with the brokers and consultants who advise them, can now obtain Oxbridge quotes for their 2027 health benefits.

What the data shows

Oxbridge’s approach starts with a measurement most health plans never make: how much it costs different care groups to treat clinically similar patients for the same condition or procedure. The answer is that costs vary by several-fold within the same market, and the higher-cost groups do not deliver consistently better quality. In Oxbridge’s analysis of 15 million risk-adjusted commercial episodes across four states, most of that gap in total cost came from how much care was delivered, even when not needed clinically, not from the price of each service.

Employers and their employees are routinely paying far more than necessary for the same health outcomes, with no way to know their cost exposure before treatment begins. Oxbridge architects health benefits to close that gap.

How Episode Advantage Plans work

Oxbridge’s plans are designed to cost employers 10% to 25% less than a comparable PPO or HMO plan with the same benefits.

For each covered episode, such as a knee replacement or cataract surgery, or a condition such as annual diabetes care, members see guaranteed prices from local care groups before treatment. The employer sets a coverage allowance, so members know in advance what the plan will pay and what, if anything, they will owe. Members access the same doctors and hospitals they use in their plan today. Those patients who choose efficient care groups pay less, and the plan stops paying a premium price for care that is not demonstrably better.

“Employers have been told the only ways to control healthcare costs are to narrow networks, restrict benefits, or shift more of the bill to employees,” said Will Herling, Chief Executive Officer of Oxbridge Health. “The data points to a better path. Healthcare is one of the few major purchases where no one knows the price until after the service. We show the price first, and we let employers decide how much they will pay for an episode of care. For 2027, that means a plan employees can understand and employers can budget.”

“Oxbridge is the first company to address the wide variance in episodic cost for treating the same patient,” said Brett Carlson, Managing Partner of EIR Partners. “They have used advanced analytics and AI to create an entirely new way of thinking about health insurance coverage. Every employer should understand what Oxbridge offers and ask their broker for a quote for 2027 coverage.”

Built by a team that has done this before

Oxbridge was founded by Steve Wiggins, who founded Oxford Health Plans and built it into a Fortune 300 company. He later founded Remedy Partners, which grew into an episode-based payment program covering approximately $7 billion in healthcare spending for Medicare beneficiaries.

“We chose partners who understand how hard it is to change the way healthcare is paid for,” said Wiggins. “Eir has built a portfolio of companies that are reshaping healthcare, and Optum Ventures brings deep knowledge of the healthcare and health benefits markets. With their support, our focus now is simple: put these plans in front of employers and prove the savings, one renewal at a time.”

“Episode Advantage Inside” for health plans and administrators

Oxbridge also offers Episode Advantage Inside, which allows health plans and third-party administrators to add Oxbridge’s episode pricing and guaranteed-price capabilities to their existing benefit plans. The program gives these organizations a way to offer price transparency and sustainably lower costs without replacing the plans their clients already use.

Request a 2027 quote

Self-funded employers, brokers and benefits consultants can request a quote at oxbridgehealth.com.

About Oxbridge Health

Oxbridge Health offers Episode Advantage Plans, a new category of employer health coverage built around episodes of care. Using data, advanced analytics and artificial intelligence, Oxbridge combines guaranteed prices for complete episodes of care while preserving broad choice of doctors and hospitals. The company serves self-funded employers in Texas, New York, New Jersey and Connecticut and offers Episode Advantage Inside to health plans and administrators. Oxbridge is headquartered in Norwalk, Connecticut. Learn more at oxbridgehealth.com.

About EIR Partners

EIR Partners is a Miami-based private equity firm that works exclusively with health technology and tech-enabled services companies to build, scale and grow innovative technologies focused on solving healthcare’s most complex and important challenges.

About Optum Ventures

Optum Ventures was founded in 2017 as an independent venture capital firm in partnership with UnitedHealth Group, with a mission to promote healthcare innovation. The firm works with entrepreneurs and industry leaders to advance partnerships across the healthcare ecosystem.

View source version on businesswire.com: https://www.businesswire.com/news/home/20261022326587/en/