CHICAGO – September 3, 2026 – Vitality, a global leader in behavioral change, helping health plans and employers deliver better health and financial outcomes, today announced the acquisition of Icario, a leading digital-first health action company that helps health payers motivate members to take meaningful steps to drive better health outcomes.
The acquisition creates a connected, end-to-end model transforming how millions of members engage with their health – with a focus on prevention, early intervention, and sustained, long-term engagement and behavior change. This move significantly expands Vitality’s reach and impact in the U.S. market, as the combined organization will serve 19 million members and 30% of U.S. health plans, including eight of the country’s 10 largest plans.
Vitality will unite Icario’s expertise in identifying and activating hard-to-reach populations and those most in need of health support, bringing it together with Vitality’s intelligence and engagement model. This will enable health plans to identify risk and actively reduce it, by helping more members better understand their health risk and take steps to form long-term habits that improve their health. The result is a solution uniquely capable of helping more people to undertake the most important actions to improve their health today and into the future.
Creating ongoing engagement is vital and a missed opportunity, with data showing those who engage with Vitality demonstrate 34% higher engagement with primary and preventive care services. Every 10% increase in engagement drives a further 5% increase in participation across other connected health management solutions.
A New Standard in Member Engagement and Outcomes
The acquisition comes at a time when U.S. health plan costs are rising rapidly, projected to increase as much as 10% next year driven by factors including poor lifestyle choices and inefficient use of healthcare resources. Lifestyle behaviors alone account for 28% of healthcare costs. Vitality addresses this directly – connecting proactive engagement to independently validated measures of health-management effort, future risk, and healthcare costs.
Today, members typically experience and engage with health plans through transactional moments such as enrollment, ID cards, bills, claims, prior authorizations, or isolated outreach, with recent research finding that only 30% of health plan members view their health plan as a trusted partner in their health. Widescale resistance to engaging with health plans results in too many people missing opportunities to take preventive action, access care, or efficiently manage their health.
The acquisition will enable Vitality to provide a solution to these challenges. Health plans will have access to an AI-powered personalization platform that uses tailored messages, channels, and incentives to spark change across lifestyle behaviors, prevention, clinical actions, condition management, and care plan compliance. Beyond isolated interactions, Vitality will engage members in their day-to-day health and lifestyle behaviors in an experience that forms an ongoing, trusted relationship between the member and their health plan.
“Health plans have invested billions in identifying risk, but this is only valuable if members take action,” said Maia Surmava, CEO of Vitality U.S. “By bringing Icario and Vitality together, we will help health plans connect member activation to sustained health improvement. Together, we will build stronger member relationships, close more care gaps, improve quality performance, and ultimately deliver better health outcomes at scale.”
“Icario has always focused on helping health plans activate members at the moments that matter most,” said Marc Willard, CEO of Icario. “Joining Vitality allows us to extend those moments into a sustained journey of personalized health improvement. Together, we can help health plans not only reach more members but help those members take the actions that improve outcomes over the long term.”
Vitality continues to see momentum in the U.S., including recent acquisitions of Ramp Health – expanding services to include onsite clinical services and coaching, occupational health, and workers’ risk mitigation services – and WellSpark, adding virtual coaching and disease prevention offerings. These additions have broadened Vitality’s engagement platform, addressing the changing needs of health plans and members, and cemented its support for health plans across the country.
Vitality sought legal counsel from Taft, tax advice from BDO, and financial guidance from Houlihan Lokey. Icario was advised by Cain Brothers as its exclusive financial advisor and Weil, Gotshal & Manges LLP as its legal counsel in connection with the transaction.