Yuzu Health

Yuzu Health

Software Development

New York, NY 1,201 followers

Create your own health plan

About us

We're on a mission to simplify health plan administration from the ground up, starting with claims processing as a third-party administrator (TPA) for Plan Designers who create employer health insurance plans. We build software that enables strangers to take care of each other with less bureaucracy. We are reimagining the social contract at the intersection of risk, health, choice, privacy, and money. If you want to be a part of building the tools to make healthcare simpler, check out our open positions at yuzu.health/careers.

Website
https://yuzu.health
Industry
Software Development
Company size
11-50 employees
Headquarters
New York, NY
Type
Privately Held
Founded
2022

Locations

Employees at Yuzu Health

Updates

  • At Yuzu Health, we hear this complaint every day about legacy TPAs. There are innovators like Benjamin John that know how to make healthcare cheaper by responding in real-time to member needs. These intervention models don't work with TPAs that cannot or *will not* provide the data and tools needed to execute dynamic care navigation strategies.

    View profile for Benjamin John, graphic

    🔹 Former Broker 🔹 Wisconsin's Sustainable Health Plan 🔹 Two First Names🔹 Packer Backer 🔹

    Is your carrier/tpa operating in wealth extraction mode? How would you even know? Ask: -Are they publicly traded? (who are they really working for?) -Are they choked by outdated vendors they can't move away from? (old claims systems) -Do they allow steerage? -Are they proactive with plan triggers in real time? -Gag clauses in contract What you want to see: -Built on new technology (real time access to claims/prior auths) -Event triggers so stakeholders can be notified for care coordination -Clean contracts (no gag clauses/confidentiality agreements) -Clear, real time reporting The more you ask the more you'll find where the incentives truly are. The more you know the greater the responsibility will be for you to switch to an aligned carrier. You don't have to be crushed by your current contract. There are better ways. Ask your advisor about Self Fund Health and see if we might be able to help Credit Russell Pekala for a portion of the content #outwiththeold #alignedincentives #newhealthplan #fixhealthcare

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  • Please join us in trying to save sick people from the abyss of engineered bureaucracy! https://lnkd.in/dFi6cmMz This is the great challenge of our time, and whether we solve it makes or breaks what the social contract looks like for the next generation.

    View profile for Nikhil Krishnan, graphic

    Founder/Thinkboi at Out-Of-Pocket: outofpocket.health

    interesting piece from Russell Pekala that basically says the current claims and payment system is designed to create a lot of admin work because if you're willing to actually jump through the admin hoops, it's because the claim is actually legitimate basically the system tries to solve for how do you get two counterparties with different incentives/levels of information about what happened to agree - and the answer is a lot of paperwork they would only go through if they knew they were right the final point is basically that AI doesn't solve this problem because having a lot of paperwork is a design choice

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  • Yuzu Health reposted this

    View profile for Russell Pekala, graphic

    Operations at Yuzu Health

    We're hiring an Abstraction Engineer at Yuzu Health. Yuzu's company mission is to make health insurance SIMPLE. We do this by enabling new ways of getting healthcare expenses paid for by insurance. For health insurance plans built on top of Yuzu, members can natively and easily get a virtual credit card to spend on approved services so that they can skip the wait and the bureaucracy of dealing with "billing departments" and get care that is priced fairly. We build the tools and logic to understand how much can be paid for various services as well as processing the payments behind the millions of dollars per year spent by our employer customers. We are not an "add on" or "wrapper". We don't just move money around. We pay claims and make tough decisions and we're proud of that. We built our own claims processing system so that we can build using new technologies with less bloat. As an Abstraction Engineer, you will come in with the mandate of making our systems simple. You will be the type of person who loves finding elegant abstractions, refactoring code, and designing architecture to support feature engineers. We have about 3 years of runway and a lean team of 7 based in NYC. This is the hardest technical problem I've ever worked on applied to the hardest moral and policy problem of our generation -- making healthcare affordable, unbureaucratic, and fair.

    Abstraction Engineer

    Abstraction Engineer

    yuzu.health

  • Listen to Plan Designer Richard Walton CEBS describe how simple his Maverick Strategy health plan is. Yuzu serves as the low-overhead cash-payment and accounting engine that pays doctors immediately for services letting them spend time with patients and not revenue cycle headaches. Health insurance networks are inefficient revenue cycle overhead. Nearly every doctor and facility takes cash, and at a cheaper rate than insurance. https://lnkd.in/eA2sQxzW

    THE CHAT: Local insurance expert changing the way healthcare works

    THE CHAT: Local insurance expert changing the way healthcare works

    newschannel10.com

  • Yuzu Health reposted this

    View profile for Russell Pekala, graphic

    Operations at Yuzu Health

    Happy to share that Yuzu will be speaking at The Maverick Strategy Unveiling Event on May 9th! It'll be my first time in West Texas, and I can't imagine a better person to show me the town than Richard Walton CEBS. He's been a leader in the Amarillo community for 10+ years getting employers access to innovative health plans like Sana and Sedera. Now Richard is designing a plan using all of his knowledge and Yuzu Health's payment and technology capabilities. We can't wait to talk about it!

    View profile for Richard Walton CEBS, graphic

    Laser focused on solving the affordability crisis in American healthcare

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  • We're proud to have Russell Pekala on the Self-Funded with Spencer podcast. Russell Pekala was driven to do customer support at Yuzu because he's seen how deeply impersonal and byzantine BUCA plans are for members firsthand.

    View profile for 🎙Spencer Smith, CSFS®, graphic

    📈 SVP - ParetoHealth || 🎙️ Host - Self-Funded w/ Spencer || ✍️ “Self-Fund or Die”

    A spilled bowl of ramen led Russell Pekala to co-found Yuzu Health. When Russell's brother spilled some super-hot ramen on his leg and suffered a burn, he went to his local hospital, where it was treated as a severe burn. His brother was then sent a $180,000 bill. Russell, who at the time knew nothing about the healthcare system, immediately started looking into how to save his brother from this crazy bill. With some quick research and negotiating, Russell was able to get $136,000 knocked off the bill, with the rest being charged to his brother's plan. The moral of the story? Be careful when you're eating ramen. Check out the newest episode of Self-Funded with Spencer, featuring Russell Pekala, available on YouTube, Spotify, Apple Podcasts, and wherever podcasts are found. #healthcare #healthinsurance #startups #technology #costcontrol #pharmacy #employers #predictivedata #wearables #futureofinsurance #selffunded #podcast

  • Yuzu Health reposted this

    View profile for Ben Butler, graphic

    Building a Better Healthcare System from Scratch @ HIPnation

    Saturday morning health plan designing with the guys from Yuzu Health! I can’t think of a better way to spend my birthday. Thanks for making the trip guys! Russell Pekala Will Gillach It’s rare to work with folks so aligned with our mission. Cheers to fixing big problems, instead of just talking about them!! Y’all are the real deal. 💪🏼 Brian E. Hill, MD HIPnation

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  • Yuzu Health reposted this

    View profile for Will Gillach, graphic

    Powering Better Health Plans

    It's a cool day at Yuzu HQ. How often does your health plan refund you or your employer at the end of the year? With 2023 in the books, many employers' annual health plans have concluded. And that includes the first set of beta customers who placed their trust in Yuzu Health as their health insurance plan for the 2023 plan year. One powerful part of self-funded and level-funded health plans, such as Yuzu's, is the fact that the employer is entitled to any unspent funds at the end of the year. So guess what? Yuzu customers who prioritized their health and worked with us to get affordable, yet high quality, care when needed -- they get their money back. Money they can use to grow their business and invest in their employees. I've never been happier to cut a check than to these folks. Here at Yuzu, we're far from perfect (we're working through a couple customer support cases as I type this up). But we're learning fast and are fully committed to doing right on behalf of employers and their employees. Here's to putting them first in 2024 :) And the biggest shoutout to Max, Pam, Ryan, and Russell for pushing the boundaries every day and having a blast along the way. I'm thankful for you.

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Funding

Yuzu Health 2 total rounds

Last Round

Seed

US$ 5.0M

Investors

Lachy Groom
See more info on crunchbase