By Mark Flores – Executive Vice President and Co-Founder at AVYM Corporation
April 6, 2026
From Hidden QPAs to TPA Failures in Arbitration: self‑insured employer plans are paying for a system they cannot see, and carrying the liability for a system designed to protect insurers, not employers
Continue reading The NSA Was Built on Insurer Math—Now Employers Are Paying the Price
“I’ll make you an offer you can’t refuse…………!”
By Bill Rusteberg
There are areas in Texas where hospitals have circled the wagons against Reference Based Pricing infidels. “We ain’t gonna see you unless you have an emergency!” snarls the local hospital intake clerk. “Go somewhere else to die!”
Continue reading Hospital Owned Health Insurance Brokers Beat Back The Infidels
By Dave Chase
What sets them apart is infrastructure.
Here’s a clear example. A Health Rosetta, a Public Benefit Corporation Advisor walks into a new employer meeting with a compliance diagnostic that uncovers regulatory gaps in about 15 minutes. In that first conversation, they typically surface three missed items such gag clause attestations, compensation disclosures, & incomplete Form 5500 filings. Before any strategy talk begins, they’ve already shown what fiduciary guide looks like in action.
Continue reading There are many benefits advisors. Only a few practice as true fiduciaries.
Apr. 6, 2026, 11:00 AM
NEW YORK, April 06, 2026 (GLOBE NEWSWIRE) — Yuzu Health, a next-generation third-party administrator (TPA) that serves as the infrastructure behind health insurance plans, today announced a $35 million Series A round, bringing total capital raised to $40 million. The round was led by General Catalyst and Chemistry, with participation from Anthropic’s Anthology Fund, Bain Future Back Ventures, Timeless Ventures, Lachy Groom, and Neo. Alex Tran, Managing Director at General Catalyst, will also join Yuzu Health’s board of directors.
Continue reading Yuzu Health Raises $35 Million Series A to Modernize Health Insurance Plan Infrastructure
The following article was written several years ago. I was reminded of it this morning as I contemplate a reenactment.
By Bill Rusteberg
One of the hardest things a consultant can do is fire a client. Today we did just that. It wasn’t an easy decision. This is a client we’ve served for many years, earning deep friendships within the organization that will endure.
Continue reading Today We Fired A Client
“Hey, you know, it’s raining babies up here. So, if you want to come in, we would love to have you…………..”
Continue reading It’s Raining Babies In Waco!
The carrier gangsters have spent decades making sure you can’t leave. Here’s how that ends.
Continue reading I Have a Dream… of a Post-Network World