This week, Neal K. Shah joins the show to talk about the years-long caregiving journey that reshaped his life, his career, and ultimately the creation of CareYaya Health Technologies. He shares how managing a billion-dollar hedge fund became incompatible with the reality of his grandfather’s dementia care and his wife’s life-threatening illness, and how those experiences exposed the true weight carried by family caregivers.
🎧 This episode traces Neal Shah’s shift from hedge fund leader to full-time caregiver and founder of CareYaya. He shares what the home-care system really looks like for families and how a tech-enabled student workforce is changing access to reliable support.
04:52 Early hedge fund career and the shift triggered by family illness
07:50 The cost, quality gaps, and hidden burdens families face
10:49 Recognizing the scale of unmet needs for aging and chronic illness
18:54 The idea that became CareYaya: a structured way to connect families with healthcare-bound students
21:35 Building the MVP with local universities and early explosive demand
25:04 How finding the right technical co-founder shaped the company’s trajectory
28:36 How new ideas emerged, including AI tools for claims management
32:20 Why younger engineers outperform in an AI-first world
40:35 Could Medicare eventually reimburse companion-level care?
41:20 How this could scale into a multibillion-dollar platform
44:49 The political torque keeping insurance reform stagnant
💡 Who Should Listen
Healthcare innovators, MedTech founders, clinicians who support aging or chronically ill populations, caregivers, and anyone building technology to solve real structural problems in the healthcare system.
About Neal
Neal K. Shah is the CEO of CareYaya Health Technologies, a social enterprise and research lab advancing health equity for aging populations, and recognized by LinkedIn as one of America’s Top 50 Startups in 2024. He also serves as Chairman of Counterforce Health, an AI platform for navigating health insurance claim denials, and Principal Investigator on multiple federal innovation grants. Shah is also the author of “Insured to Death: How Health Insurance Screws Over Americans – And How We Take It Back”, a #1 bestseller in Health Policy. Shah holds degrees in economics and philosophy from University of Pennsylvania. Prior to CareYaya, Shah managed a $250 million hedge fund. His pivot to healthcare came after deeply personal experiences as a caregiver, which inspired a mission-driven focus on transforming care delivery through tech. Today, Shah is building CareYaya into a national leader in care innovation. Shah’s work has been supported by the NIH, Johns Hopkins AITC, AARP, and Harvard Innovation Labs. He also regularly contributes to CNBC, US News & World Report, Barron’s, STAT, Neurology Live, and Medical Economics.
Connect with Neal
💼 LinkedIn: Neal K. Shah
📲 Instagram: @nealkshah
🎶 TikTok: @nealkshah
📘Substack: nealkshah.substack.com
💼 LinkedIn: Counterforce Health
📲 Instagram: @counterforcehealth
🎶 TikTok: @counterforcehealth
About CareYaya Health Technologies
CareYaya is a mission-driven social enterprise supported by dozens of interns and volunteers nationwide. This provides affordable care for thousands of families, introduces tens of thousands of energetic individuals into the care workforce, and impacts millions by investing in the healthcare professionals of tomorrow.
Together, they’re changing elder care by connecting families with compassionate, motivated college students from top universities.
Learn more about CareYaya
🌐 Website: careyaya.org
💼 LinkedIn: @Careyaya
📲 Instagram: @wearecareyaya
🎶 TikTok: @wearecareyaya
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