Infrastructure, not another vendor layer.
Zkeleton was founded in December 2025 to build the payer-side infrastructure for clinical data that legacy core systems cannot safely hold. The company works with mid-tier Medicaid managed care payers on the architectural shift CMS-0057 makes possible.
Delaware C-Corporation
Incorporated January 2026. Founded December 2025. 83(b) and QSBS clocks running.
Pre-seed, validation
Actively engaging with mid-tier Medicaid managed care payers on architectural validation. No product shipped. No LOI signed.
The environment is the product
CMS-0057 is the door. The product is the isolated environment where clinical data becomes usable, without touching legacy cores.
Akken Yakupitiyage, founder
Founded Sanative (2023, provider-side clinical data). Shut it down when Oracle paid $28B for Cerner and the bet stalled: provider-side aggregation is a dead end. Pivoted payer-side, the only side with regulatory obligation and economic pull to fix clinical data. Bay Area. Recruiting CTO.
Architectural conversations with payer CDOs, VPs of data, and CIOs are the work right now.
akkenyaku@zkeleton.com