Financial Governance Infrastructure · Est. MMXXV · USA
EasyHealth Systems™

Healthcare records revenue
before enforceability is known.
EasyHealth changes that.

EasyHealth is a read-only certified-asset rail that establishes enforceability at the moment a healthcare financial obligation is formed — upstream of billing, upstream of denial, upstream of capital, upstream of audit.

It is not software. Not RCM. Not analytics. It is financial governance infrastructure — a new category, built because the stack finally made it possible.

Request Engagement
$1T+
Annual patient receivables across US healthcare
AHA · 2024
$300B
Permanent annual losses — most never contested
Experian Health · Industry estimates
37–40%
Of all US hospitals currently operating with negative margins
Kaufman Hall · Strata · 2024–2026
The Structural Failure

Healthcare built workflow systems.
It never built a financial system.

Every core system in healthcare is designed for execution, not financial truth. EHR systems record care. RCM systems route claims. Clearinghouses validate syntax. Payers adjudicate after submission. None of them determine whether a financial obligation is enforceable before it exists.

Revenue is recorded first. Truth is discovered later — through denials, appeals, write-offs, and reconstruction. An entire industry exists to manage the consequences of a problem that should never have been permitted to enter the system.

19%
Average initial denial rate across marketplace plans. Roughly $190B of annual receivables enter denial before underpayment or aging are even modeled.
Source: KFF · 2024
<1%
Of denied claims are ever appealed. Of that 1%, 80% are overturned — meaning the overwhelming majority of losses were never legitimate. They were simply uncontested.
Source: KFF · Medicare Advantage data
$280B
Spent annually on revenue cycle management — the industry built to manage the wreckage of a system that records obligations before verifying them.
Source: CAQH Index
$400B
In annual administrative waste — billing, coding, audit reconstruction, and appeals labor that exists because enforceability is never determined at formation.
Source: JAMA · Shrank et al. 2019
The Margin Reality · Named Institutions · 2024–2026
NewYork-Presbyterian
Operating margin: 3.9% · Q3 2025
Operating income dropped 43% year-over-year in Q2 2024. Salary and wage costs grew 11.6% in early 2024 — squeezing a margin that looks stable from the outside but is deteriorating in the detail. NYP carries billions in patient receivables, a significant portion of which enters an annual denial-friction surface before the real impairment is ever modeled.
Source: Becker's Hospital Review · 2024–2025
Providence
Operating margin: −2.1% · 2024
$644 million operating loss in 2024. A $238 million net loss through 2025. The −2.1% margin was considered an improvement from −4.1% the prior year. Providence carries approximately $25B in patient receivables — a balance sheet number that blends certifiable revenue with disputed exposure that should never have been recorded as a clean asset.
Source: Health Leaders Media · 2024–2025
CoxHealth
Operating margin: −2.4% · 2025
$58 million operating loss in 2025, down from a positive 1.5% margin the prior year. Expenses grew 7% while revenue grew only 3% — the structural gap that appears when receivable quality is never separated from receivable volume. The math is the same across every system: revenue formation precedes enforceability, and the difference becomes loss.
Source: Becker's Hospital Review · 2025
1.0–1.5%
Median health system operating margin · 2024–2025
−0.6%
Early 2026 median margin trend — turning negative
37–40%
Of all US hospitals operating with negative margins
Kaufman Hall · Strata Decision Technology · 2024–2026
The Cascade · At Scale
$1T+
Annual patient receivables
AHA 2024
19%
Average denial surface
KFF 2024
99%
Of denials never challenged
KFF
80%
Overturned when contested
KFF · Medicare Advantage
$300B
Permanent annual losses
Industry estimates

EasyHealth does not contest denials. It does not recover losses. It prevents non-enforceable obligations from being recorded in the first place — so the denial never happens, the appeal never happens, and the loss never exists.

The System

Financial governance infrastructure.
A new category.

EasyHealth operates as a read-only certified-asset rail that sits outside execution — upstream of billing, denial, capital, and audit. It evaluates whether a healthcare obligation is enforceable before revenue is asserted, converting ambiguous billing events into governed financial objects that auditors, regulators, and capital markets can rely upon.
01
Read-Only
No write-back. No transaction execution. No workflow disruption. EasyHealth mirrors the event stream and governs admissibility — it does not touch operations.
02
Deterministic
Every obligation terminates in exactly one state. No probabilistic scoring. No sampling. No inference. Enforceability is known — not estimated.
03
PHI-Free Output
PHI is evaluated inside the provider boundary. Certified receivable artifacts contain decision truth, evidence hashes, and governance metadata — not clinical data.
04
Immutable Governance
Every certification decision is append-only, hash-chained, and replayable. Audit shifts from reconstruction to deterministic verification of sealed evidence.
05
~30-Day Activation
No EHR replacement. No workflow redesign. A read-only event mirror connects to existing hospital surfaces. Governance is live within approximately 30 days.
06
Finance-Grade Asset
A certified receivable is evidence-complete, version-stable, and immutably governed — a finance-grade instrument suitable for A/R financing, lending, and institutional capital structures.
EasyHealth is not —
Software Revenue Cycle Management Analytics A Billing Vendor A Clearinghouse A Denial Management Tool A PHI Custodian A Workflow Replacement
The Obligation Gate

Every healthcare obligation passes through the deterministic pre-submission gate and terminates in exactly one of four states. There is no pass-through. There is no ambiguity propagated forward.

A
Certifiable
Evidence complete. Enforceable. Proceeds to submission as governed revenue.
B
Correctable
Gaps exist but are resolvable. Correction instructions generated immediately. Re-enters gate on resolution.
C
Conditional
Economically viable pending a required condition. Held explicitly — never carried prematurely.
D
Governance Gap
Cannot be deterministically adjudicated. Surfaced as an explicit gap — never silently passed.
Who It Serves

Three audiences.
One certified asset surface.

01 · Hospitals & Health Systems
Stop manufacturing bad revenue. Start carrying governed assets.
2,600+ hospitals are operating in the red. Providence alone carries $25B in patient receivables — a number that conceals denial friction, aging distortion, and structural impairment. EasyHealth separates certifiable revenue from residual disputed exposure before it enters the balance sheet.
  • Denial suppression to <2% from 17–19%
  • Certified receivables eligible for accelerated funding structures
  • DSO compression, reserve reduction
  • Audit shifts from reconstruction to replay
  • ~30-day read-only activation
02 · Banks & Institutional Capital
Underwrite the asset — not the hospital.
Healthcare receivables have historically been underwritten against the institution's creditworthiness because the receivable itself was not verifiable. A certified receivable changes that. It is evidence-complete, version-stable, and governance-anchored — a finance-grade instrument that fits existing A/R financing and lending structures.
  • Asset-based underwriting — not institutional
  • Evidence-complete, replayable receivables
  • Lower credit risk, faster settlement
  • Compatible with existing advance structures
  • No new financial instruments required
03 · Government & Medicaid
Prevent improper payments. Don't remediate them.
Medicaid improper payments persist because eligibility ambiguity is permitted at the moment obligations are created. Retrospective audit, sampling, and recovery operate in reconstruction mode. EasyHealth turns payment integrity into a deterministic pre-submission governance problem — without replacing agency systems, transferring authority, or reinterpreting policy. EasyHealth is currently under review by state Medicaid program integrity agencies.
  • Deterministic eligibility enforcement upstream
  • Bounded governance coverage — not sampling
  • No authority transfer, no PHI centralization
  • Fits existing contract structures
  • Under review · State Medicaid Program Integrity
Where We Are

The system is built.
Attestation is next.

System Complete
The deterministic obligation-formation engine, certified receivable issuance framework, immutable governance ledger, and enterprise audit environment are fully implemented. What remains is not product development.
Audit Environment Ready
The environment is functional for auditors, not just operators. Third-party reviewers can verify transaction integrity, evidence capture, and observation controls without manual intervention.
Big Four SOC-1 Observation · In Process
EasyHealth is engaged with a Big Four firm for formal SOC-1 observation and attestation — the institutional gate that establishes third-party reliance on the governance rail. Once issued, the precedent is set. Subsequent institutions rely on an existing certified standard, not a new theory.
State Medicaid Engagement · 2026
EasyHealth is currently under review by state Medicaid program integrity agencies across payment integrity, third-party liability recovery, audit and compliance infrastructure, and eligibility oversight — four contract surfaces that the governance architecture addresses as a unified rail rather than separate vendor relationships.
Institutional Deployment
Capital activation, attestation completion, and deployment sequencing with initial hospital and government partners. The first institutions do not merely use EasyHealth — they set the standard every later institution relies upon.
The Sequencing Logic
"Once the first SOC-1 is issued, the precedent is set. Subsequent institutions simply rely on the existing attestation. They are no longer adopting a theory — they are adopting a certified financial standard."
Big Four SOC-1 · What It Means
SOC-1 attestation by a Big Four firm is the institutional gate no major hospital, bank, or government agency will bypass. It is the formal assurance that internal controls over financial reporting are robust — and the moment it exists, EasyHealth stops being a new entrant and becomes a certified standard that every subsequent institution can rely upon without repeating the validation work.
Leadership

Built by people who worked inside the problem.

Founder & Chief Executive Officer
Griffin Layne
EasyHealth Systems™
Griffin Layne spent more than a decade working inside major healthcare institutions in both clinical and operational environments after initially attending medical school. That experience exposed him to the structural fragility embedded in healthcare finance — where revenue is asserted operationally and verified financially only after the fact. Recognizing that the existing financial infrastructure was built on technology incapable of deterministic validation or audit-grade governance, Layne designed EasyHealth as a new foundational layer for the system.
President & Founding Partner
David P. Roye, MD
Emeritus Professor · Columbia University Vagelos College of Physicians & Surgeons
Dr. David P. Roye is an internationally recognized leader in pediatric orthopedics and academic medicine, having spent more than four decades at Columbia University Vagelos College of Physicians and Surgeons where he trained generations of surgeons and led one of the world's foremost pediatric orthopedic programs. At EasyHealth Systems, Dr. Roye serves as President and Founding Partner, advancing financial governance infrastructure designed to strengthen enforceability, transparency, and audit reliance in healthcare finance.

EasyHealth engages exclusively under NDA.

For validation pilots, institutional partnerships, capital discussions, or government procurement evaluation. All engagements begin with a mutual NDA. No unsolicited sales process. No cold outreach. If you are in the room, you already know why.

Mutual NDA · Required for all engagements