Investors | Auth Hero

Transforming Healthcare’s Most Expensive Problem

Auth Hero is building the first shared healthcare workspace, where every stakeholder contributes to a single, structured, HIPAA-compliant record. Starting with California’s workers’ comp, we’re tackling billions in wasted administrative spend.

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Problem & Opportunity

U.S. healthcare wastes ~$760–935B annually, ~22¢ of every $1 is lost to administration.
In California workers’ comp, the number is worse: nearly 50¢ of every $1 is wasted.
Today, medical records are fragmented across faxes, emails, EMRs, and portals; patients are locked out completely.
The result: delays, denials, disputes, and billions wasted.

Auth Hero flips the model: instead of silos, all stakeholders upload to a shared, compliant workspace where patients finally control access.

Why Now

Regulatory catalysts, UR/IMR deadlines, MTUS standards, and HIPAA’s minimum-necessary rule demand auditable, time-boxed processes.
Federal interoperability mandate, The 21st Century Cures Act (2016) and the ONC Interoperability & Information Blocking Rule (2021) make EMR data legally required to be accessible to patients and interoperable across systems.
Security tailwinds, buyers demand HIPAA-ready infrastructure with encryption, audit logs, and role-based access.
Cultural shift, patients expect transparency and ownership of their records, reinforced by federal law.

Our Approach

Beachhead: California WC, the most administratively burdened healthcare system in the U.S., with ~$15B in losses and expenses annually.
Expand to U.S. private healthcare, targeting the ~$265B administrative complexity market.
Differentiation:

All stakeholders on one rail, patients, clinics, insurers, employers, attorneys, care managers.
Patient-controlled permissions, patients decide who accesses their records.
Audit-ready by design, immutable logs, role-based access, and defensible exports.

Market (TAM, SAM, SOM)

TAM~$130B (U.S. administrative complexity tied to records & access)

SAM~$27-42B (CA WC + private payer-provider workflows)

SOM~$30-80M (3-5 year conservative capture)

Progress & Traction

Alpha product live with:

Case repository with structured uploads.
Role-based invites and permissions.
Secure case messaging and audit logs.
Early pilots onboarding with clinics.
Product roadmap validated with payers, employers, and attorneys.

Team

Yianni Yiannakou, PA-C: Founder & CEO, occupational medicine clinician who lived the problem.
Adam Husain: CTO, AI engineer.
Madeline Hou: CPO, product & SWE in California WC.
Nick Rubalcaba: CIO, compliance and information systems expert.

Roadmap

Foundation & Onboarding

Roles, identity, and case setup.

Case + Document Core

Structured uploads, searchable repository, and chronological timelines.

Messaging & Tasks

In-platform communication linked directly to documents and case events.

RFA & Referrals

Structured request and response flows that keep every stakeholder aligned.

Analytics

Cycle-time visibility, denial taxonomy, and productivity metrics for teams.

Integrations

EMR/HRIS rails, secure fax/email, and identity verification hooks.

Why Investors Choose Auth Hero

Massive market inefficiency, billions in addressable waste.
California-first wedge, solving the hardest use case builds defensibility.
Network effects, adoption grows case by case, as each stakeholder invites others into the workspace.
Audit- and law-ready, built for HIPAA, UR/IMR, and interoperability compliance.

Getting Involved

Download Investor DeckContact us at invest@auth-hero.com for intros, diligence, or pilot discussions.