Raising Health Rebuilding Behavioral Health’s Operating System with AI
Mar 2, 2026
Raymond Wang, a scaling engineering leader from Okta and startups, and Zach Cohen, a former a16z investor turned founder building Ease Health. They explore an AI-native operating system that unifies CRM, EHR, and revenue cycle management. Short takes cover why behavioral health tech lags, the choice to build AI-native, targeting the full continuum of care, and replacing fragmented vendor stacks.
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Behavioral Health Market Is Bigger Than It Looks
- Behavioral health software is underserved because EHR spend (~1-2% of revenue) makes the market look small, attracting bootstrapped vendors and private equity rather than venture builders.
- Zach Cohen argues that owning the system of record lets Ease expand into labor and RCM spend, enlarging the realistic TAM beyond traditional EHR percentages.
Single Platform Replaces CRM EHR And RCM
- Ease combines three systems of record into one product: CRM for intake, EHR for clinical care, and RCM for billing and claims.
- Zach Cohen describes single sign-on workflows that move a patient from prospect in the CRM to admitted in the EHR to claims in the RCM without separate vendors.
Build AI Native Not AI Bolted On
- Build AI native by unifying data and workflows rather than bolting AI onto external systems that can't write back or share context.
- Raymond Wang warns integrations can't handle filling forms, pulling prior-session data, or linking documentation to billing effects the way a single system can.