Healthtech software is judged by clinicians, regulators, and patients. We build for all three.
We build custom software for healthtech startups — patient portals, clinician workflows, EHR integrations, and HIPAA-aligned infrastructure. Fixed scope, fixed price, built like your users' data matters (because it does).
You're trying to ship fast enough to get to a signed pilot, but HIPAA, BAA requirements, clinician workflows, and the FHIR learning curve are eating your runway. Generic dev shops don't know healthtech. Healthtech consultancies quote $400k.
Healthtech is hard because three audiences have to love the same product: patients who won't tolerate friction, clinicians whose time is the scarcest resource in the system, and health-system IT and compliance teams who will block anything that looks risky. Most early healthtech products are built for one of them and fail the other two.
You're probably trying to ship a pilot. Maybe it's a pre-op intake app, a chronic-care check-in tool, a virtual-first clinic, or a specialty referral platform. You have a signed LOI and a nine-month window before the budget cycle closes. Your dev team has never written code that has to pass a health system's security questionnaire, never handled BAAs, never implemented SMART-on-FHIR, and definitely never had to model clinician roles where an NP can do seven of ten things and an MA can do three. So they ship an app that technically works, and the pilot stalls in IT review for three months. Or ships, and then clinicians abandon it by week two because the workflow assumes they have a desk, a keyboard, and nine minutes per patient. None of that is true.
Meanwhile, the specialist healthtech consultancies exist, and they're real — they also quote $300k–$500k, take six to nine months, and write process documents the size of a novel. That's not the tier you're at. You need the work done right, and done fast, by people who have shipped in this space before.
A clinically usable, HIPAA-aligned product that clears a health system's security review and actually fits into a provider's day — without a $400k engagement or a 9-month timeline.
Patient-facing apps that respect health literacy and accessibility
Plain-language copy, proper WCAG contrast and keyboard nav, SMS and email fallbacks, identity verification where required, and clean intake flows that don't feel like a tax form.
Clinician workflows built around a 7-minute visit
Task lists, inbox-style message queues, one-tap documentation prompts, macros, and context-switching that assumes a clinician is on a laptop or tablet, not a desktop.
HIPAA-aligned infrastructure
BAAs with every subprocessor (AWS, Convex, Vercel, Clerk, Twilio where applicable), encryption at rest and in transit, audit logging of PHI access, role-based permissions, session policies, and data retention controls.
EHR and FHIR integrations
SMART-on-FHIR launches from Epic, Cerner, or Athena when the health system requires it. Direct HL7 or FHIR integrations for labs, scheduling, and notes write-back.
Admin and compliance tooling
Audit log exports, user access reviews, PHI export for patient requests, and the reports health-system InfoSec will ask for in a questionnaire. Built on Next.js, Convex or Postgres with BAA coverage, Clerk (with BAA) for auth, and the right encryption and logging primitives wired in from commit one — not bolted on before a pilot launch.
One honest number to start.
Fixed-scope, fixed-price. The number below is the starting point — final scope is built from your brief.
A clinically usable, HIPAA-aligned product that clears a health system's security review and actually fits into a provider's day — without a $400k engagement or a 9-month timeline.
Three steps, every time.
The same repeatable engagement on every project. No surprises, no mystery, no billable ambiguity.
Brief & discovery.
We send you questions, then get on a call. Output: a written scope with every step, feature, and integration listed.
Build & ship.
Fixed schedule, weekly reviews. No scope creep unless you change the scope — and if you do, we reprice it transparently.
Warranty & retainer.
30-day warranty on every launch. Most clients stay on a monthly retainer for ongoing features and maintenance.
Why Fixed-Price Matters Here
Healthtech founders are burning two clocks: runway and the health-system procurement window. Fixed scope means you know exactly what ships for the pilot, you know what it costs, and the InfoSec questionnaire answers are on the spec sheet — not a surprise three weeks before go-live. Scope creep is existentially dangerous when a missed deadline means a year-long delay for the next budget cycle. We quote firm and ship on date.
Related engagements.
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Read moreQuestions, answered.
HIPAA isn't a certification — it's a set of administrative, physical, and technical safeguards you have to implement and attest to. What matters to a health system is whether you sign a BAA, whether your subprocessors sign BAAs, whether you log PHI access, whether you have a written incident response plan, and whether you can answer a 200-question security questionnaire. We've done all of that, and we build to those standards by default.
Yes, via SMART-on-FHIR for launch-from-EHR scenarios, and via standard FHIR or HL7 integrations where the health system exposes them. Note that Epic access is gated by the health system, not by Epic directly — we help you navigate the App Orchard / Showroom process and the technical integration itself.
We use vendors that sign BAAs — AWS, Convex, Vercel Enterprise, Clerk, Twilio (with appropriate configuration), and a short list of others. Anything that can't sign a BAA doesn't touch PHI. We document the data flow so your compliance team and the health system's InfoSec team can review it cleanly.
A focused pilot — one user type, one workflow, HIPAA-aligned infrastructure, basic admin — typically lands at $40k–$90k. Multi-role products with EHR integrations scope up from there. Every engagement is fixed-price.
Both. The infrastructure providers (Convex, AWS, Clerk, etc.) sign BAAs with you directly as the covered entity or business associate. We sign a BAA with you for any development access to production environments containing PHI.
Tell Ryel about your project.
Describe what you’re building and what outcome you need. You’ll have a written, fixed-price scope within the week.