We build the patient- and consumer-facing layer of healthcare: wellness apps, telehealth MVPs, patient portals, and appointment booking systems. HIPAA-aware architecture, WCAG 2.2 accessibility, and a six-week delivery cadence — with an honest line around what we don't build.
Healthcare software splits into two very different worlds. There is the clinical core — EHRs, claims, devices — and there is the layer patients and consumers actually touch every day: the app that tracks the habit, the portal that holds the intake form, the page where the appointment gets booked. We build the second world, end to end, and we have shipped it for wellness operators across 55+ countries since 2017. Seven shapes cover most of the briefs we see.
Programs, streaks, content libraries, and subscription billing in one native or cross-platform app. Built mobile-first because wellness is a 7 am-on-the-phone product, not a desktop one.
Ship a wellness app users open daily →Video visits on Twilio, scheduling, intake, virtual waiting rooms, and payment capture — scoped down to the workflow that proves the model, so the MVP launches in one build cycle instead of a year.
Validate the telehealth model in weeks, not quarters →Intake forms, document upload, secure messaging, and visit history behind role-based access with audit logging — the front door that stops the clinic drowning in email and phone tag.
Give patients a front door that cuts admin load →Provider calendars, self-serve rescheduling, deposit capture on Stripe, and reminder flows that attack the no-show rate directly — the single highest-leverage build for service practices.
Fill the calendar without the phone tag →Streak mechanics, cohort challenges, and wearable data via Apple HealthKit and Google Fit. Retention is the entire product here, so we design the loop before we design the screens.
Build the habit loop that keeps members active →Structured provider profiles, geo search, live availability, and listing pages built to rank — the marketplace shape for networks of coaches, therapists, dietitians, or clinics.
Turn a provider network into a searchable platform →One legible screen for coaches and members: program adherence, check-ins, flags, and next actions. Dashboard design is a UX problem before it is a data problem, and we treat it that way.
Make adherence visible at a glance →There is no such thing as HIPAA-certified software — HIPAA is a regulatory framework, not a certificate, and any vendor selling "certified" is selling a sticker. What we ship is HIPAA-aware architecture: encryption in transit and at rest, role-based access control, audit logging, session timeouts, data minimisation, and infrastructure choices that keep protected data segregated from analytics. Your counsel and your covered-entity obligations decide the compliance posture; our job is to make sure the engineering never becomes the weak link in it.
Access controls, audit trails, encrypted storage, and consent-first data flows designed against HIPAA's Security Rule patterns and GDPR's data-minimisation principles. Awareness, engineered in — not a status claim.
Health products serve users across every age and ability band, so we build against WCAG 2.2: focus states, target sizes, contrast, and screen-reader flows tested before launch, not retrofitted after a complaint.
Steps, workouts, sleep, and heart-rate data via Apple HealthKit and Google Fit, with the permission UX handled carefully — over-asking for health scopes is the fastest way to lose a user at onboarding.
Video visits and SMS reminders on Twilio; deposits, subscriptions, and package billing on Stripe. Two boring, documented, battle-tested choices — exactly what you want underneath a health product.
This line exists because healthcare punishes scope bluffing harder than any other vertical. An agency that claims everything ships nothing on time.
Downloads are cheap; day-14 retention is the product. How we solve it: we design the habit loop first — streaks, check-in friction under ten seconds, HealthKit-fed progress the user never has to type — and instrument activation from day one so the retention curve is a dashboard, not a post-mortem.
Founders either over-engineer for regulations that don't apply to a consumer wellness product, or under-engineer a portal that clearly handles health data. How we solve it: we map which data in your product is health-sensitive during Discover week, build HIPAA-aware and GDPR-aware patterns around exactly that data, and put the posture in writing so your counsel reviews a document, not a codebase.
The brief starts as "video visits and booking" and grows an EHR by month three. How we solve it: we scope the MVP to the one workflow that proves the business — book, pay, meet, follow up — ship it inside a six-week cycle, and stage everything else against real usage data instead of stakeholder imagination.
Phone-tag booking and silent no-shows quietly tax every service practice. How we solve it: self-serve booking with deposit capture on Stripe, Twilio SMS reminder sequences, and one-tap rescheduling — the boring build that pays for itself faster than anything else on this page.
Using the same tiers as our mobile app development cost guide: a clean wellness app MVP with 5-10 screens on one platform runs $25,000-$50,000 over 8-12 weeks. A cross-platform build on React Native or Flutter with 15-25 screens and a custom backend runs $50,000-$120,000. A complex native iOS + Android product with real-time features and payments — the telehealth-grade tier — runs $120,000-$250,000, and enterprise builds with multi-role access and system integrations run $250,000-$500,000. Wearable-linked products sit in the hardware-companion tier at $200,000-$500,000+.
Two healthcare-specific adders worth budgeting honestly: HIPAA-related engineering and audit work adds $30K-$100K on top of the base build when your product genuinely handles protected health data, and ongoing maintenance runs 15-25% of the original build cost per year — health products that skip OS updates and API deprecations break inside 18 months.
Our Baltimore biotech-wellness archetype — an industry archetype drawn from patterns across multiple wellness engagements, with representative metrics — shows what the consumer-facing layer is worth when it is engineered rather than improvised: evidence-first product surfaces, subscription mechanics on dose-cadence SKUs, and segmentation that respects how people actually consume a wellness product.
Written scope inside 48 hours of the first call. Weekly Friday demos of working software from week two. Healthcare builds fail on ambiguity, so we remove it on a schedule.
Workflow mapping, data-sensitivity audit, and the honest-scope check — is this a patient-facing build we should own, or does it need a clinical-systems specialist? Written scope and fixed quote inside 48 hours of the first call.
Flows before screens: the booking path, the check-in loop, the visit journey. WCAG 2.2 constraints applied at the wireframe stage, where they cost nothing.
Senior engineers in NY and Delhi working an overlapping day. Auth, roles, and audit logging land first; features land on top. Working software demoed every Friday — no big-reveal risk.
App-store submission or production cutover, accessibility pass, load and failure-mode testing, monitoring wired. A health product is an always-on product; launch day is when the pager starts, not when the work ends.
Retention cohorts, activation funnels, no-show rates — measured weekly, iterated in the next six-week cycle. The metrics that matter in healthcare are behavioural, and they only move post-launch.
Cross-platform by default — our React Native development and Flutter teams ship both stores from one codebase; we go native when HealthKit depth or device pairing demands it.
115 people across two HQs and satellites in London, Sydney, and Lucknow. No fake local offices, no bait-and-switch juniors — the engineers on the Friday demo are the engineers writing the code.
The NY-Delhi pairing gives US and UK clients a real overlap window every day plus follow-the-sun progress overnight. Questions asked at 5 pm are answered by 9 am.
One delivery cadence since 2017: scoped in 48 hours, demoed every Friday, shipped in six-week cycles. Healthcare stakeholders forgive a small scope; they never forgive a silent quarter.
Our cost pages carry the same ranges we quote in proposals. Clutch 4.9, Upwork Top Rated Plus, D-U-N-S 650878346 — verifiable, not vibes.
Our team operates daily on software we built — an internal ERP, client portals, booking flows. We know what a portal feels like at month eighteen because we live in one.
A wellness app MVP, patient portal, or booking system with a written scope, fixed quote, and a launch date. Best for first builds and validations.
A standing pod running six-week cycles against a shared roadmap: features, retention work, OS updates, and the maintenance a health product cannot skip.
Senior engineers and designers embedded in your team, your standups, your repo. For funded digital-health teams that need bench depth, not a vendor.
Real ranges by tier live on the mobile app development cost page — the same numbers we quote in proposals.
The decision tree that settles whether your health app needs Swift-level HealthKit depth or ships faster cross-platform.
The scoping discipline that keeps a telehealth MVP an MVP — and gets it in front of real patients this quarter.
Store review, privacy declarations, monitoring, and the day-one items health apps get rejected for skipping.
A wellness app MVP on one platform runs $25,000-$50,000. A cross-platform React Native or Flutter build runs $50,000-$120,000. Complex native iOS + Android products with real-time features run $120,000-$250,000, and enterprise builds with integrations run $250,000-$500,000. HIPAA-related engineering and audit work adds $30K-$100K where your product genuinely handles protected health data. Full tier breakdown on our mobile app development cost page; we send a written, fixed quote within 48 hours of a 30-minute call.
Scoped to the core workflow — book, pay, meet over Twilio video, follow up — a telehealth MVP ships in one to two of our six-week cycles: roughly 6-12 weeks depending on intake complexity and provider-side tooling. The discipline is in what stays out: no EHR integration, no claims, no custom video infrastructure at MVP stage. Prove the model first; stage the rest against real usage.
No — and neither is anyone else, because HIPAA certification does not exist. HIPAA is a regulatory framework enforced by the US Department of Health and Human Services, not a certificate a vendor can hold. What we deliver is HIPAA-aware architecture: encryption in transit and at rest, role-based access, audit logging, session controls, and data segregation, documented so your counsel can assess the posture. Your compliance obligations depend on what your product is and who operates it; that determination sits with you and your legal advisors, and we build so the engineering supports it.
No. Epic and other EHR integrations, clinical claims engines, and medical-device firmware sit outside our scope, and we say so up front rather than learning it on your budget. We build the patient- and consumer-facing layer: wellness platforms, portals, booking systems, tracking apps, and telehealth MVPs. If your roadmap needs deep clinical-systems work, we will tell you on the first call and help you find the right specialist for that slice.
React Native or Flutter for cross-platform apps, Swift and Kotlin when HealthKit depth or device pairing demands native, Next.js and TypeScript for portals and web platforms, Supabase or PostgreSQL on the backend, Twilio for video and SMS, Stripe for payments and subscriptions, Sentry for monitoring. Deliberately boring choices — documented, hiring-friendly, and proven — because a health product has to be maintainable at year three, not just impressive at demo day.
Yes — via Apple HealthKit on iOS and Google Fit on Android, which cover steps, workouts, sleep, and heart-rate data from the Watch and most consumer wearables. Two cautions from experience: request the minimum health scopes your feature needs, because over-asking kills onboarding conversion; and expect Apple's privacy review to scrutinise any app reading health data, which we budget for in the launch phase. Device firmware itself is outside our scope — we consume device data, we don't build devices.
Every build ships with monitoring wired and a warranty window, then most clients move to a product retainer: six-week cycles covering retention work, feature iteration, OS updates, and API deprecations. Budget 15-25% of the original build cost per year for maintenance — health apps that skip it break inside 18 months as Apple deprecates APIs and privacy rules tighten. The retention metrics that decide whether a wellness product works only exist post-launch, so the optimize phase is where the real product work happens.
Both, with different shapes. Startups usually take the fixed-scope build: an MVP in the $25,000-$120,000 tiers with a hard launch date, engineered so the codebase survives the seed round. Established wellness operators and funded digital-health teams usually take the retainer or team extension: a standing pod or embedded seniors working the roadmap. What we ask of both is the same — a real decision-maker in the weekly Friday demo, because healthcare builds stall on absent stakeholders faster than on hard problems.
Bring the idea or the half-built app. We map the workflow, flag the compliance posture honestly, and send a written scope with a fixed quote inside 48 hours. Self-serve booking, five-day lead time.
UX Designer · Sydney · 2 posts on the site
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