How a healthtech startup went from a broken product to a live, AI-powered care platform in under 9 months
A healthtech startup building a platform to manage chronic care, with no engineering team of their own.
9 months
to ship a build scoped for a full year
4
senior people, embedded as their team
0
in-house engineers they had to hire
The challenge
They had already paid an offshore agency to build their product, and it didn't work. The code was unreliable, and with no engineers on staff, they had no way to fix it themselves, let alone build what they actually needed. And what they needed was big: a platform that could handle patient calls and messaging, clinical workflows, and insurance billing, all while staying HIPAA-aligned. If it didn't get built, they would be stuck renting third-party tools and could never scale on their own.
The results
The work was scoped as a full year. We delivered it in under nine months. The platform launched, patients were onboarded, and the company now runs its entire care operation on software it owns instead of paying for third-party tools, all with a four-person embedded team and no in-house engineers to hire.
What we did
We started by fixing what the last agency left behind, then stayed on to build the real thing. We embedded a small senior team that worked as an extension of their company: two engineers, a designer, and a product manager.
- •Clinical protocols that use AI to generate the right questions for each patient based on their conditions
- •An automated billing engine that handles eight care programs and produces the CPT codes needed to bill insurers
- •Real-time patient communication over voice and text, including AI voice agents
- •A HIPAA-aligned backend on AWS with the encryption, access controls, and audit trails healthcare data requires
They shipped in nine months what we'd scoped for a full year, and ran it like it was their own product.
Founder, venture-backed healthtech (name withheld under NDA)