Custom Healthcare SaaS & MVP Engineering

Turn your care model, operations playbook, or product idea into a production, HIPAA-compliant, multi-tenant SaaS — built end to end by an engineer who has shipped it twice.

Engineering Approach

Most healthcare operators don't have a software problem — they have a business-logic problem that no off-the-shelf tool understands. A care-management company tracking billable minutes across thousands of patients. A clinic network whose reporting playbook lives in one operations manager's head. A founder with a validated service model that needs to become a product before a competitor productizes it first. We take that business logic and turn it into real software: the data model, the backend, the web and mobile apps, the compliance architecture, and the cloud infrastructure — shipped as a working MVP in months, then iterated in production. This is not a dev-shop handoff where you write a spec and pray. It is founder-led engineering: you work directly with the engineer who designed and built a production CCM/PCM operations platform that scaled a US care-management company from 3,200 to 8,000+ patients and later re-architected it into a multi-tenant SaaS, and who designed, built, and operates MealCircle, a HIPAA-oriented nutrition-coaching platform, end to end — backend, React web app, native mobile app, and GCP infrastructure. Both systems run in production today. The same architecture patterns proven there — schema-per-tenant PostgreSQL isolation, field-level encryption of patient identifiers, role-based access control, audit logging, CPT-code-driven billing automation, CI/CD to serverless cloud — become the foundation of your product, and you own all of the IP.

Core Benefits

Production MVP in Months
Multi-Tenant From Day One
You Own 100% of the IP

Technical Capabilities

  • HIPAA-First Architecture (Field-Level Encryption, Audit Trails, RBAC)
  • Multi-Tenant SaaS Foundations (Schema-per-Tenant Isolation)
  • Billing & CPT-Code Workflow Automation
  • Web + Native Mobile Apps From a Shared Design System

Our Methodology

Every build starts with the business logic, not the tech stack. In a 1-2 week discovery phase we map how your operation actually works: who touches which data, what gets billed and under which codes, what reports leadership needs, where the manual work lives, and which parts of the model are genuinely yours versus commodity. That produces two artifacts — a data model and a phased build plan — and the first phase is always the narrowest slice that replaces real manual work. From there the architecture follows patterns proven in production: a Python API backend (FastAPI or Litestar) on PostgreSQL, with row-level security and schema-per-tenant isolation if multi-tenancy is on the roadmap; field-level encryption for patient identifiers; role-based access control designed around your actual org chart; and audit logging from the first migration, not bolted on later. Frontends are built to fit the users — Flutter web or React for staff-facing dashboards, Expo React Native when patients or field staff need a native mobile app — sharing one design system so the product looks coherent everywhere. Everything deploys through CI/CD to serverless cloud infrastructure (GCP Cloud Run or AWS), so shipping an improvement is a git push, not a maintenance window. An initial production MVP typically lands in 8-12 weeks; after that, the system evolves in short iterative cycles driven by what your team actually uses. When the product is ready to serve other organizations, the multi-tenant conversion path — organization onboarding, tenant-scoped encryption, isolated data environments — is already designed in rather than requiring a rewrite.

Technology Stack

FastAPI / Litestar (Python)

Async API backends with typed schemas

PostgreSQL

Schema-per-tenant isolation, row-level security, field-level encryption

Flutter Web / React + Next.js

Staff dashboards and admin portals

Expo React Native

Patient- and client-facing native mobile apps

Firebase Auth

Authentication with tenant-aware role management

GCP Cloud Run / Cloud SQL

HIPAA-eligible serverless infrastructure

GitHub Actions

CI/CD — every change tested and deployed automatically

Real Client Engagement

A US care-coordination company ran Chronic Care Management (CCM) and Principal Care Management (PCM) for roughly 3,200 patients on Excel — care-minute logs, monthly progress verification, and provider invoicing were all manual. We designed the architecture and built the platform end to end: FastAPI + PostgreSQL backend with field-level encryption and audit logging, Flutter web dashboards with role-based access, per-patient time tracking mapped to CMS billing codes (CPT 99490/99439/99426/99427), and automated monthly report and invoice generation. The operation has since scaled past 8,000 patients, and the platform was re-architected into a multi-tenant SaaS — schema-per-tenant isolation, invitation-based organization onboarding — so partner care-coordination organizations now run the same infrastructure independently. The same end-to-end capability also produced MealCircle, our own HIPAA-oriented nutrition-coaching SaaS (Python backend, React web app, Expo mobile app, GCP), live in production.

Frequently Asked Questions

Common questions about custom healthcare saas & mvp engineering

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Final Step

Scale Your Clinic's
Operating Capacity

Ready to eliminate IT technical debt and build highly profitable administrative infrastructure?

HIPAA

Compliant Solutions

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