• Patient portal that patients register for once and never log in to again?

  • Your clinical team manually sending results and appointment reminders because the portal doesn't drive engagement?

Patient Portal Development

Most patient portals are built for compliance, not patients. They have all the required fields -- appointment booking, test results, medication lists -- and none of the design thinking that makes patients actually use them. The result is a portal your compliance team approved and your patients abandoned after logging in once.
We build patient portals that patients use. Designed around the specific patient journey for your care setting, integrated with your clinical systems, and built to HIPAA-aware standards your compliance team can approve.

  • Patient portals designed around your care model and your patient demographic

  • Integration with Epic, Cerner, Athenahealth, and other EMR systems

  • HIPAA-aware data handling, authentication, and audit trail from day one

  • Fixed project cost -- scoped before development starts

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Bank of America
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Valero
Techstars
East Ventures

Why patient portals fail at the engagement goal

The business case for patient portals is straightforward: reduce phone call volume, reduce no-shows through automated reminders, improve patient satisfaction scores, and give patients convenient access to their health information. Most portals are built to check the compliance box and miss the engagement goal entirely.

The failure mode is always the same: the portal was designed by the IT team around the data the EMR exposes, not by a product team around the journey the patient needs to complete. Login requires a 12-character password reset link. Appointment booking has 6 screens before confirmation. Test results are listed with clinical codes and no explanation. Patients call the front desk anyway.

The fix is designing the patient experience first, then figuring out how to back it with EMR data -- not starting from the EMR data and building an interface around it. We built a telehealth platform deployed across 150+ hospitals that increased patient engagement by 30% and reduced in-person visits by 60% for non-urgent consultations (14 weeks to launch). A remote patient monitoring platform we built on-boarded 150+ patients and expanded to 80+ clinics within 3 months, delivering 20% faster clinical decision-making.

What we build

Appointment booking and management

Online appointment booking with real-time availability from your scheduling system, automated reminders via SMS and email, self-service rescheduling and cancellation, and pre-visit intake forms that populate into the EMR. Reducing no-shows and administrative phone call volume.

Test results and clinical documents

Patient-accessible test results with appropriate clinical context, care summaries, discharge instructions, and health documents. Designed for the patient who isn't a clinician -- results are presented with explanation, not raw lab codes.

Secure patient-clinician messaging

Encrypted messaging between patients and care teams. Triage rules that route messages to the right team member. Response time expectations set and tracked. The alternative to phone tag for non-urgent clinical questions.

Chronic disease and care plan management

Patient-facing care plan tools for chronic disease management -- goal tracking, medication adherence, symptom logging, and educational content. Connected to your clinical workflows so the care team sees patient-reported data in the EMR.

Billing and payments

Patient billing statements, payment processing, payment plan management, and explanation of benefits. Reducing the volume of billing phone calls and improving collection rates through a self-service payment experience.

Mobile patient apps

iOS and Android apps that bring the portal experience to mobile -- push notifications for appointment reminders and results, biometric login, and offline access to key health information. Designed for the patient demographic you serve.

What do you need patients to actually do in your portal?

Tell us the care setting, the patient demographic, and the EMR. We'll design the portal and give you a fixed cost.

Build a patient portal your patients will actually use.

Tell us your care setting and your EMR. We'll scope the build and give you a fixed cost.

  • Proof of Concept: Prototype in 2 weeks.
  • Zero-Obligation: Walk away in 14 days if unsatisfied.
  • Milestone Pricing: Pay as you go, no surprises.

Frequently asked questions

A well-built patient portal typically includes appointment booking and rescheduling, test result access with clinician annotations, secure messaging between patients and care teams, medication and prescription management, care plan and education materials, billing and payment, and pre-visit intake forms. The specific feature set depends on your care setting -- what a primary care portal needs differs significantly from what a specialist clinic, a mental health provider, or a chronic disease management platform needs.

EMR integration is the most technically complex part of patient portal development. The approach depends on what your EMR exposes: FHIR R4 APIs (available in modern Epic and Cerner implementations) allow real-time bidirectional data exchange; older HL7 interfaces support data exchange with more latency; flat-file exchange is the fallback for systems without modern APIs. We scope the EMR integration during discovery because it significantly affects timeline and cost.

For patient portals specifically, HIPAA-aware development means end-to-end encryption for all PHI in transit and at rest, multi-factor authentication and session management that meets healthcare security standards, role-based access controls with audit logging of all PHI access, secure messaging infrastructure with encryption at rest, and documented data flows for your compliance review. We design these controls into the architecture from the start -- they're not features we add at the end.

A focused patient portal with core features -- appointment booking, results, secure messaging, and EMR integration -- typically takes 12--18 weeks. A full patient engagement platform with mobile apps, chronic disease management tools, and telehealth integration takes 20--32 weeks. EMR integration complexity is the most significant variable in the timeline.

A focused patient portal with core features and one EMR integration typically runs $40,000--$90,000. A full patient engagement platform with mobile apps and multiple integrations typically runs $100,000--$250,000+. Cost is driven primarily by EMR integration complexity and the scope of the patient-facing feature set. We scope every project before pricing it.

Yes. We've built healthcare platforms for digital health startups and established healthcare operators. For startups, we typically start with a focused MVP covering the core patient journey -- onboarding, appointment booking, and the primary clinical interaction -- and build from there. We design the architecture to be compliant from day one, not compliant-enough for now and retrofitted later.