Create a new product

Zero to launched in weeks, not quarters.

Strategy, design, and engineering in one senior team from the first day. A patient scheduling platform in eight weeks. A mobile app in both stores in two months. An AI-assisted care platform with 11,400 users in its first quarter.

Tell us what you are building. You will have a budget range within two business days.

FreeBC open on a phone, held in two hands, showing the 'Help me choose' entry point
FreeBC, Upstream's contraceptive-care platform. Live in Colorado five months after kickoff.

The build

One team, start to launch.

The people in the first workshop are the people who ship it. Strategy, design, and engineering aren't separate teams passing the project along, so what gets decided on day one is still true when the code goes out.

  1. Decide what version one is

    A workshop with strategists, designers, engineers, and a PM. Half a day or three, depending on the product. You leave with business requirements, user needs, technical constraints, a budget, and a schedule. Then a competitor audit and target-user interviews show where parity ends and the real opportunity starts.

    How we run strategy

  2. Design it, then test it while changes are cheap

    User flows first, then wireframes, then visual design, then a working prototype. Each round goes in front of target users before the next one starts. That is what keeps the expensive changes out of the build.

    How we design

  3. Build it with the engineers who were in the room

    Engineering sits in the workshop and the design reviews, so the build plan exists before the first commit. The product ships doing what you asked, and it is structured to take on the next user type and the next integration without a rewrite.

    How we build

  4. Launch it, then read the data

    Launch is the start of the useful part. Post-launch analytics are in the original budget, so the first month of real behavior turns into the next set of changes instead of a new proposal.

Already have a spec, a deck, or a prototype?

Skip the tour. Send it over and we'll start from there.

Send it over

Shipped from zero

Three products that did not exist before.

Every number comes from a published case study. Timelines are kickoff to launch.

  1. 01 · Healthcare platform

    8 weeks

    kickoff to launch

    A clinic platform that books itself.

    NOVO is CNY Fertility's patient onboarding and self-service scheduling platform: eight US locations, patients booking, rescheduling, and canceling with no staff in the loop. The legacy EMR had no API, so robotic process automation moves the data in. Ruby on Rails, Stripe, SavvyCal Appointments.

    Client
    CNY Fertility
    What changed
    87% less admin time per patient, 40 minutes down to 5. Consult waits from over a month to two days. $10K+ saved a month.

    Read the CNY Fertility case study

  2. 02 · AI-assisted care

    5 months

    kickoff to launch

    A care platform with 11,400 users in its first quarter.

    FreeBC is Upstream's digital contraceptive-care platform: a method comparison library, a recommendation quiz, telehealth and in-person care routing, an analytics layer, and Connie, an assistant constrained to a clinician-reviewed knowledge base. Two engineers and a PM took it from kickoff to a live Colorado pilot.

    Client
    Upstream
    What changed
    11,400 users in the first three months. Quiz completers were seven times more likely to complete a care pathway.

    Read the FreeBC case study

  3. 03 · Marketplace

    Annex

    a new market

    An e-commerce marketplace for an industry that ran on paper.

    O'Neil Software already ran the back office for record storage centers. Annex turned that network into a consumer-facing marketplace: shop for storage, pick a vendor, sign the service agreement, pay, and manage orders and invoices in one account. Next.js, Directus, tRPC, and Stripe, with shared components built once for web and mobile.

    Client
    O'Neil Software
    What changed
    The first consumer marketplace in record storage. Typed end-to-end contracts caught issues early enough that production deploys needed zero rollbacks, and the marketing team publishes content without an engineer.

    Read the Annex case study

How we start

Two business days to a number.

Tell us what you want to build. Within one to two business days you get the main technical and design hurdles in the idea, and a rough budget range for clearing them. No discovery call required to get a number.

Tell us what you're building

Then, if we fit

  1. A working session, not a proposal deck

    Half a day to three days with the full team. Requirements, users, tech, budget, schedule: decided once, with everyone who will build it in the room.

  2. A plan anchored to your objectives

    Prioritized features, flagged technical requirements, a budget and a delivery schedule. If money is tight, we tell you what to cut and still hit the goal.

If the right answer is a smaller version one, or none yet, that is what you will hear.

When it's done

It's yours. All of it.

  • The repository, the infrastructure, the store listings

    Yours, not ours. Nothing about the build depends on keeping us around.

  • A codebase your own engineers can work in

    Annex's marketing team publishes without an engineer. That is the standard.

  • Knowledge transfer before we leave

    And a team that comes back for the audit, the upgrade, or the next version when you want it.

Tell us what you're building.

You will hear back within two business days with the hurdles we see and a budget range.

Get in touch