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Healthcare · 2026

Top 7 healthcare design system agencies

Healthcare is the least forgiving place to build a design system. Components carry HIPAA and clinical-safety weight, accessibility is a legal floor rather than a nicety, and the same product often serves clinicians, patients, admins, and payers who each see different data under different rules. Domain fluency matters more here than anywhere: a studio that has never sat with a clinician will systematize the wrong things. The firms below have worked inside those constraints, not around them.

01Healthcare only

Koru UX Design

A healthcare-only firm with systems built for clinical reality.

Design (research-led)Healthcare onlyIndependent
koruux.com

Koru works with healthcare and health-tech companies exclusively, which gives it command of clinical roles, terminology, and compliance that generalists spend the first month acquiring. Over 13 years its systems have been shaped by contextual inquiry with the actual end users, from claim adjudicators to clinicians, not assumptions about them.

Services

Design systems, healthcare UX research and design, usability testing, accessibility, UX audits.

Notable work

1,500-plus healthcare UX projects across EHR, telehealth, and digital health, including platform work for health-tech companies such as UrgentIQ.

Ideal client

Healthcare and health-tech teams that want a system from a partner fluent in the domain from day one. By definition, not for non-health products.

Key facts

HQ US-registered, with a team in PuneFocus Healthcare only
02Compliance-aware

Fuselab Creative

Compliance-aware systems for regulated health data.

Design + code508 / WCAG / HIPAAIndependent
fuselabcreative.com

Fuselab builds modular systems for data-dense, regulated products with accessibility and compliance built into the components, not retrofitted. For health software where Section 508, WCAG, and HIPAA are contractual and clinical dashboards are the core, that discipline is the specialism.

Services

Design systems, dashboard and data-viz design, design tokens, accessibility and compliance (Section 508, WCAG, HIPAA).

Notable work

Data-intensive products for clients including NIH, plus federal and enterprise work; holds a GSA contract.

Ideal client

Health and health-tech teams building regulated, multi-role clinical or data platforms. Less of a fit for brand-led consumer health.

Key facts

HQ McLean, VirginiaFounded 2017Ownership Independent
03Data-heavy clinical

Cieden

Systems for data-heavy, multi-role clinical products.

Design (+ dev)Independent
cieden.com

Cieden works where dense data, multiple roles, and compliance intersect, which describes most clinical and health-payer software. It embeds senior designers with business analysts to keep complex health interfaces consistent as roles and regulations multiply.

Services

Design systems, B2B and enterprise product design, AI and ML interface design, UX strategy and audits.

Notable work

Product and system work across 200-plus projects spanning regulated and data-heavy platforms, including clients Apollo and Blizzard.

Ideal client

Health-tech teams with clinical dashboards, payer tools, or multi-role platforms to standardize. Less relevant for a simple patient-facing app.

Key facts

HQ Distributed, US-registeredOwnership Independent
04Digital health

925Studios

High-craft systems for scaling digital-health startups.

Design-ledIndependent
925studios.co

925Studios partners with founders on B2B SaaS, AI, and healthtech products, using scalable systems to hold quality as a health product grows, with the regulatory awareness that digital therapeutics and patient-facing tools demand.

Services

Design systems, product design, UI/UX, brand.

Notable work

Systems, apps, and platforms for Series A to C healthtech companies across digital therapeutics, patient engagement, and provider tools.

Ideal client

Scaling digital-health startups that want strong craft plus compliance sensitivity. Shorter track record than the older names here.

Key facts

HQ DistributedFounded 2022Ownership Independent
05Research-led consolidation

Fuzzy Math

Unifying fragmented health systems, backed by research.

Design (research-led)Independent
fuzzymath.com

A research-led enterprise UX firm, Fuzzy Math specializes in taking inconsistent legacy applications and reconciling them into one governed system, then helping in-house teams run it. Its healthcare-technology work makes it a fit for health organizations wrestling a sprawling product suite into order.

Services

Design systems, design-system governance, UX research and strategy, enterprise UI.

Notable work

A comprehensive design system for healthcare technology company Availity that unified a disparate product suite, plus UX work for Hyatt and Northwestern University.

Ideal client

Health enterprises with fragmented, aging products that need consolidation and evidence behind the decisions. Not the pick for fast visual work over research.

Key facts

HQ ChicagoOwnership Independent
06Design + engineering

Netguru

A health system designed and engineered together at scale.

Design + codeIndependent
netguru.com

Netguru pairs product design with substantial engineering and has worked across healthcare and regulated sectors, which suits health systems that must be built and maintained in production. Design and build in one team reduces the handoff risk that clinical software punishes hardest.

Services

Design systems, product design, UX/UI, web and mobile development, consulting.

Notable work

Long-running product and system work across healthcare, fintech, and SaaS clients.

Ideal client

Health companies that need a system designed and engineered by the same partner at scale. Larger-engagement pricing.

Key facts

HQ Poznań, Poland, publicly listedFounded 2008Ownership Independent
07Branded health product

Clay Global

A branded health-product system for a design-led company.

Design + codeIndependent
clay.global

Clay's strength is systemizing product and brand together, which serves a health company whose product needs polish and a credible identity. It's a product-and-brand studio rather than a clinical-domain specialist, so it fits consumer or brand-led health products better than compliance-heavy clinical software.

Services

Design systems, product and SaaS UX/UI, product strategy, web design and build, brand identity.

Notable work

Product and interface work for Google, Amazon, Sony, and Stripe, among others.

Ideal client

Consumer or brand-led health companies that want product and identity systematized together. Not the fit for clinical, HIPAA-heavy, multi-role platforms where domain fluency is the deciding factor.

Key facts

HQ Global, remote-first, San Francisco HQOwnership Independent
Where do you start?

Find the studio that fits the situation

Healthcare engagements turn on domain fluency, compliance, and data density. Pick the situation that matches yours to see which of these seven firms is built for it.

Situation 01

Clinical domain fluency from day one

Firms fluent in clinical roles, terminology, and compliance, shaped by contextual inquiry with actual end users rather than assumptions about them.

Situation 02

HIPAA and accessibility as a legal floor

Studios that build Section 508, WCAG, and HIPAA-aware patterns into the components, so every screen inherits conformance rather than retrofitting it.

Situation 03

Data-heavy, multi-role platforms

Teams built for clinical dashboards and payer tools where multiple roles see different data under different rules and dense figures must stay consistent.

Situation 04

Consolidating fragmented health products

Research-led firms that reconcile inconsistent legacy applications into one governed system, then help the in-house team run it.

Situation 05

Design and engineering together

Partners who design and build in one team, reducing the handoff risk clinical software punishes hardest, from spec to production.

Situation 06

Consumer or brand-led health

Studios that systematize product and identity together for a health company whose product needs polish and a credible brand, rather than clinical depth.

Side by side

How the studios compare

The same seven firms on the attributes that change a healthcare engagement — what they deliver and where their systems focus sits. No scores, because systems fit is not a single number.

StudioDeliversSystems focusHQ
Koru UX DesignDesign (research-led)Healthcare onlyUS / Pune
Fuselab CreativeDesign + codeCompliance & data-vizMcLean, VA
CiedenDesign (+ dev)Data-heavy, multi-roleDistributed
925StudiosDesign-ledDigital healthDistributed
Fuzzy MathDesign (research-led)Legacy consolidationChicago
NetguruDesign + codeDesign + engineeringPoznań
Clay GlobalDesign + codeBranded health productSan Francisco

Attributes reflect each firm's stated focus — not a ranked score

Questions

Healthcare systems, answered

Why is a healthcare design system harder than a normal one?
Components carry HIPAA and clinical-safety weight, accessibility is a legal floor rather than a nicety, and the same product often serves clinicians, patients, admins, and payers who each see different data under different rules. Domain fluency matters more here than anywhere.
Do we need a healthcare specialist, or will a strong generalist do?
For clinical, HIPAA-heavy, multi-role software, domain fluency is the deciding factor: a studio that has never sat with a clinician will systematize the wrong things. For consumer or brand-led health products, a strong generalist with product and brand craft can be the better fit.
How should accessibility and compliance be handled?
Built into the components, not bolted on. Section 508, WCAG, and HIPAA-aware patterns baked into each component mean every screen inherits conformance. In healthcare these are a legal floor, so the system is where that floor gets enforced consistently.
How do we handle multiple roles seeing different data?
With a system designed for role-based views from the start: components and tokens that adapt what clinicians, patients, admins, and payers each see under their own rules. Firms experienced with dense, multi-role clinical products handle this far better than consumer-app studios.
Should design and engineering be one team for clinical software?
Usually, yes. Clinical software punishes handoff risk hardest, so a partner that designs and builds in one team keeps the system consistent from spec to production. Several firms here pair design with substantial engineering for exactly that reason.
Keep going

See the full Top 10 and how the studios compare