How to Evaluate Custom Healthcare Software Development Companies in 2027

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Your Health Magazine Contributor

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How to Evaluate Custom Healthcare Software Development Companies in 2027

If you are shortlisting custom healthcare software development companies in 2027, start by defining the regulatory, technical, and operational requirements of the project. For certain impacted payers, CMS interoperability and prior authorization requirements include API compliance dates beginning January 1, 2027, while certain operational provisions took effect earlier.

These requirements make interoperability, security, documentation, regulatory experience, and long-term support important considerations when evaluating a healthcare software development partner.

Criteria for Evaluating Custom Healthcare Software Companies

Healthcare organizations can use several practical criteria when comparing software development firms. The appropriate priorities depend on whether the project involves a defined software build, staff augmentation, EHR integration, a regulated medical device, payer infrastructure, or another healthcare technology need.

• Engagement model: Does the partner own a defined scope, or provide developers managed by your organization?
• Platform experience: Look for documented Epic, FHIR, or other relevant healthcare technology experience rather than relying solely on a standards checklist.
• Independent information: Look beyond vendor-selected testimonials and review available third-party information, references, and case studies.
• Relevant certifications and controls: Determine which certifications or assurance reports are relevant to the project, such as ISO 13485, ISO 27001, or SOC 2 Type II, and verify current documentation where appropriate.
• Buyer and project fit: Payers, hospitals, medical-device companies, physician practices, and healthcare startups can have substantially different technical and regulatory requirements.

Organizations may also consult independent healthcare technology research, customer references, regulatory documentation, and other third-party sources when conducting due diligence.

Examples of Healthcare Software Development Firms and Their Capabilities

The following companies illustrate several different approaches to healthcare software development, including interoperability, medical-device software, digital health applications, embedded systems, and product design. They are presented as examples rather than as a ranking or endorsement.

Organizations should independently verify current capabilities, certifications, references, regulatory experience, security practices, and contractual terms before selecting a development partner.

Bacancy Technology

Bacancy Technology describes healthcare software capabilities that include interoperability technologies such as FHIR, HL7, DICOM, LOINC, and ICD-10, along with work involving platforms such as EpicCare and MyChart. The company also lists healthcare regulatory and compliance frameworks among the areas addressed by its services.

Organizations considering a Custom Healthcare Software Development Company should independently confirm which capabilities, certifications, and platform experience apply to their particular project.

Areas to evaluate: interoperability experience, healthcare platform integration, compliance support, cloud development, and AI-related capabilities.

ScienceSoft

ScienceSoft describes healthcare industry experience dating to 2005 and lists certifications including ISO 13485, ISO 27001, and ISO 9001. Its healthcare software services include areas such as EHR systems, telemedicine, and medical-device software.

Areas to evaluate: regulated medical-device development, quality-management processes, documentation, EHR development, and telemedicine experience.

CitiusTech

CitiusTech focuses specifically on healthcare technology and describes capabilities involving interoperability, FHIR data flows, clinical applications, and healthcare data infrastructure. Organizations evaluating the company should consider how its experience aligns with the scale and architecture of the proposed payer or provider project.

Areas to evaluate: enterprise healthcare data, interoperability, payer and provider systems, and FHIR implementation.

Itransition

Itransition describes experience involving regulated medical-device software and IEC 62304 processes, including work involving Class II and Class III devices. For regulated projects, prospective clients should independently verify relevant references, quality-system documentation, and experience with the applicable device classification and regulatory pathway.

Areas to evaluate: medical-device software, IEC 62304 experience, regulatory documentation, and verifiable project references.

Andersen

Andersen lists ISO 9001, ISO 27001, and ISO 13485 certifications in connection with its software and medical technology operations. Organizations considering the firm can evaluate the current scope of those certifications, relevant healthcare case studies, security practices, and independent customer feedback.

Areas to evaluate: quality-management processes, information security, medical software development, and documented project experience.

Arkenea

Arkenea focuses on healthcare software development in areas including telemedicine, patient portals, and practice-management systems. Its healthcare focus may be relevant to organizations seeking a development company familiar with digital-health workflows, but buyers should evaluate project-specific regulatory and technical experience directly.

Areas to evaluate: early-stage digital health development, telemedicine, patient portals, and practice-management applications.

Orthogonal

Orthogonal focuses on Software as a Medical Device, digital therapeutics, and connected-device software. For organizations developing regulated products, relevant considerations include its IEC 62304-aligned processes, quality-management approach, and experience with the applicable regulatory pathway.

Areas to evaluate: SaMD, digital therapeutics, connected medical devices, and regulated development processes.

Softeq

Softeq combines mobile and cloud software development with embedded-systems engineering. That combination may be relevant when a healthcare application must communicate directly with a physical device or other embedded hardware.

Areas to evaluate: embedded systems, device connectivity, mobile applications, cloud infrastructure, and hardware-software integration.

Glorium Technologies

Glorium Technologies lists ISO 13485 certification and operates through teams in the United States and Europe. Organizations considering a distributed development model should evaluate communication procedures, regulatory responsibilities, security controls, staffing continuity, and the locations where project data and development work will be handled.

Areas to evaluate: regulated medtech development, distributed-team operations, security, communication, and project governance.

Netguru

Netguru is a certified B Corporation and describes digital-health work combining product design and software development. Organizations evaluating the company should consider both user-experience capabilities and the security, privacy, interoperability, and technical requirements of the proposed healthcare application.

Areas to evaluate: patient-facing digital products, UX design, application development, privacy, and security.

Regulatory and Technology Considerations for 2027

Three regulatory areas may influence how organizations assess custom healthcare software development companies in 2027.

Under the CMS Interoperability and Prior Authorization Final Rule, impacted payers have compliance dates generally beginning January 1, 2027, for applicable API development requirements, while certain operational provisions took effect beginning January 1, 2026.

Organizations should also monitor applicable state requirements governing artificial intelligence and healthcare technology. Requirements can vary by jurisdiction and may address issues such as disclosure, consent, data use, or professional oversight.

Proposed changes to federal privacy and security requirements should be treated as planning considerations until applicable rules are finalized and effective.

For projects involving CMS interoperability requirements, organizations can ask which applicable Da Vinci implementation guides or FHIR workflows a vendor has previously implemented and request project-specific evidence where available.

A Simple Scoring Rubric to Compare Companies

A structured rubric can make it easier to compare healthcare software development firms consistently rather than relying primarily on sales presentations or general impressions.

The rubric can be used as an internal comparison tool, but a numerical score should not substitute for technical, legal, security, compliance, and procurement due diligence. Organizations can also weight individual criteria differently based on the risks and requirements of the project.

Additional Questions to Ask Before Selecting a Development Partner

Beyond technical capabilities and certifications, several contractual and operational questions can help organizations evaluate custom healthcare software development companies in 2027.

1. Who owns the code once the engagement ends?

Ownership arrangements vary by contract and engagement model. The agreement should clearly identify ownership of source code, documentation, deployment pipelines, infrastructure configurations, and other intellectual property at the end of the engagement.

2. What has your staff turnover been during the past twelve months?

Development-team continuity can affect timelines and institutional knowledge. Organizations may want to ask how the vendor handles turnover and whether continuity commitments can be established for key personnel such as the lead architect or project manager.

3. How many FDA submissions has this team supported through clearance?

Familiarity with IEC 62304 or other standards is not necessarily the same as having experience supporting a regulated product through an FDA submission. For applicable projects, ask about the team’s experience, role in previous submissions, and relevant device classes.

4. Does the quote include compliance validation, penetration testing, and post-launch support?

These services may or may not be included in the initial development proposal. Clarifying the scope and cost before signing can help organizations understand the total project requirements and reduce unexpected change orders later.

Conclusion

Choosing a healthcare software development partner requires more than comparing company names or general service lists. Organizations should define their technical, regulatory, security, interoperability, and operational requirements first, then evaluate potential firms against those requirements.

Relevant considerations may include healthcare experience, platform integrations, security controls, quality-management processes, regulatory experience, engagement model, post-launch support, team continuity, and contractual ownership of code and intellectual property. Claims about certifications, compliance, integrations, and previous regulated projects should be independently verified before a contract is signed.

A structured evaluation process can help healthcare organizations compare potential partners consistently while recognizing that the appropriate development company will depend on the specific project, regulatory environment, internal resources, and risk profile.