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Ideas that ignite innovation

We’re a product design and development agency that turns visionary ideas into innovative and empathetic digital solutions to advance health, wellness, learning, and more.

Ideas that ignite innovation

We’re a product design and development agency that turns visionary ideas into innovative and empathetic digital solutions to advance health, wellness, learning, and more.

let’s talk

Featured Projects

From ideation
to execution

Hands typing on a keyboard hooked to tablet displaying Ksana Vira practitioner portal

Ksana's Vira

Open laptop displaying testing summary for Arabic 3 test in the Avant online language assessment.

Avant Assessment

Smart phone displaying screen from attune stress management support app.


Open laptop sitting on desk displaying Intrevent event planning software scheduling screen.


Open laptop witting on white and oak desk with Emano Flow patient uroflowmetry charts.

Emano Flow

Hand holding smartphone showing introduction module screen from Qlarity mindfulness mobile app


Open laptop displaying progress report screen from Nulia Works productivity enhancement platform.

Nulia Works

Our Partner Promise

Why work with 20i?

Whether you’re starting from scratch or have a few products under your belt, Twenty Ideas equips you with robust design and development knowledge to turn your ideas into human-focused products with impact.

Young woman standing outside building in yellow sweater and tan coat wearing surgical mask and looking back at viewer.

Sharp minds, broad expertise

Our ideators have amassed decades of experience tackling tech challenges across a wide variety of fields--from mental health startups to leading online learning platforms. Our diverse product success roster proves we are ready and able to bring bold and brilliant ideas to fruition.

United we solve

Our US-based, fully integrated team works in-sync with our clients to design and develop world-class products with maximum efficiency, consistency, and impact.

Future-proofed products

Our strategically driven, Discovery-led process delivers solutions designed to make an impact now, and to evolve with your goals and vision over time.

Low risk, high reward

We take our mission of creating tech for a healthier future seriously, keeping regulatory compliance, product safety, and data security top-of-mind at each step of the product design process.

Our Services

What we
do best

Twenty Ideas works with innovators across the digital health spectrum—including med tech startups, healthcare providers, innovation incubators and more—to turn their visions into tangible products that have the power to positively improve the lives of every user they touch.

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End-to-end product creation

A seamless, all-inclusive approach to turn your best ideas into world-changing digital products.

20i Way

Our Process

The 20i Way

Our flexible process works with you, providing expert step-by-step guidance to bring your next big innovation into the real world while minimizing the risk of surprises, derailments, and backtracking

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Raised for Our Start-Up Partners


Users on 20i Products


MVPs Launched


Stars on Clutch



Great minds think alike

Mike and team are true thought partners who are consistently able to find the optimal technical solutions to operational challenges and to apply a strategic mindset to everything they do.

Shlomy Kattan, PhD

Chief Advancement Officer at XPRIZE Foundation

They’ve demonstrated their awareness of not only trends but also user preferences — they know what works.

Michael McKinley

Head of Product at Blue Note Therapeutics

Twenty Ideas helped us achieve two critical milestones: creating a key prototype of Vira, and reaching our fundraising goals. Their project management was excellent. They communicated well, and they were very organized and transparent. They were collaborative, and their design work was outstanding.

Nick Allen

CEO at Ksana Health

Great ideas fail without proper execution.
Let's work together
to set yours up for success.

let's talk