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.
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.

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.
learn moreEnd-to-end product creation
A seamless, all-inclusive approach to turn your best ideas into world-changing digital products.

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
learn moreRaised for Our Start-Up Partners
$150M+
Users on 20i Products
2M+
MVPs Launched
22
Stars on Clutch
4.8
Testimonials
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