HingeHealth quadruples PR Throughput with DX
Hinge Health, a leader in scaling and automating the delivery of care, has always treated engineering as a core competitive advantage. But as the company scaled, leaders found it increasingly difficult to stay close to how work moved through the system and where it was getting blocked. “One of the first things I did when stepping into the CTO role last year was ask: how do we actually know what’s going on?” says co-founder Gabriel Mecklenburg. “We had bits and pieces of data, but ultimately it was quite difficult to get answers to that question by ourselves.”
To get better visibility, Hinge Health implemented DX’s developer insights platform, pairing qualitative developer feedback with quantitative metrics in order to identify and eliminate points of friction across the SDLC. “A big factor in our decision to go with DX was its flexibility,” says Mecklenburg. “With most SaaS products, you’re limited by what’s on the roadmap. DX’s data lake made it something we could commit to long term, because if we needed to extend it, we could.”
Upon implementing DX, Hinge Health began focusing on its Developer Experience Index (DXI), which measures actionable areas of software delivery that are most predictive of outcomes such as development speed, ease, and quality “Our goal is to become a top 10 percent engineering organization, not just in digital health, but the tech industry as a whole,” explains Mecklenburg. “DX helped us define what we need to do to achieve that.”
Within the first year of using DX, Hinge Health improved its DXI by 23 points by identifying and removing key sources of friction across the SDLC. Furthermore, by investing in the developer experience, Hinge Health saw improvements and greater accountability in how work flowed through the SDLC.
“Our throughput doubled from 2024 to 2025, and has doubled again since the start of 2026 due in large part because of these smart investments.” At the same time, Hinge Health also drives improvements with the help of DX’s scorecards which surface friction for managers to act on. This solution in DX allows leaders to define standards and then hold teams accountable to those standards. One major initiative focused on improving the reliability and consistency of production services. Using DX, leaders could see recurring patterns, such as production debugging challenges or long CI wait times, that pointed to gaps in standardization across services. “We realized some teams were following strong practices, while others were missing the basics,” India Site Leader, Sandeep Lakshimpathy, says. “The question became: how do we bring every service up to a consistent standard?”
Across the board, using DX, leaders at Hinge Health observed smoother execution, better-structured pull requests, and faster code reviews as a result of the improvements to developer experience. Teams have also become more intentional about design, documentation, and architecture, which also contribute to more predictable delivery. “Now, we are starting to see much smoother execution. People are really seeing the benefit.” Lakshimpathy says.
Now, with foundational friction addressed and DXI up 23 points, Hinge Health is setting its sights higher. The next phase is about instrumenting the full product development lifecycle and tying engineering flow directly to business value. “Everybody has to be all in,” Mecklenburg adds. “That’s how you become a top 10% engineering organization.”
