WI.02Wisconsin · South Central Wisconsin
Consulting in Madison
Madison punches far above its weight in software that matters. Epic Systems, whose electronic health records run a huge share of American hospital care, built its campus outside the city and seeded a health-IT talent pool of national significance; the University of Wisconsin drives research across life sciences and computing; and American Family Insurance and Exact Sciences round out a metro that quietly exports healthcare software, diagnostics, and underwriting.

The local terrain
What actually drives Madison.
Epic's gravitational field defines the market: thousands of engineers and implementation specialists trained on healthcare's hardest workflows, an alumni network founding health-tech startups downtown, and a customer base of health systems nationwide whose Epic decisions shape their operating costs. The university adds research depth — from biotech spinouts to computing — while Exact Sciences built a major diagnostics business here and American Family anchors a data-rich insurance headquarters. State government steadies the base.
The advisory demand is health-technology-shaped: health systems and vendors making build-configure-buy decisions around the EHR core, startups from the Epic diaspora learning enterprise go-to-market, diagnostics and biotech companies sequencing commercialization, and insurers deploying AI into underwriting and claims with governance intact. Praxis works that intersection of healthcare, software, and regulated data — the exact ground Madison's economy occupies.
- Economic anchors
- Epic Systems & a national health-IT talent pool
- University of Wisconsin research engine
- Exact Sciences diagnostics & biotech spinouts
- American Family Insurance headquarters
- Metro
- South Central Wisconsin
- Taxonomy
- WI.02
- Engagement
- Remote + on-site
A note on how we work in Madison. Praxis is an independent, service-area advisory practice led by Evan Dang — we work with Madison companies remotely and on-site as an engagement requires, and we keep no walk-in office in the city. What you engage is the thinking and the work, delivered where the decisions are made.
The sectors that matter here
Where the local economy concentrates.
These are the industries that carry the weight in Madison. Each has its own practice at Praxis — its strategic terrain, the services that fit it, and an honest FAQ.
- 01Health IT & softwareThe EHR economy, its alumni startups, and the enterprise software talent trained here.Technology & IT practice
- 02Diagnostics & life sciencesCommercial-stage diagnostics plus the university's research pipeline.Healthcare & Medical practice
- 03Insurance & dataA headquarters insurer modernizing underwriting on rich proprietary data.Finance & Insurance practice
Where we start
The services that fit Madison.
- View service
Non-profit & governance consulting
Board and program-design advisory for the nonprofit hospital systems and university research institutions the University of Wisconsin anchors.
- View service
AI implementation consulting
Clinical-workflow and underwriting AI deployed with the governance healthcare demands.
- View service
Data strategy consulting
Making regulated health and insurance data an asset rather than a liability.
- View service
Innovation consulting
Commercialization paths for diagnostics and university spinouts crossing from research to revenue.
Questions
Working with us in Madison.
- Do you understand the Epic ecosystem?
- We understand its economics: health systems' operating costs and vendor strategies orbit the EHR, and startups from the Epic diaspora face enterprise sales cycles their product genius doesn't shorten. Our work is the strategy layer around those realities — positioning, pricing, and sequencing.
- Can you help a health-tech startup with enterprise go-to-market?
- Yes — that's a defined engagement: ideal-customer definition against hospital buying committees, pricing and pilot structures that convert, and the evidence roadmap enterprise healthcare buyers require before they commit. Madison produces the product talent; we add the commercial machinery.
Bring us a decision in Madison.
A first conversation is a scoping conversation — no obligation, no packaged pitch. Tell us what you're deciding, and we'll tell you honestly whether we're the right firm for it.
No obligation · a scoping conversation first