Meet Thirty Madison

Thirty Madison provides accessible, affordable, and convenient care for chronic conditions. The portfolio company serves patients under several brands: Nurx (women's health), Keeps (men's hair loss), and Cove (migraines). Thirty Madison’s more than 2 million patients can use the platform to consult with a clinician, receive personalized treatment plans, get medications delivered to their door, and access ongoing care.

Replatforming without risking patient safety

After acquiring another healthcare company, the combined Thirty Madison team went about re-platforming two complex systems into a single, unified experience. The combined platform's huge footprint, spanning patient intake, clinical operations, and pharmacy delivery needed to be re-built while continuing to provide uninterupted patient care.

“We knew replatforming was going to be a massive lift. And we also knew that any slip in quality could impact patient safety, which is something we can’t compromise on.”
—Achin Batra, CTO

With limited end-to-end test coverage in place, Thirty Madison's engineers didn't have visibility into how their releases were affecting the platform and made it difficult to validate whether functionality remained intact across both the legacy and replatformed systems. Building the required test suite in-house would have taken time and resources away from the re-platforming effort so the team went looking for alternative solutions.

“It would take 8-10 full time QA engineers to build the test suite, and I’m not entirely sure that they could have done it as fast as QA Wolf.
—Achin Batra, CTO

Faced with growing complexity, limited internal bandwidth, and the need for rapid progress, Thirty Madison began looking for a partner who could accelerate test creation, handle ongoing maintenance, and flexibly support both web and mobile workflows.

Fewer bugs, faster builds, better care

10x increase in test coverage

‍QA Wolf expanded Thirty Madison's test suite from a few hundred to nearly 2,000 in under a year, dramatically expanding coverage across patient intake, clinical workflows, and pharmacy delivery. This growth gave the team the confidence to move all new Nurx patients onto the new system without delays or disruptions.

“Every new patient coming in on Nurx is on this new system. And without QA Wolf, that would have been challenging.”—Achin Batra, CTO

$800K–$1.25M in QA engineering costs saved

‍Building and maintaining this level of coverage in-house would have required 8 to 10 QA engineers. By working with QA Wolf instead, Thirty Madison avoided hiring a dedicated QA team—saving an estimated $800,000 to $1.25 million annually.

“Even if it’s eight to ten engineers, the number of tests you provided, at the speed you provided, is still hard to replicate.”—Achin Batra, CTO

1–2 days additional capacity per engineer

‍Before QA Wolf, manual regression involved several engineers and product team members for multiple days each week. Offloading that work freed up valuable developer time and helped the team shift focus back to high-impact feature development.

“A significant portion of our pre-release phase involved manual QA—engineers and product folks doing regression testing for days at a time. QA Wolf allowed us to move much faster.”—Achin Batra, CTO