Healthcare performance marketing, judged on booked treatments.
Google and Meta campaigns for practices in the United States and Canada, optimised against cost per booked treatment rather than cost per lead. Treatment value is uploaded back to the platforms so the bidding learns from revenue, which is the difference between advertising that produces enquiries and advertising that produces patients.
Available to practices across the United States and Canada.
Why do clinic ads produce leads but not patients?
Because the ad platform optimises toward the last thing it can see, and for most clinics that is a form submission. The platform does not know whether the form came from a real prospect or a competitor, whether the consultation happened, or whether anyone paid. So it gets very good at finding people who fill in forms, which is not the same population as people who book treatment. Over a few months the two drift apart and the cost per lead falls while the cost per patient rises. The fix is not better creative or a different bidding strategy. It is sending treatment revenue back to the platform as an offline conversion so the algorithm optimises against money instead of form volume. Once that is running, cost per lead often rises and cost per booked treatment falls, which is the trade worth making.
How this actually works.
Booked-revenue CPA
Every campaign is measured on cost per booked treatment, which changes what gets scaled and what gets killed.
Click identity on every lead
Captured on the form, stored on the record, traceable back to campaign and keyword.
Offline conversions uploaded
Treatment value returned to the ad platform so smart bidding trains on revenue rather than volume.
Weekly, not monthly
Budget shifts, negative keyword pruning and creative rotation on a seven-day cycle.
What people ask before buying this.
What budget do we need?
Enough for the platform to learn, which in most markets means a few hundred a day per campaign. Below that we would rather fix your follow-up first.
Do you take a percentage of spend?
No. A percentage of spend pays us to spend more, which is the wrong incentive.
Do you manage the ad accounts or advise on them?
Manage, and the accounts stay yours throughout. Access can be revoked at any time and nothing is held behind our licence. Practices that have been locked out of their own campaign history by a previous agency tend to ask this first, and they are right to.
Can advertising be tracked without breaching HIPAA?
Yes, and it is mostly a question of what is sent rather than what is measured. The upload back to an advertising platform carries a click identifier, an action name, a timestamp and a value, and nothing else. Conversion action names are kept generic, because a name describing a procedure attaches a condition to an identifiable click.
Do you work with practices in the United States and Canada?
Yes. The work is remote and the systems are cloud-based, so the engagement runs the same way it would for a practice down the road. Calls are scheduled in your timezone. Where a project needs someone physically present, which is rare outside production work, we say so before it starts rather than after.
How does HIPAA affect what you do?
It shapes the design rather than sitting on top of it. Advertising platforms are not HIPAA compliant and are treated as non-HIPAA third parties, so the measurement is built so protected health information never reaches them. Where an engagement requires access to PHI, a Business Associate Agreement is executed before work begins.
What does an engagement cost?
Most start with a fixed-fee diagnostic lasting about ten days, which sizes every gap in booked treatments and produces a roadmap you keep whether or not the work continues. Ongoing engagements sit in the range US practices will recognise for healthcare growth retainers. Pricing is on the plans page and is not quoted by number of hours.
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