TELEHEALTH ACQUISITION

Growth partners for telehealth brands focused on patient LTV, not first-order volume.

Q: How do I know you’ll move LTV, not just first orders?

The contract is written that way. Reporting and pricing both tie to CAC, payback period, and LTV — not impressions, not leads, not first-order ROAS. If payback doesn’t improve, we don’t get paid the back half.

Q: We sell GLP-1 / weight loss. Can you even advertise that?

Yes, with compliant creative and policy-aware landing paths. Meta rejects branded pharmaceutical weight-loss terms and most before/after weight-loss imagery, so we run condition-education and outcome-framed creative that stays live, and we keep approved variants queued so a flag never costs a week of spend.

Q: What about HIPAA and the FTC actions against telehealth companies?

That is exactly why measurement comes first. The Cerebral ($7M) and BetterHelp ($7.8M) FTC actions came from tracking pixels sending patient data to ad platforms. We run server-side tracking, hash identifiers, and strip PHI from URLs before any data leaves your infrastructure. Meta and Google don’t sign BAAs — we do.

Q: How long until I see results?

First paying patients typically land inside week 2. A readable payback and LTV:CAC picture takes 60–90 days, once enough of the subscription tail has cycled to be meaningful.

Q: Are we locked in?

90-day initial term, enough to get through learning and produce real payback data. Month-to-month after that.

Paid media, compliant creative, and HIPAA-aware tracking infrastructure built for DTC telehealth — measured by CAC, lifetime value, and payback period, not vanity ROAS.

Book a strategy call

Are we the right fit?

Signed BAA + server-side tracking on every accountActive campaigns across US + CanadaMeasured on payback period, not first-order ROAS

30 minutes. No deck. No commitment.

$10–50K

Monthly ad spend managed, growth-stage DTC

$90–250

Typical CAC per paying patient, by vertical

<3 mo

Target CAC payback period

3:1+

LTV to CAC ratio we build toward

All figures shown are agency averages, not guarantees.

THREE LAYERS · ONE SYSTEM

The patient growth system.

Search visibility, premium paid ads, and intake conversion, operated as one system built around CAC, patient lifetime value, and payback period, not first-order ROAS.

01SEO / GEO / AEO

02PAID ADS

03CONVERSION & RETENTION

Condition + treatment page rankings
Visibility in ChatGPT, Perplexity, and AI Overviews
Own the searches patients start treatment on

Premium Meta + Google campaigns
Compliant creative that survives ad review
Target CAC $90–250 per paying patient

Intake flow CRO from ad click to paid visit
First-fill conversion + subscription starts
Churn-prevention and win-back automation

SEO / GEO / AEO

Condition + treatment page rankings
Visibility in ChatGPT, Perplexity, and AI Overviews
Own the searches patients start treatment on

PAID ADS

Premium Meta + Google campaigns
Compliant creative that survives ad review
Target CAC $90–250 per paying patient

CONVERSION & RETENTION

Intake flow CRO from ad click to paid visit
First-fill conversion + subscription starts
Churn-prevention and win-back automation

Top to bottom, ownedOne team. One report.

ACQUISITION SYSTEM

Three systems. One LTV engine.

Search visibility, premium paid advertising, and rapid lead follow-up operated as a single system, built around lifetime value and payback rather than first-order ROAS.

Built for DTC telehealth

01Service line

SEO / GEO / AEO

Owned demand that lowers blended CAC and earns AI-search citations.

Condition and treatment pages that rank, plus the entity and schema work that makes ChatGPT, Perplexity, and AI Overviews recommend your brand before the buyer sees an ad.

Condition + treatment page rankings
Visibility in ChatGPT, Perplexity, and AI Overviews
llms.txt + schema for AI visibility
Symptom-intent content that captures demand

24/7Organic demand capture

This week4 posts

412

287

168

02Service line

Paid Ads

Acquire paying patients at a CAC that pays back inside 3 months.

Meta and Google operated as one acquisition system with compliant creative that survives medical-ad review. Bidding tuned to paying patients and subscription starts, not clicks.

Premium Meta + Google advertising
Compliance-safe campaign structure
Policy-checked creative before every launch
Optimized to paying patients, not signups

$90–250Target CAC

ROAS 11.0x

+24%

+18%

+9%

03Service line

Conversion & Retention

Turn clicks into paying patients, and paying patients into long retention.

Intake flow optimization on HIPAA-aware measurement rails, plus the retention automation that protects the subscription tail the whole model depends on.

Intake flow CRO from ad click to paid visit
First-fill conversion + subscription starts
Churn-prevention and win-back automation
CAC, LTV, and payback reporting

<3 moTarget CAC payback

Pipeline
last 30 daysLive

25%Booked

$3.93K

Booked revenue

$118

Cost / consult

Visits

12.4K

Inquiries

1,840

Consults

318

Booked

127

Three systems, one team, one reportNo à la carte. No outsourcing. No silos.

PROCESS

A four-step engagement. Three weeks to live.

No three-month onboarding. No fifteen-person kickoff call. We start by understanding your unit economics and compliance exposure, then build the measurement and creative system that goes live in your third week.

Audit & unit economics

Week 1

We pull your spend, CAC, churn, and LTV. Map the current funnel. Find the leak. Output: a one-page model showing what a paying patient can be acquired for and the payback period the campaign math needs to hit.

Compliance & measurement setup

Week 1–2

Conversions API. Server-side GTM. SHA-256 hashed identifiers. PHI-stripped confirmation URLs. LegitScript / policy review of landing paths. HIPAA-aware infrastructure built before any campaign goes live — the Cerebral and BetterHelp actions are why this comes first.

Creative production

Week 2–3

A compliant creative batch: static, UGC, and provider-led video, each reviewed against medical-ad policy. Enough volume to test into a winner without waiting on a shoot every month.

Launch & optimize

Week 3+

Campaigns go live. Daily bid + budget management. Weekly creative refresh. Monthly read on CAC, LTV, payback, and churn. You see the dashboard before we do.

3 weeks

From kickoff to live

40+

Compliant creatives / month

<24h

Slack response window

WHAT WE OPTIMIZE FOR

Built around lifetime value, not vanity.

Growth-stage telehealth brands, US + Canada.

Headline stat, LTV to CAC

$90–250typical CAC per paying patient, by vertical
<3 motarget CAC payback period
100%HIPAA-aware tracking on every account

ROAS, quarterly climb12 months

Q1 · 3.1xQ2 · 5.8xQ3 · 8.4xQ4 · 11x

We optimize for

Cost to acquire a paying patient (CAC)
Lifetime value (LTV)
LTV-to-CAC ratio
CAC payback period
Subscription churn rate
Marketing efficiency ratio (MER)
Compliance exposure

Performance figures are illustrative for demo purposes.

OBJECTIONS, HANDLED

How are you different from the agency I just fired?

How do I know you’ll move LTV, not just first orders?

The contract is written that way. Reporting and pricing both tie to CAC, payback period, and LTV — not impressions, not leads, not first-order ROAS. If payback doesn’t improve, we don’t get paid the back half.

We sell GLP-1 / weight loss. Can you even advertise that?

Yes, with compliant creative and policy-aware landing paths. Meta rejects branded pharmaceutical weight-loss terms and most before/after weight-loss imagery, so we run condition-education and outcome-framed creative that stays live, and we keep approved variants queued so a flag never costs a week of spend.

What about HIPAA and the FTC actions against telehealth companies?

That is exactly why measurement comes first. The Cerebral ($7M) and BetterHelp ($7.8M) FTC actions came from tracking pixels sending patient data to ad platforms. We run server-side tracking, hash identifiers, and strip PHI from URLs before any data leaves your infrastructure. Meta and Google don’t sign BAAs — we do.

How long until I see results?

First paying patients typically land inside week 2. A readable payback and LTV:CAC picture takes 60–90 days, once enough of the subscription tail has cycled to be meaningful.

Are we locked in?

90-day initial term, enough to get through learning and produce real payback data. Month-to-month after that.

Ready to grow? Let’s align.

30 minutes. No deck. An honest look at your CAC, your churn, and your compliance exposure. If we can’t move the number, we’ll say so.

Book your strategy call

Booked instantly, confirmed within 24 hours