Question 1

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

Accepted Answer

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.

Question 2

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

Accepted Answer

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.

Question 3

What about HIPAA and the FTC actions against telehealth companies?

Accepted Answer

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.

Question 4

How long until I see results?

Accepted Answer

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.

Question 5

Are we locked in?

Accepted Answer

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

Question 6

What is a good CAC for a telehealth brand?

Accepted Answer

Typically $90 to $250 per paying patient depending on category, with weight loss at the upper end and refill-driven categories lower. The number is meaningless on its own. What matters is payback period and LTV to CAC, because a $250 CAC on a patient who stays fourteen months is healthier than a $90 CAC on one who churns after two.

Question 7

How do I calculate CAC payback for a subscription telehealth model?

Accepted Answer

Divide fully loaded acquisition cost by the gross margin a patient produces per month. Under three months is the target we build toward. Practices that measure payback on revenue rather than margin consistently overstate how healthy the model is, sometimes by a factor of two.

Question 8

Why is my first-order ROAS bad but the business fine?

Accepted Answer

Because first-order ROAS is close to meaningless in subscription healthcare. A brand can run deeply negative on the first order and be extremely healthy if the subscription tail holds. Optimising campaigns toward first-order return actively suppresses the patients most likely to retain.

Question 9

Can I advertise GLP-1 and weight loss treatment?

Accepted Answer

Yes, with compliant creative and policy-aware landing paths. Meta rejects branded pharmaceutical weight-loss terms and most before-and-after weight imagery, so campaigns run condition-education and outcome-framed creative instead, with approved variants queued so a flag costs hours rather than a week of spend.

Question 10

Why did my telehealth ad account get restricted?

Accepted Answer

Most often prescription-category policy violations in creative, or a tracking setup transmitting data it should not. Health categories are enforced more tightly than almost any other, and restrictions follow accumulated flags rather than one incident. Prevention through pre-launch review is far cheaper than appeals.

Question 11

How do I reduce churn on a telehealth subscription?

Accepted Answer

Attack the specific month where it spikes rather than churn in general. For most categories discontinuation is front-loaded, so the intervention has to land before the patient decides. Win-back automation recovers a share afterwards, but preventing the lapse is worth several times more than recovering it.

Question 12

What conversion rate should I expect from intake?

Accepted Answer

It varies too much by category to give a benchmark worth trusting, but the stage most brands leak at is between signup and first paid visit rather than at the ad. Measuring the funnel by stage usually finds the problem is intake friction rather than traffic quality.

Question 13

Do telehealth companies need to worry about HIPAA in advertising?

Accepted Answer

More than almost anyone, and the enforcement record proves it. The FTC actions against Cerebral and BetterHelp both originated in tracking pixels sending patient data to advertising platforms. Meta and Google will not sign a BAA, which is exactly why the measurement layer has to sit between them and your patient data.

Question 14

How do I scale spend without CAC blowing up?

Accepted Answer

Creative volume and audience expansion, in that order. Most brands hit a CAC ceiling because the same few assets fatigue against the same audience, not because the channel is exhausted. Scaling spend against a fresh creative pipeline holds CAC far longer than scaling against a static one.

Question 15

Should I run ads to a landing page or into the intake flow?

Accepted Answer

Into a landing page that sets expectation and qualifies, then into intake. Sending cold ad traffic straight into a clinical intake form produces high abandonment, because the patient has not yet been given a reason to complete a long medical questionnaire.

Question 16

What LTV to CAC ratio should a telehealth brand target?

Accepted Answer

3:1 or better is the level we build toward, measured on gross margin rather than revenue. Below 2:1 the model usually cannot absorb its own operating costs. Above 5:1 the brand is typically underspending and leaving growth on the table rather than being efficient.

Question 17

How long before telehealth campaign results are readable?

Accepted Answer

First paying patients typically inside week two. A trustworthy read on payback and LTV to CAC takes 60 to 90 days, because enough of the subscription tail has to cycle to mean anything. Judging the model at 30 days will produce a decision based on noise.

Question 18

Can I advertise prescription treatment on Google?

Accepted Answer

Within restrictions, and often requiring certification depending on category and market. Google treats prescription-related advertising as a restricted category with specific requirements for pharmacies and telemedicine providers. Getting the certification path right before building campaigns avoids a rebuild later.

Question 19

What is a marketing efficiency ratio and should I track it?

Accepted Answer

Total revenue divided by total marketing spend across the whole business. It is worth tracking because it is much harder to distort than channel-level ROAS, which platform attribution tends to inflate. It is a useful sanity check when platform numbers look better than your bank account does.

Question 20

How do I attribute conversions when patients take weeks to convert?

Accepted Answer

Server-side tracking with an attribution window matched to your real decision timeline, not the platform default. A 7-day click window against a 30-day decision reports the wrong campaigns as failures, and the usual consequence is that the campaign actually producing patients gets paused.

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The patient growth system.

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CONVERSION & RETENTION

Your brand does not need more signups.It needs patients who stay on treatment.

Know exactly whereyour next retained patient came from.

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What to expect, month by month.

You own your conditions.

You own your licensed states.

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What lands first. And what lands every month after.

Built for a particular kind of brand. Not every one.

We guarantee everything inside our control, and nothing outside it.

What telehealth operators ask before they switch.