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Web Development
Velocity Healthcare
Telehealth
Challenge
Acquisition costs on Google Ads were spiraling out of control due to aggressive US bidding wars, making the patient acquisition model unprofitable.
Approach
Pivoted to a heavily segmented Performance Max strategy with strict ROAS targets, augmented by first-party patient LTV data fed back into Google via Offline Conversions.
Results
- Patient Acquisition Cost (PAC) reduced by 38%
- Scaled campaign spend by 2x while maintaining target ROAS through Q2 2026
- Increased patient LTV by targeting higher-quality segments