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SMO
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