We don't report on impressions or cost-per-click. Every case study on this page is measured the same way our clients measure their own success — admits generated, CPA against target, and payer mix quality. That's the only scoreboard that matters.
An Austin addiction treatment center came to us with a clear-eyed assessment: traffic wasn't the issue, budget wasn't the issue. The problem was efficiency. CPAs were climbing, payer quality was inconsistent, and the system wasn't being held accountable to admits — only clicks. They gave us a defined monthly admit target, a CPA ceiling they couldn't breach, and a preference for premium policyholders. They wanted results, not reports.
"When you treat CPA as a hard constraint — not a suggestion — volume and efficiency stop being opposites. That's the system we installed here."
A treatment center in rural Illinois came in convinced their situation was a ceiling: far from major metro areas, most local residents on Medicaid or non-accepted insurance. They believed geography and payer mix were fixed constraints. They asked us to run PPC cautiously — with a defined admit target, a strict CPA cap, and a strong need for commercial insurance. Their ceiling was actually a funnel problem wearing a geography costume.
"Location becomes irrelevant when acquisition is engineered correctly. The limiting factor was never the market — it was the assumption that the market was the limiting factor."
Both case studies above came in with different surface problems. Underneath, the root causes were the same.
Both clients had traffic. One had budget. Neither had a system that filtered for the right patient profile before the lead ever reached admissions. Volume without qualification is just noise at scale.
The rural Illinois facility believed their market was their ceiling. It wasn't. When you engineer for travel intent and insurance acceptance from the first click, geography becomes a non-factor. Patients travel for care when the acquisition system is built to find them.
Both clients saw significant CPA reductions — 40% and 46% — not because we found cheaper clicks, but because we stopped counting the wrong things. When admits become the optimization signal, everything upstream gets sharper.
Every engagement starts the same way — a 30-minute call to review what you're running, identify where the leakage is, and map what a properly structured BH acquisition system looks like for your specific market and payer mix. No pitch. No pressure.
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