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healthcare.md

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1# Healthcare: Teardown Pack
2
3Load this pack when the target is a clinic, dental or dermatology practice, med spa, telehealth or digital health company, or a medtech or pharma brand. Growth here runs through trust, insurance, and regulation. Tracking is restricted, ad claims are policed, and the patient journey often involves a referral, a payer, or a prescriber.
4

Healthcare: Teardown Pack

Load this pack when the target is a clinic, dental or dermatology practice, med spa, telehealth or digital health company, or a medtech or pharma brand. Growth here runs through trust, insurance, and regulation. Tracking is restricted, ad claims are policed, and the patient journey often involves a referral, a payer, or a prescriber.

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5## Contents
6- How to recognize it
7- What drives growth here
8- Signals to collect
9- Going inside
10- Rules that limit copying
11- Plays that usually transfer
12- Metrics to ask about
14---

Contents

  • How to recognize it
  • What drives growth here
  • Signals to collect
  • Going inside
  • Rules that limit copying
  • Plays that usually transfer
  • Metrics to ask about

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16## How to Recognize It
18- Booking widgets from scheduling platforms (Zocdoc, NexHealth, Solutionreach, Jane, Healthie) and "book an appointment" as the main CTA.
19- Insurance pages ("insurances we accept"), provider bio pages with credentials, and location pages per clinic.
20- Telehealth patterns: an intake quiz before pricing, "prescribed by a licensed provider", state availability lists, and subscription pricing.
21- Pharma and medtech patterns: "Important Safety Information" blocks, "Indication" sections, HCP vs patient site splits (`/hcp`, `hcp.` subdomains found by `teardown.mjs subdomains`).
22- Consent-heavy analytics: server-side tagging, HIPAA-compliant analytics tools, and few or no ad pixels on logged-in or intake pages. `teardown.mjs detect <domain>` and `teardown.mjs stack <domain>` show this.

How to Recognize It

  • Booking widgets from scheduling platforms (Zocdoc, NexHealth, Solutionreach, Jane, Healthie) and "book an appointment" as the main CTA.
  • Insurance pages ("insurances we accept"), provider bio pages with credentials, and location pages per clinic.
  • Telehealth patterns: an intake quiz before pricing, "prescribed by a licensed provider", state availability lists, and subscription pricing.
  • Pharma and medtech patterns: "Important Safety Information" blocks, "Indication" sections, HCP vs patient site splits (/hcp, hcp. subdomains found by teardown.mjs subdomains).
  • Consent-heavy analytics: server-side tagging, HIPAA-compliant analytics tools, and few or no ad pixels on logged-in or intake pages. teardown.mjs detect <domain> and teardown.mjs stack <domain> show this.
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24## What Drives Growth Here
26- **Who decides varies.** In clinics, patients choose. In specialty care, referring doctors choose. In pharma, prescribers and payers choose. Find which one the target markets to before judging its channels.
27- **Insurance and price shape demand.** Cash-pay businesses (med spas, telehealth, cosmetic dental) market like ecommerce. In-network practices grow through payer directories, referrals, and local search.
28- **Trust signals convert.** Provider credentials, reviews, before/after galleries where allowed, and condition content written or reviewed by clinicians.
29- **Tracking is constrained.** After HHS issued guidance on tracking technologies (December 2022, revised March 2024), many providers removed pixels. A federal court vacated part of that guidance in June 2024 (*AHA v. Becerra*), but HIPAA still bars sending patient information to ad platforms, and the FTC has acted against health apps for the same thing. Meta also restricts lower-funnel conversion events for many health and wellness advertisers. Missing pixels or missing purchase events may be compliance, not a lack of paid ads.
30- **Telehealth grows like DTC with a clinical gate:** paid social, influencers, quizzes, and subscriptions, limited by state licensing and prescribing rules.

What Drives Growth Here

  • Who decides varies. In clinics, patients choose. In specialty care, referring doctors choose. In pharma, prescribers and payers choose. Find which one the target markets to before judging its channels.
  • Insurance and price shape demand. Cash-pay businesses (med spas, telehealth, cosmetic dental) market like ecommerce. In-network practices grow through payer directories, referrals, and local search.
  • Trust signals convert. Provider credentials, reviews, before/after galleries where allowed, and condition content written or reviewed by clinicians.
  • Tracking is constrained. After HHS issued guidance on tracking technologies (December 2022, revised March 2024), many providers removed pixels. A federal court vacated part of that guidance in June 2024 (AHA v. Becerra), but HIPAA still bars sending patient information to ad platforms, and the FTC has acted against health apps for the same thing. Meta also restricts lower-funnel conversion events for many health and wellness advertisers. Missing pixels or missing purchase events may be compliance, not a lack of paid ads.
  • Telehealth grows like DTC with a clinical gate: paid social, influencers, quizzes, and subscriptions, limited by state licensing and prescribing rules.
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32## Signals to Collect
34| Signal | Where or how | What it shows |
35|---|---|---|
36| Location and provider count over time | Wayback captures of location and provider directory pages | Expansion pace and acquisitions; each wave is a move in moves.csv |
37| Condition and treatment page library | `teardown.mjs site` and `sitemap-growth` | Their SEO engine; when each family launched |
38| ★ Medical reviewer bylines | Read condition pages for "medically reviewed by" and author credentials | How they build credibility for health searches |
39| Reviews per location | Official Places API or manual reads; Healthgrades, Zocdoc, Vitals profiles | Review velocity; spikes are review campaigns |
40| Payer and directory listings | Insurance pages, Zocdoc and insurer directories | Which networks they're in and where patients find them |
41| ★ Pixel removal or consent changes | `teardown.mjs stack <domain>` over time | When they changed tracking, which can explain a dip in reported paid performance |
42| Ad library presence and claims | `teardown.mjs ads` and `sc-ads`; Meta and Google libraries | Which treatments they advertise and how they phrase claims within policy |
43| Intake quiz flow | Walk the public quiz up to the point of entering health data | Segmentation, qualification, and price reveal timing |
44| State availability changes | Wayback of the "where we're available" page | Licensing expansion; each new state is a move |
45| Influencer and creator content | Search social for the brand and #ad or #sponsored | Telehealth and aesthetics creator programs |
46| Clinical trials and approvals | ClinicalTrials.gov, FDA announcements, press releases | Pipeline and launch timing for medtech and pharma |
47| ★ Provider records | The NPPES NPI Registry (public search and API) by organization name and location | Providers tied to the organization and when each was enumerated, a check on provider-count claims and new-location hiring |
48| State licensing for telehealth | State medical board license lookups for the target's clinicians | Which states they can actually serve, and when each license was issued |
49| ★ Open payments to physicians | CMS Open Payments database | Which doctors a pharma or device company pays for speaking and consulting, a proxy for prescriber marketing |

Signals to Collect

SignalWhere or howWhat it shows
Location and provider count over timeWayback captures of location and provider directory pagesExpansion pace and acquisitions; each wave is a move in moves.csv
Condition and treatment page libraryteardown.mjs site and sitemap-growthTheir SEO engine; when each family launched
★ Medical reviewer bylinesRead condition pages for "medically reviewed by" and author credentialsHow they build credibility for health searches
Reviews per locationOfficial Places API or manual reads; Healthgrades, Zocdoc, Vitals profilesReview velocity; spikes are review campaigns
Payer and directory listingsInsurance pages, Zocdoc and insurer directoriesWhich networks they're in and where patients find them
★ Pixel removal or consent changesteardown.mjs stack <domain> over timeWhen they changed tracking, which can explain a dip in reported paid performance
Ad library presence and claimsteardown.mjs ads and sc-ads; Meta and Google librariesWhich treatments they advertise and how they phrase claims within policy
Intake quiz flowWalk the public quiz up to the point of entering health dataSegmentation, qualification, and price reveal timing
State availability changesWayback of the "where we're available" pageLicensing expansion; each new state is a move
Influencer and creator contentSearch social for the brand and #ad or #sponsoredTelehealth and aesthetics creator programs
Clinical trials and approvalsClinicalTrials.gov, FDA announcements, press releasesPipeline and launch timing for medtech and pharma
★ Provider recordsThe NPPES NPI Registry (public search and API) by organization name and locationProviders tied to the organization and when each was enumerated, a check on provider-count claims and new-location hiring
State licensing for telehealthState medical board license lookups for the target's cliniciansWhich states they can actually serve, and when each license was issued
★ Open payments to physiciansCMS Open Payments databaseWhich doctors a pharma or device company pays for speaking and consulting, a proxy for prescriber marketing
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51## Going Inside
53- **Never book an appointment you won't keep.** A no-show costs a practice a real slot and may block a real patient. Only book if the user actually wants the care.
54- **Never enter real or fake health information.** Stop intake quizzes before the health questions, or use questions that don't require personal health data. Don't create a patient record.
55- With approval, it's fine to: read public pricing, call the front desk to ask about pricing, insurance, and availability under the user's real name, and record response speed and the scheduling flow.
56- For telehealth, walk the funnel to the checkout or medical intake and stop. Screenshot pricing, plans, and the subscription terms.

Going Inside

  • Never book an appointment you won't keep. A no-show costs a practice a real slot and may block a real patient. Only book if the user actually wants the care.
  • Never enter real or fake health information. Stop intake quizzes before the health questions, or use questions that don't require personal health data. Don't create a patient record.
  • With approval, it's fine to: read public pricing, call the front desk to ask about pricing, insurance, and availability under the user's real name, and record response speed and the scheduling flow.
  • For telehealth, walk the funnel to the checkout or medical intake and stop. Screenshot pricing, plans, and the subscription terms.
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58## Rules That Limit Copying
60- **HIPAA and HHS tracking guidance:** covered entities can't send protected health information to ad platforms through pixels. Copying a competitor's tracking setup can create violations. Check with counsel.
61- **FTC Health Breach Notification Rule** applies to many health apps that aren't covered by HIPAA.
62- **FDA and FTC split the work.** The FDA governs prescription drug and restricted device advertising: fair balance, Important Safety Information, and approved indications only. The FTC covers over-the-counter drugs, supplements, most devices, and health claims in general. In September 2025 the FDA began a broad enforcement push on drug ads, including social media and influencer posts, and it has warned telehealth companies against marketing compounded drugs as if they were approved products.
63- **FTC substantiation:** health claims need competent and reliable scientific evidence. Before/after claims need typical-result context.
64- **Platform policies:** Google's healthcare and medicines policy requires certification for some categories (online pharmacies, addiction services). Meta restricts targeting and personal health assertions ("Are you struggling with...").
65- **Controlled substances:** prescribing them through telehealth falls under DEA rules whose temporary flexibilities have been extended several times. Check the current status before copying a telehealth model.
66- **State rules:** medical advertising, corporate practice of medicine, and telehealth licensing vary by state. Check with counsel.

Rules That Limit Copying

  • HIPAA and HHS tracking guidance: covered entities can't send protected health information to ad platforms through pixels. Copying a competitor's tracking setup can create violations. Check with counsel.
  • FTC Health Breach Notification Rule applies to many health apps that aren't covered by HIPAA.
  • FDA and FTC split the work. The FDA governs prescription drug and restricted device advertising: fair balance, Important Safety Information, and approved indications only. The FTC covers over-the-counter drugs, supplements, most devices, and health claims in general. In September 2025 the FDA began a broad enforcement push on drug ads, including social media and influencer posts, and it has warned telehealth companies against marketing compounded drugs as if they were approved products.
  • FTC substantiation: health claims need competent and reliable scientific evidence. Before/after claims need typical-result context.
  • Platform policies: Google's healthcare and medicines policy requires certification for some categories (online pharmacies, addiction services). Meta restricts targeting and personal health assertions ("Are you struggling with...").
  • Controlled substances: prescribing them through telehealth falls under DEA rules whose temporary flexibilities have been extended several times. Check the current status before copying a telehealth model.
  • State rules: medical advertising, corporate practice of medicine, and telehealth licensing vary by state. Check with counsel.
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68## Plays That Usually Transfer
70| Play | Run it with |
71|---|---|
72| Condition and treatment page library with clinician review | **content-strategy**, **programmatic-seo** |
73| Provider and location pages with schema | **schema**, **site-architecture** |
74| Review program after visits, within platform rules | **referrals** |
75| Intake quiz that segments and reveals price | **lead-magnets**, **cro** |
76| Compliant ad creative with claim substantiation | **ad-creative**, **ads** |
77| Server-side, consent-aware conversion tracking | **conversion-tracking**, **analytics** |
78| Referral relationships with referring providers, with no payment or gifts tied to referrals unless counsel clears them (Anti-Kickback Statute, Stark Law) | **co-marketing**, **sales-enablement** |

Plays That Usually Transfer

PlayRun it with
Condition and treatment page library with clinician reviewcontent-strategy, programmatic-seo
Provider and location pages with schemaschema, site-architecture
Review program after visits, within platform rulesreferrals
Intake quiz that segments and reveals pricelead-magnets, cro
Compliant ad creative with claim substantiationad-creative, ads
Server-side, consent-aware conversion trackingconversion-tracking, analytics
Referral relationships with referring providers, with no payment or gifts tied to referrals unless counsel clears them (Anti-Kickback Statute, Stark Law)co-marketing, sales-enablement
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Names a skill conversion-tracking :77
80## Metrics to Ask About
82- **Cost per booked appointment:** spend divided by kept appointments, not form fills.
83- **Show rate:** share of booked appointments kept.
84- **New patient volume:** per location per month.
85- **Patient lifetime value:** visits or subscription months times margin.
86- **Referral share:** patients from referring providers vs self-referred.
87- **Intake completion rate:** for telehealth, quiz start to paid consult.
88- **Retention:** subscription churn for telehealth, recall rate for practices.

Metrics to Ask About

  • Cost per booked appointment: spend divided by kept appointments, not form fills.
  • Show rate: share of booked appointments kept.
  • New patient volume: per location per month.
  • Patient lifetime value: visits or subscription months times margin.
  • Referral share: patients from referring providers vs self-referred.
  • Intake completion rate: for telehealth, quiz start to paid consult.
  • Retention: subscription churn for telehealth, recall rate for practices.
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