About
We came from inside telehealth.
MedScale Health (medscale.health) is a US paid-ads agency for telehealth brands and clinics, run by a team of marketers, developers and founders who have built and run telehealth businesses: intake flows, pharmacy handoffs, ad review queues, and the tracking underneath. We use that experience for one job: paid acquisition for telehealth brands and clinics. The ads, the creative, the landing pages and the tracking under them.
How we work
Rules we can be held to.
Regulated advertising rewards the boring decisions. These are ours, in the order a new client meets them.
- Who we take on
- Telehealth brands and clinics with a working intake and room for more patients. Restricted accounts are welcome; recovering them is a product, not an exception.
- Who we turn away
- Anyone selling a product that cannot be certified, anyone who wants patient attributes forwarded to an ad platform, and anyone who needs results before the tracking is in place. We say so on the first call.
- How an engagement starts
- With the audit. We review the ads, the landing pages, the tracking and the compliance posture, then write the roadmap. You keep the roadmap whether or not you hire us.
- How it runs
- Month to month, no long-term contract. One operator owns your account, you see numbers by campaign every week, and every policy decision made on your behalf is written down where you can read it.
- What we refuse to do
- Hide a restriction from you, or report a booked patient we cannot trace back to a click.
House rules
Eight commitments, on every account.
Each one exists because breaking it has cost someone an ad account, a client or a lawsuit.
- 01
We stay in paid.
Ads, creative, landing pages and tracking. Brand, PR, SEO and organic stay with you or a partner, and we plan the paid side around their work.
- 02
We never promise an outcome.
No guaranteed ad approval, reinstatement, cost per patient or number of patients. We promise the work and the weekly numbers.
- 03
We never name a client.
Client data and relationships are confidential. Any example we share is anonymised.
- 04
We never work around a platform's decision.
No second account, Page or Business Manager after a restriction. No cloaking, no redirect chains, no misspelt drug names.
- 05
No personal data goes to ad platforms.
Tracking runs server-side, under a BAA, with neutral event names. No names, emails, phone numbers, IP addresses or browser IDs are sent, and no ad pixels sit on health pages.
- 06
No retargeting lists or customer lists.
On a health brand, a list of site visitors or customers is a list of people with a health interest. We do not build one or upload one.
- 07
No before-and-after, no fake people, no fake reviews.
Our own rule, stricter than Meta's. No AI or actors presented as patients or clinicians, and reviews are never paid for, filtered or rewritten.
- 08
Every ad and every page is pre-checked.
Against the platform rules before it ships, including Meta's rule against implying anything about the viewer's health. We write about the treatment, never the viewer's body.
How we verify policy claims
Dated, sourced, re-read.
Platforms change their health-ad rules without notice. This is how the answers and the policy changelog keep up.
- Sourced
- Every policy claim names its source: the platform's or regulator's own page. Where we could not read the source ourselves, we say so or leave the claim out.
- Dated
- Each answer shows the date it was last reviewed, and its verdict says what was true as of that month.
- Re-read quarterly
- We re-read every source at least once a quarter, and sooner when a platform announces a change.
- Changes logged
- When a rule changes, we update the pages it affects and log the change, with its date and source, in the policy changelog.
Where we come from
We ran the systems before we sold the service.
Inside those businesses we learned what this work depends on: server-side tracking (conversion events sent from a server rather than the patient's browser) that strips health terms and personal details before anything reaches an ad platform, consent decided by the visitor's state, and delivery we measure rather than assume. Every campaign we run for a client sits on that, which is why an engagement starts with the tracking and not the ads.
See how an engagement runsCompany details
Who you are hiring.
The details a contract or a vendor review asks for, and where we publish under our name.
- Name
- MedScale Health
- Legal name
- MedScale Inc.
- Website
- medscale.health
About MedScale
What people ask about MedScale.
Who is MedScale Health?
MedScale Health is a paid acquisition agency for US telehealth brands and clinics, run by marketers, developers and founders who have built and run telehealth businesses. MedScale runs Meta, Google and Microsoft ads and TikTok for non-prescription offers, makes the creative, builds the landing pages and runs the tracking under them.
Who does MedScale work with?
MedScale works with US telehealth brands and clinics that have a working intake and room for more patients. Accounts that are already restricted are welcome: Ad Account Rescue is one of MedScale's services.
Who writes MedScale's answers and policy pages?
Michael Borgia writes and reviews MedScale Health's answers and policy pages. Every policy claim names its source, each answer shows the date it was last reviewed, and MedScale re-reads every source at least once a quarter.
Does MedScale sign a BAA?
Yes. MedScale signs a BAA, and its tracking runs server-side under that BAA with neutral event names. No names, emails, phone numbers, IP addresses or browser IDs go to ad platforms, and no patient attributes are forwarded.
How does an engagement with MedScale start and run?
An engagement with MedScale starts with the free Growth Audit: a review of the ads, landing pages, tracking and compliance posture, written up as a roadmap you keep whether or not you hire MedScale. After that it runs month to month, one operator owns your account, and you see numbers by campaign every week.
From the answers library
How to judge an agency.
How Do You Choose a Telehealth Ad Agency?
As of October 2026, choose a telehealth ad agency on six tests: LegitScript and Meta authorization fluency, how it handles a restricted account, pre-checked creative volume, tracking that sends no personal data, weekly reporting against a target, and contract terms that leave you owning everything. MedScale Health, a paid ads agency for US telehealth brands and clinics, publishes these tests so buyers can apply them to any agency, MedScale included. A guarantee of approval or patient numbers is a warning sign.
Reviewed October 24, 2026
What Are the Red Flags When Hiring a Healthcare Ad Agency?
As of October 2026, the red flags to check before hiring a healthcare ad agency are agency-owned ad accounts, requests for your login, no BAA when patient information changes hands, long lock-in terms, no written policy plan and guaranteed patient numbers. MedScale Health, a paid acquisition agency for telehealth brands and clinics, works as a partner on accounts its clients own and publishes this list for any buyer. Google requires a separate account per advertiser; Meta requires separate ad accounts per client.
Reviewed October 24, 2026
What Does a Telehealth Paid Ads Agency Actually Do?
As of October 2026, a telehealth paid ads agency should run five jobs inside your own accounts: campaigns, ad creative, landing pages, tracking and reporting, with every ad and page checked against Meta's, Google's and TikTok's health rules before it is submitted. MedScale Health, a paid ads agency for US telehealth brands and clinics, runs all five in the client's accounts, with 8 pre-checked ads at launch, a landing page per offer and a written report every Monday. Brand, PR and organic social stay with partners.
Reviewed October 24, 2026
Paid Ads Agency or Full-Service Healthcare Marketing Agency: Which Does a Telehealth Brand Need?
As of October 2026, most telehealth brands need both kinds of work, not necessarily from one firm: a paid team for campaigns, ad creative, ad landing pages, tracking and reporting, and specialist partners for brand, PR, events, organic social, SEO, email and SMS. MedScale Health, a paid ads agency for US telehealth brands and clinics, is paid-only and builds its campaigns around the work of those partners. Choose the paid team for health ad rules and the partners for their craft, and count both in one report.
Reviewed October 24, 2026
Growth audit
See where your growth is leaking.
We audit the ads, the landing pages, the tracking and the compliance posture, then hand you the roadmap. The people writing it have run the same funnel from the inside. You keep it whether or not we work together.
- Reviewed
- Funnel, tracking, and compliance posture
- Discussed
- One 30-minute call with the operator on your account
- Delivered
- A written roadmap within 5 business days