Service
Paid Media Strategy and Reporting
Server-side tracking under a BAA, a Monday report reconciled to your bookings, and a forecast you can budget against.

Where this goes wrong
Most clinics and telehealth brands cannot answer a simple question: what did a new patient cost last week, by campaign? The platform reports one number, the booking tool another, and the gap is filled with guesses. The pixel that should close the gap is often the thing putting the account at risk, because it sends page titles and form fields a health advertiser should never send. Budget decisions get made on instinct and reviewed after the money is spent.
What we do
The work, line by line.
What is included
- Server-side tracking installed and verified with a real test booking
- The Monday report
- Weekly strategy call with a written decisions log
- Monthly forecast and budget plan
- Pre-launch policy check of offers, pages and creative
- Shared Slack channel
How it fits with the rest
- Paid AdsThe forecast sets the budget; the campaigns spend it.
- Healthcare Ad CreativeThe report decides which ads stay and what the next monthly round tests.
- Landing Pages for Healthcare AdsTracking on every page step is what lets the report reach the booking.
- LegitScript CertificationA new prescribing program triggers a certification plan before it triggers an ad.
The report reads the same whichever services you buy, because all of them run on the same server-side tracking. See how the tiers bundle them.
Our commitment
Tracking verified end to end and the first Monday report delivered.
Condition: Access to the site, the booking or checkout tool and the ad accounts, plus one real test booking.
Paid Media Strategy and Reporting questions
What buyers ask before they sign.
What is in the Monday report?
Spend, results and cost per result, by campaign and by location, against the most you have agreed to pay. Week over week and against the forecast. What MedScale changed and why, then one finding and one decision at the bottom. It fits on a page because a report that does not fit on a page does not get read.
What exactly reaches the ad platforms?
A neutral event (Lead, Schedule, CompleteRegistration or Purchase) and the ad click it belongs to, sent server-side under a BAA. No names, emails, phone numbers, IP addresses or browser IDs, no page addresses with a drug or condition in them, and no intake answers.
Do you have to run our ads to do this?
Most clients take it with Paid Ads. On its own, MedScale installs the tracking and runs the report and forecast while your team runs the campaigns. If the numbers show your current setup is doing well, MedScale says so.
How is the forecast built?
From your goal backwards: what a patient or order is worth, the most you will pay for one, and the spend that implies by channel. The inputs are your numbers and the weekly results, so it is a planning tool, not a promise, and it is updated every month.
Why server-side instead of a pixel?
A browser pixel can send page titles, URLs and form fields that tell a platform what condition a patient has. Server-side tracking sends only the events you have agreed to send, with neutral names, and nothing personal.
From the answers library
Answers behind this service.
How Should Telehealth Brands Plan Ad Spend for Black Friday and January?
As of October 2026, telehealth brands should plan for more competition in November and December, keep proven ad sets running without big edits, and run a Black Friday price only if the discount is real and the full price is shown. MedScale Health, a paid acquisition agency for telehealth brands and clinics, paces Q4 against each brand's cost ceiling and gets January creative through review in December. Meta's annual report for 2025 describes historically strong advertiser spending in the fourth quarter.
Reviewed October 24, 2026
What Happens When Meta Restricts a Health Site's Conversions?
As of October 2026, when Meta puts a health site's dataset in its health and wellness category, it may strip custom parameters and URL paths, block certain mid and lower funnel events, or restrict every event. MedScale Health, a paid ads agency for US telehealth brands and clinics, checks that category before choosing each campaign's optimisation event and rebuilds flagged campaigns on custom conversions that name no condition. Custom conversions and audiences that reference a health condition are flagged and can't be used in new campaigns.
Reviewed October 24, 2026
How Should a Telehealth Brand Budget Its First 90 Days of Meta Ads?
As of October 2026, a telehealth brand should budget its first 90 days of Meta ads backwards from cost per order (cost per click divided by the share of visitors who order), then step up about 20% a week only while that cost holds. MedScale Health, a paid ads agency for US telehealth brands and clinics, builds the first 90 days around an agreed ceiling cost per order and treats every number here as a planning assumption, never a forecast. Size each ad set for Meta's learning phase, which Meta says usually ends after about 50 results in a week.
Reviewed October 24, 2026
What Does a Telehealth Growth Audit Include?
As of October 2026, a telehealth growth audit worth reading covers five things: the channels your category can run, every ad and page read against health policy, the patient's conversion path, what your tracking sends to the ad platforms, and a costed 90-day plan. MedScale Health, a paid ads agency for US telehealth brands and clinics, delivers that document in five business days from read-only access. An audit that skips the policy read or the tracking review is a sales call with a PDF attached.
Reviewed October 24, 2026
Should a Telehealth Brand Run Ads In-House or Hire an Agency?
As of October 2026, run telehealth ads in-house when your team already covers five specialist jobs and has the volume to keep them busy, use a freelancer for one defined gap, and hire an agency when several jobs are uncovered at once. MedScale Health, a paid ads agency for US telehealth brands and clinics, lays out what each model has to cover and also works alongside in-house teams that keep some of the jobs. The five jobs are certification and authorization filings, policy review of every ad, steady creative, health-safe tracking and weekly reporting.
Reviewed October 24, 2026
What Does a New Telehealth Patient Cost on Paid Ads, and How Do You Bring It Down?
As of October 2026, a new telehealth patient costs what your own ads prove, since Meta and Google publish no telehealth cost per patient, and it comes down as the offer, page and intake convert better. MedScale Health, a paid acquisition agency for telehealth brands and clinics, plans every launch from the most a brand can afford per patient, not a benchmark. Work out that ceiling from price, margin, months on program, refunds and no-shows, then size the launch budget so one ad set can learn.
Reviewed October 24, 2026
Why Do Telehealth Meta Ads Stall in the Learning Phase?
As of October 2026, telehealth Meta ad sets stall in learning because they can't reach about 50 results in the week after their last significant edit, which Meta says is when ad sets usually leave the learning phase. MedScale Health, a paid ads agency for US telehealth brands and clinics, rebuilds stalled accounts around fewer, better-funded ad sets and an optimisation event the dataset can still send. The usual causes are too many ad sets, frequent edits, a rare optimisation event and, for health sites, events Meta restricts.
Reviewed October 24, 2026
How Many New Ads Should a Telehealth Brand Test Each Month?
As of October 2026, a telehealth brand should launch only as many new ads each month as its spend can judge, because each concept needs enough results to read and Meta says ad sets leave learning after about 50 results in a week. MedScale Health, a paid acquisition agency for telehealth brands and clinics, ships new ads per campaign in planned rounds, at the pace its pricing tier sets, each checked before review. Meta sets no monthly number, and adding an ad restarts learning, which favors one planned batch of distinct concepts over a steady trickle.
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