Questions we always get.

Most clients are live within 14 days. Audit week 1, build week 2, soft launch week 2-3. Hospital-tier engagements typically take 30-45 days because of compliance pre-clearance, multi-stakeholder approval, and HIS integration. We don't accelerate timelines that compromise compliance — the cost of an ASCI takedown or HIPAA violation outweighs the value of a shorter ramp.

3 months on the Practice tier, 6 months on the Hospital tier and 12 months on Enterprise, because healthcare marketing compounds and needs runway. After the minimum, engagements run month to month with 30 days' notice.

We commit to KPIs in writing on Hospital and Enterprise tiers. The structure is hit-the-target-or-reduced-retainer: if 6-month KPIs miss agreed thresholds, retainer is pro-rated until they recover. We don't guarantee specific patient volume increases without a 90-day audit because outcomes vary 3-5× based on case mix, geographic competition, current funnel maturity, and operational capacity. Anyone promising specific numbers without diagnosis is selling.

Yes — medical writers paired with your physicians for review and authorship. PubMed citations, schema-marked, byline-attached. The pairing model works better than physician-as-primary-writer (their time is worth more clinically) or marketer-as-primary-writer (medical credibility suffers). Your physicians spend 30-45 minutes per piece on review + factual approval; the writer handles drafting + research + SEO optimisation.

Engagements start from $1,500/month (₹50,000/month in India) on the Practice tier (3-month minimum) and from $5,000/month (₹1,50,000/month in India) on the Hospital tier (6-month minimum); Enterprise is scoped custom (12-month minimum). Outside India, location pages show these prices in local currency. PPC management is priced on the same tiers; ad spend is paid directly to Google/Meta and isn't part of our fee. Detailed pricing breakdown by service category is on /cost/healthcare-seo-cost, /cost/healthcare-ppc-cost, and /cost/healthcare-website-cost.

Depth beats breadth. Across 350+ healthcare engagements we've built specialty-specific keyword libraries, content templates, GBP optimisation patterns, paid bidding priors, and compliance pre-clearance workflows that generalist agencies can't replicate quickly. The 2024-2026 healthcare marketing landscape rewards specialisation — Google's helpful content updates penalise generic medical content, ASCI/FTC enforcement has tightened, and patient expectations have risen with telehealth normalisation. Generalists are losing budget to specialists across every key metric.

Yes — standard practice. Business Associate Agreements are signed before any PHI is exposed in an engagement. We use BAA-covered analytics vendors, server-side conversion APIs, no PHI in URL parameters, and explicit consent flows on every intake form. The HHS December 2022 guidance on healthcare marketing technology made compliance non-negotiable — practices that try to apply standard ad-tech retargeting to mental health or sensitive condition pages risk HIPAA enforcement action.

Gurugram (HQ — most senior team here), La Mesa CA, Tampa FL. Regional pods in the US (mental health partner network), UAE, Australia, and APAC handle local market execution. Most strategy + senior creative happens in Gurugram with regional pods adding local market knowledge + execution capacity.

Closed-loop CRM-integrated attribution. We track which marketing-driven inquiries become paying patients (not just clicks or form submissions), with patient lifetime value measured at 6/12/24-month windows. Attribution respects HIPAA boundaries — server-side tracking, hashed identifiers, no PHI in third-party tools. Monthly reporting shows cost-per-booked-patient by channel + patient LTV breakdown — not impressions, clicks, or vanity metrics.

You receive a written 90-day execution plan calibrated to your specialty, geographic market, current funnel maturity, and operational capacity. Yours to keep whether you engage us or not. If we're the right fit, we move to formal proposal + statement of work + setup phase. If we're not the right fit, we point you to who is — usually a more specialist or more local partner depending on what your situation calls for. We turn down 30-40% of qualified inquiries.

Yes. Most of our hospital engagements include international medical-tourism intake (Bangladesh, Nepal, GCC, East Africa for India-based hospitals; international cardiac/oncology for tier-1 cancer centres). Multilingual SEO, visa concierge integration, escrow trust mechanics are standard infrastructure for international engagements. The 90-day audit determines whether international intake fits your operational capacity.

AI infrastructure is now table-stakes — AI receptionist for after-hours capture (40-60% of inquiries lost without it), CRM with intent-based routing, automated review acceleration, content generation pipelines with human medical review. We deploy AI on healthcare-specific infrastructure (BAA-covered Anthropic + OpenAI enterprise, or self-hosted Llama/Mistral for hospital-tier scale). Pure AI content without medical review consistently produces ranking demotions in Google's medical query algorithms — we always layer human review on AI generation.

Compliance pre-clearance is built into the launch process, not appended. Every claim, every page, every ad is checked against ASCI guidelines (India), FTC + state medical board (US), MHRA (UK), or relevant regulator before publication. Patient testimonials require documented consent + 'individual results vary' disclosure. Before/after photos require consent + statistical-representativeness language. Drug + device promotion follows Schedule H rules. Our compliance pre-clearance workflow is the operational difference between practices that publish at velocity and practices that get takedown notices.

Senior strategist owns the relationship + monthly business reviews. Specialist team rotates by discipline — SEO lead, paid media lead, content lead, AI engineer, compliance officer, designer. Hospital + Enterprise tiers get a dedicated 4-6 person engagement pod; practice tier shares resources across a portfolio of 5-7 similar practices. No junior account triage on inbound communication — senior team responds to all initial inquiries.

Most practices we work with have some in-house capability. The right model depends on what's missing — if you have a senior in-house lead but lack execution capacity, we augment with specialist execution. If you have execution capacity but lack strategy, we provide senior strategy on retainer. If you have neither, we run the full programme with quarterly business reviews + your team's involvement on clinical content review. Hybrid is the norm for most healthcare practices ₹2-15Cr revenue.