The Angry Biller

Ep 31 - Hyper-Targeted Healthcare Marketing: A Conversation with Seth Turnoff

The Angry Biller Season 2 Episode 31

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Join host Josh Fertel in this insightful episode of The Angry Biller as he sits down with Seth Turnoff, founder of Custom Medical Marketing, to uncover the cutting-edge strategies transforming healthcare marketing. Together, they explore the challenges and inefficiencies of traditional approaches, like SEO and pay-per-click advertising, and reveal how hyper-targeted marketing is driving better results for medical practices.

Seth shares his journey from working in medical billing and denials management to becoming a pioneer in leveraging consumer data for healthcare. With a focus on compliance and precision, Seth’s approach empowers providers to connect directly with ideal patients, boosting practice growth while maintaining ethical advertising standards.

Discover how Seth’s strategies helped one orthopedic practice gain over 600 new patients in just one month, and learn why understanding the patient funnel is critical to success. Whether you're a provider looking to improve your marketing ROI, or simply curious about the innovative tactics shaping the future of healthcare marketing, this episode has something for everyone.

Tune in as Josh and Seth discuss:

  • The challenges healthcare providers face in adapting to the digital marketing landscape.
  • How compliance with advertising regulations shapes modern campaigns.
  • Real-world success stories demonstrating the power of data-driven marketing.
  • Practical tips for improving patient acquisition and optimizing your funnel.

Don’t miss this engaging and informative conversation packed with actionable advice for healthcare providers looking to stand out in today’s competitive market.

Name: Seth Turnoff

Company: Custom Medical Marketing

Website: www.custommedicalmarketing.com

LinkedIn: Seth Turnoff's LinkedIn Profile


THE ANGRY BILLER, powered by J3 Revenue Cycle Management

Phone: (954) 544-2706

Website: https://www.j3rcm.com/

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Production of Podcast: VISUALS BY MOMO

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Welcome to The Angry Biller, a show where we explore

 

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the people in the businesses behind the scenes of health care.

 

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Those men and women that are the catalysts

 

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that allow providers to concentrate

on delivering exceptional patient care.

 

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Welcome to the Anger Builder.

 

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My name is Josh Fertel.

 

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I am your host.

 

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I'm the owner of J3 Medical Billing.

 

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We are live at the Visuals by Momo's

 

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Studios, newly redecorated.

 

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We talk about medical practices.

 

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It's a business.

 

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Any business needs marketing.

 

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Very fortunate.

 

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A new friend of mine, Seth Turnoff, 

is here with me today.

 

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Custom medical marketing

is the name of his company.

 

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And he has a great approach

 

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to, for, surgeons, orthopedics.

 

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You know,

I was saying I call it marketing, but.

 

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But you have said

you have drilled down so much.

 

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I feel like marketing is not giving it

the respect

 

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that it deserves of what you do.

Thank you for that.

 

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You're welcome. So. So thanks for coming

in. To my pleasure.

 

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Thank you for having me.

This beautiful studio. Nice work. Yeah.

 

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I didn't do it.

 

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I mean, you brought me here.

 

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So nice work for that.

 

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I want to hear about everything

that you do.

 

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It's great work that you're doing, but

I always like to start at the beginning.

 

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Just.

 

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So give us your background,

how you got into what you're doing.

 

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What? Maybe something that.

 

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What brought you to health care? 

Sure.

 

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So I started in health care in an area

 

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I don't know if you've heard of it

or even know it exists.

 

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It's called Medical Billing.

 

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I'm not sure if you're familiar, right?

 

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I've heard rumors.

 

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I heard rumors.

 

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So I started in billing. 

Right.

 

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And I was part of a denials management

team.

 

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Okay?

 

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And I, I don't want to say

they threw me to the fire, but,

 

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like, you know,

you got to start somewhere.

 

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And this was kind of, you know,

we had a process

 

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and protocols and, you know, our standard

operating procedure.

 

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And so I, I'm like three months

into this job, right.

 

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And my, my supervisor,

my team, like everyone was really cool

 

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and and knowledgeable and experienced

and was able to hold my hand and,

 

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you know, kind of guide me. 

Gotcha.

 

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And I'm like 90 days in and

 

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just not getting it.

 

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Okay. 

I'm not getting it.

 

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And I would come home from work and

 

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my wife would be like, Seth, what's wrong?

 

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Are you okay?

 

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Like, what's going on?

 

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And I'm like, it doesn't make sense.

 

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None of it makes sense. I don't get it.

 

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You have a denied claim for something

pretty simple.

 

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And you call the payer,

which it's hilarious that we call them

 

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payers, they are processors.

 

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And you call the payer.

 

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You're on hold for 18 minutes,

and then you talk to,

 

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you know, one of their team members.

 

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And if you have to call back

on the same claim.

 

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Right.

 

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You talk to three different people,

you're going to get three different

 

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courses of action on what you should do

to correct a claim and then refile it.

 

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And that's the way it is.

 

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Yeah.

 

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And it's just the whole game is ridiculous. 

Right

 

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The physicians don't win.

 

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The patients certainly don't win.

 

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There's only one winner. 

Right.

 

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We know who that is.

For sure.

 

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So I spent a lot of time

daydreaming at this job.

 

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Because I'm on hold right now, and and,

you know, the whole gives a great.

 

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Yes. Yes.

It's it's a song called Opus one.

 

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Do you know.

Do you know what I'm talking about?

 

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I don't. It goes.

 

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I didn't know it had a name

And it goes .....

 

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...... 

Yes

 

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...... 

See I learn something.

 

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I always learn something from here.

 

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Now I know the name of the hold music.

 

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And, you know, at first

I would get triggered when I heard it.

 

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Now it's kind of like, oh, man.

 

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Yeah, I love this song. Right?

 

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And so while I'm daydreaming,

I'm thinking about these physicians

 

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in these practices who have to work harder

 

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to make

less than they've ever made before.

 

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And so I started,

did a deep dive into marketing

 

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and a couple things that I learned

very quickly.

 

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One, marketing

is not native to health care.

 

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No health care

practices and physicians and services

 

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like they didn't come up

marketing themselves.

 

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So all of this stuff is new to a lot of

the things in marketing for health care.

 

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It's all kind of rooted in these nebulous

 

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KPIs that are confusing and kind of,

you know,

 

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87% increase in traffic

and 22 reduction in digital ad spend.

 

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It's like, right.

 

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This is all sounds great, right?

 

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Show me the bottom.

 

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The bottom line

if you can connect the revenue

 

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generated. Yes.

 

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To the revenue spent

or to the to the money

 

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spent, the budget spent on the marketing.

 

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Now we have something.

 

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So I put my head together

with, two of my partners.

 

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Really smart guys. Okay. And,

 

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I wish we could say we invented this,

 

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but this what we do called

hyper targeted marketing, right?

 

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It's done

widely in real estate, in automotive,

 

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in travel and tourism. Yeah.

 

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So basically

what we do is we leverage consumer data

 

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to identify people most likely to need

 

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this product or service, and then we

communicate directly with them digitally.

 

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Now, when I say directly,

 

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we're not sending them messages about,

you know, something very like creepy.

 

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And and we we show ads, right.

 

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We show ads to a unique audience of people

who possess these attributes

 

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that make up someone who would be an ideal

insert ailment here.

 

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Correct? Correct.

 

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Okay, so let's talk about

the initial contact with the provider.

 

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Now providers,

they are not in the marketing world.

 

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They're barely in the business world

right.

 

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So they need somebody to guide them.

 

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Tell us how that conversation goes.

 

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You have a provider.

 

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He wants to grow his business / her business.

 

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Tell us how that conversation. 

Sure.

 

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So I would diagnose them

just like they would diagnosed me

 

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if the tables were turned. Okay.

 

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We're not your entry level

marketing, program.

 

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Definitely. You know.

 

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We're a little more in hands, and I'm

not saying that because I'm a snob.

 

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That's okay.

 

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I just think that if you're looking

to spend

 

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$300 a month on marketing,

you could do that.

 

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You're not just to do that with us.

 

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Yeah, exactly.

 

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And so I like to take their temperature

in terms of what they know, okay.

 

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What they've tried,

 

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what their frustrations are

and what they're trying to do.

 

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Right.

 

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Do you have the bandwidth

for 150 more patients per month?

 

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Right.

 

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Do you are

you just trying to shift your payer mix

 

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because you're really busy,

but 80% of your patients are Medicare.

 

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Right.

 

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You kind of you want to go after more

commercially insured, patients.

 

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You know, when you're talking

 

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about a business function

in a private practice, right?

 

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Where, you know, most private practices

don't take Medicaid.

 

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They love Medicare

 

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because it pays like clockwork

as long as you have, a qualified biller.

 

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Thank you.

 

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So if you're spending money

 

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on marketing, right, why not be selective

 

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and really zoom in

 

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right on those types of people

you want to treat?

 

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What do you see when you talk

about the spending that they've done

 

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that has not worked for them, that

they've tried to do that has not work?

 

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Sure.

 

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I'm very empathetic.

 

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Okay.

 

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I don't

I don't want anybody to waste their money.

 

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Right. Sure. Sometimes you like.

 

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I hate to say this.

 

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I would never tell this to,

someone I've talked to, but, like,

 

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lessons are expensive, and and,

you know, we've all had lessons.

 

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The most expensive lesson

is one that you don't learn,

 

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and you keep trying to do the same thing

over and over, and it's just not working,

 

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and you're not even iterating

and you're not right.

 

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So, look, I like to break it down

and pull it apart, gently,

 

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just to kind of understand what they were

spending, what they were doing.

 

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Show me these ads. Where were they?

 

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Being placed?

 

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What were your channels you were using,

 

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and what were the KPIs

from those campaigns like?

 

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Were these ads being seen

or were you getting

 

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so a lot of what

 

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many smaller groups are doing is SEO

and you have to do SEO.

 

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It's it's kind of not a, oh,

we can call it like a strategy.

 

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I would call it a requirement.

Yeah. Right.

 

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Because, you know,

 

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what happens if someone searches

you want to be able to show up there.

 

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You have to but it has to be done right.

 

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And you could easily burn

thousands of dollars

 

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trying to get it right,

and you'll never know,

 

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because it's really tough

to track attribution on SEO.

 

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Pay per click.

 

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It's so easy.

 

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It's so easy to do.

 

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But here's the thing Google doesn't care

 

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that there's 450 advertisers

in your market

 

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willing to pay for the same keywords

that you are correct.

 

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They'll take your money and they'll put.

 

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So what happens is in a pay

per click environment,

 

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someone searches for a keyword, 84

 

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results come up that are near them right?

 

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That service now becomes a commodity.

 

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You, the advertiser

who wants to show up there?

 

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Yes, you are not special.

 

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Yes. You have not risen above.

 

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You have not shown them that you are

the one.

 

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You are just caught in the middle

with everybody else, right?

 

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So that means that

if they do click your ad,

 

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that experience needs to be so great

 

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that when they click or call that,

that person hangs up the phone.

 

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Excited to come in

for this consult, right?

 

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Because if not, you're going to have a

no show because something

 

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they're not bought into you

as a solution. Yes.

 

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So our process when we can our

our program is totally search-less

 

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meaning the ads

that we put in front of our audiences.

 

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Nobody searches for anything.

 

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The ads just appear in the places

they already go, their social channels

 

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in, in the sites

they already go to as banner ads.

 

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So when they click on that,

they weren't really searching for it.

 

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But a click means relevancy, right?

 

00:10:17:22 - 00:10:21:12

So the ad speaks to them and we take that

as someone raising their hand

 

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saying, this is

this is relevant to me. Yes.

 

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So then it's just a matter of staying

in front of them in a compliant way. Yes.

 

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To get

them to buy into you as the solution.

 

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So when you can set yourself apart and,

 

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like, rise above the noise of everybody

trying to be found.

 

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Yes. It's, it's a little more,

I don't want to say aggressive.

 

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You're just being a little more proactive.

You'll be a more pro.

 

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We we do the finding, right?

 

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You're gonna

 

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you're going to be in front of these

people who you want to meet and treat.

 

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Correct. You said the word compliant.

 

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So what would be compliant

as compared to non-compliant? Sure.

 

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What you're. Doing.

 

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So, so there's just been some updates

to Meta's platform

 

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in terms of health care advertising

and what advertisers can and can't do.

 

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And it makes sense.

 

00:11:06:19 - 00:11:09:19

So you cannot,

 

00:11:10:02 - 00:11:15:00

use any PHI, 

personal health information in marketing.

 

00:11:15:00 - 00:11:19:16

We do not use CPT codes, DX codes

or prescriptions.

 

00:11:19:19 - 00:11:21:09

That's a big no no, right.

 

00:11:21:09 - 00:11:26:09

You can't

you can't put forth a promise of a cure.

 

00:11:26:19 - 00:11:27:14

Okay. Right.

 

00:11:27:14 - 00:11:30:19

You have to be very

specific on what this is.

 

00:11:32:01 - 00:11:34:10

And you can't

 

00:11:34:10 - 00:11:39:00

use pixels to follow strangers around.

 

00:11:39:00 - 00:11:44:08

Meaning if someone comes to your website

for, medical services, yes.

 

00:11:44:13 - 00:11:49:19

You can't pop a pixel on their device and

then follow them around for retargeting.

 

00:11:49:22 - 00:11:52:22

Right.

That is not compliant. Interesting.

 

00:11:53:02 - 00:11:56:16

So we the way that we get around this

 

00:11:57:00 - 00:12:00:13

in a comply a ways that everyone in

our audience has opted in,

 

00:12:01:03 - 00:12:03:14

we have opt in from 250 million

 

00:12:03:14 - 00:12:06:14

people in a country

from a consumer standpoint.

 

00:12:06:16 - 00:12:12:14

So whereas we're not using those,

the PHI.  Right.  We're using opted in,

 

00:12:13:04 - 00:12:16:10

permission

based information that each person

 

00:12:16:10 - 00:12:20:06

has given us into insights into lives,

not so much

 

00:12:20:06 - 00:12:23:06

like I have,

 

00:12:23:12 - 00:12:26:12

a kidney issue and I'm on dialysis,

but things like,

 

00:12:27:14 - 00:12:29:14

I'm a runner, 

Right.

 

00:12:29:14 - 00:12:32:08

I'm over 50. 

Right.  I bought a knee brace.

 

00:12:34:02 - 00:12:36:13

So. And I have a peloton app.

 

00:12:36:13 - 00:12:37:23

Right. Interesting

 

00:12:37:23 - 00:12:41:02

So if you put something

that's arthritis related in

 

00:12:41:02 - 00:12:44:02

front of or knee pain related,

we don't know.

 

00:12:44:06 - 00:12:46:00

Right. But it's possible.

 

00:12:46:00 - 00:12:48:20

And if they click it now,

they're in the environment.

 

00:12:48:20 - 00:12:52:01

Now they can learn about the service and

and they can determine whether or not

 

00:12:52:06 - 00:12:55:06

their pain is something that they're ready

to take action on right now.

 

00:12:55:18 - 00:12:57:00

I love it, I love it.

 

00:12:57:00 - 00:12:59:05

Let's, let's take a break. Take a couple minutes here.

 

00:12:59:05 - 00:12:59:20

I want to come back

 

00:12:59:20 - 00:13:02:22

and get a little more specific

as to who your great clients are.

 

00:13:02:22 - 00:13:04:20

I love it. Thanks.

 

00:13:04:20 - 00:13:07:16

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00:13:37:15 - 00:13:38:18

Your Story, Our Passion!

 

00:13:38:18 - 00:13:41:01

Hi. Welcome back with Seth Turnoff

 

00:13:41:01 - 00:13:42:10

Custom Medical Marketing.

 

00:13:43:20 - 00:13:46:20

So far, everything you've told me to me

is just gold.

 

00:13:46:23 - 00:13:51:07

When you know your ad spend can be

so targeted

 

00:13:51:13 - 00:13:54:13

to what it is

that the patients that you are seeking

 

00:13:54:18 - 00:13:57:20

it, you know, it's game

changer as compared to pay per click.

 

00:13:57:20 - 00:13:59:07

Because I hate pay per click.

 

00:13:59:07 - 00:14:02:07

You know that to me it's burning money.

 

00:14:02:19 - 00:14:05:02

So your clients,

 

00:14:05:02 - 00:14:09:11

the specialties that they're in, tell me,

what what's your bread and butter?

 

00:14:09:11 - 00:14:10:23

Sure. Orthopedics.

 

00:14:10:23 - 00:14:15:04

We started in orthopedics,

and we know these audiences very well.

 

00:14:15:04 - 00:14:19:09

Every subspecialty within orthopedics

we have run audiences for.

 

00:14:19:09 - 00:14:21:19

And we know how they respond. 

For example.

 

00:14:21:19 - 00:14:25:04

For example, Ortho Biologics,

pediatric, Ortho Spine,

 

00:14:25:04 - 00:14:28:04

foot and ankle, hips and knees,

 

00:14:28:05 - 00:14:29:10

shoulders.

 

00:14:29:10 - 00:14:32:09

We just did a shoulder campaign one month.

 

00:14:32:14 - 00:14:35:02

The audience was, a little over

half a million people.

 

00:14:35:02 - 00:14:35:10

Okay.

 

00:14:35:10 - 00:14:38:10

The people in this audience are,

active lifestyles.

 

00:14:38:14 - 00:14:39:03

Okay.

 

00:14:39:03 - 00:14:43:09

Everybody has, over

$50,000 household income, which gives us

 

00:14:44:01 - 00:14:47:19

the inference that there's

commercial insurance in the household.

 

00:14:47:20 - 00:14:49:06

Okay. These people also,

 

00:14:50:06 - 00:14:54:22

are employed in, more blue collar areas.

 

00:14:54:22 - 00:14:55:13

Okay.

 

00:14:55:13 - 00:14:57:19

Automotive,

 

00:14:57:19 - 00:14:59:17

mechanics,

 

00:14:59:17 - 00:15:01:19

landscapers,

 

00:15:01:19 - 00:15:03:19

manufacturing agriculture.

 

00:15:03:19 - 00:15:05:04

So these are people with movement.

 

00:15:05:04 - 00:15:09:00

So, a one month campaign

for one of our clients.

 

00:15:10:05 - 00:15:14:11

They saw over 3000 patients

who are in the campaign.

 

00:15:14:20 - 00:15:16:06

But I want to be real clear.

 

00:15:16:06 - 00:15:19:01

I'll give you the details.

Don't get too excited.

 

00:15:19:01 - 00:15:20:13

No, no, I love the success stories.

 

00:15:20:13 - 00:15:24:18

Like 626 of them

were net new to the clinic.

 

00:15:24:18 - 00:15:26:10

So wow.

 

00:15:26:10 - 00:15:29:10

A couple things to note about this client.

 

00:15:29:12 - 00:15:32:10

They have been in their community for I think 17 years

Right

 

00:15:32:10 - 00:15:35:10

They have treated multiple generations

of these families. Yes.

 

00:15:36:03 - 00:15:39:16

They're very involved in the sports teams

and the schools.

 

00:15:40:15 - 00:15:46:01

They have an exceptional process

for sales and sales ops.

 

00:15:46:06 - 00:15:46:13

Right.

 

00:15:46:13 - 00:15:49:07

Meaning like we are top of funnel

Right.   Right.

 

00:15:49:07 - 00:15:51:20

That is that is half of the pie

Right

 

00:15:53:00 - 00:15:54:04

The other half of the pie

 

00:15:54:04 - 00:15:57:04

is if the organization can convert

 

00:15:57:04 - 00:16:01:01

our traffic interested people

right into actual patients.

 

00:16:01:01 - 00:16:03:12

Because if you can't do that,

if there's holes in your funnel,

 

00:16:03:12 - 00:16:06:14

right, you're wasting every single dollar

you spend on on trying to get people

 

00:16:06:14 - 00:16:07:07

to notice you.

 

00:16:07:07 - 00:16:08:09

It's all for nothing.

 

00:16:08:09 - 00:16:10:10

Okay. So,

 

00:16:10:10 - 00:16:12:07

so they're really good at what they do.

 

00:16:12:07 - 00:16:14:08

We're not introducing anything

to this audience.

 

00:16:14:08 - 00:16:17:09

It's just a matter of getting to people

when they need it.

 

00:16:17:16 - 00:16:21:06

And they were very,

very pleased with the results.

 

00:16:21:10 - 00:16:23:14

So, shoulders, hands.

 

00:16:23:14 - 00:16:26:01

What was another one that,

 

00:16:26:01 - 00:16:28:08

and they opened some new,

new practices as well.

 

00:16:28:08 - 00:16:30:15

So we did some like

welcome to the neighborhood stuff.

 

00:16:30:15 - 00:16:32:09

Just to a general orthopedic audience.

 

00:16:32:09 - 00:16:35:09

Also, cardiovascular practices.

 

00:16:35:17 - 00:16:39:09

We've run two separate audiences

for cardiovascular clinics.

 

00:16:39:19 - 00:16:40:17

One is a

 

00:16:42:05 - 00:16:44:09

reactive health audience.

 

00:16:44:09 - 00:16:47:13

This is people

who are more sedentary lifestyles.

 

00:16:48:01 - 00:16:50:21

Maybe our dieters have weight issues.

Okay.

 

00:16:50:21 - 00:16:53:22

Maybe higher BMI fast food enthusiasts.

 

00:16:53:22 - 00:16:54:22

Right.

 

00:16:54:22 - 00:16:58:08

And these people are triggered

by possibly an event,

 

00:16:59:02 - 00:17:03:08

that is forcing them to seek cardiac care

or a loving

 

00:17:03:08 - 00:17:07:11

slash nagging spouse

who is trying to get them to seek care.

 

00:17:07:12 - 00:17:10:12

And the alternative

audience is a more proactive,

 

00:17:10:20 - 00:17:14:06

cardiac care, patient who is fit.

 

00:17:14:11 - 00:17:16:12

They take care of their cardiac,

 

00:17:16:12 - 00:17:18:12

they understand

they probably have a blood pressure

 

00:17:18:12 - 00:17:21:02

monitor at home, and they check it

and they keep up with it.

 

00:17:21:02 - 00:17:24:05

So this is just kind

of a maintenance type of approach,

 

00:17:24:14 - 00:17:27:11

letting these people know

that this, clinic is here,

 

00:17:27:11 - 00:17:30:06

right in your neighborhood,

and we're your home for heart care.

 

00:17:30:06 - 00:17:31:10

Kind of, kind of a thing.

 

00:17:31:10 - 00:17:35:00

So, getting real granular

with who we're trying to talk to is,

 

00:17:35:02 - 00:17:36:10

is the name of the game with.

 

00:17:36:10 - 00:17:38:16

It is. And that's, that's

that's where you shine.

 

00:17:38:16 - 00:17:40:22

So I have to so I have two questions.

 

00:17:40:22 - 00:17:44:01

The 626 additional patients,

 

00:17:45:02 - 00:17:47:13

did they know that it was their clinic

 

00:17:47:13 - 00:17:50:18

that was in their neighborhood

when they first engaged?

 

00:17:52:00 - 00:17:56:07

I don't know, because all we know

is that they were in our audience.

 

00:17:56:07 - 00:17:57:10

Right.

 

00:17:57:10 - 00:18:00:11

And they showed up at the clinic

for a consult within that month

 

00:18:00:11 - 00:18:02:08

that we were running the campaign. Okay.

 

00:18:02:08 - 00:18:04:23

So in terms of the granular

 

00:18:04:23 - 00:18:07:17

actual patient journey. 

Right.

 

00:18:07:17 - 00:18:08:22

We don't have that data.

 

00:18:08:22 - 00:18:14:22

And also we don't know

whether they saw their billboard,

 

00:18:15:01 - 00:18:17:18

whether they heard the radio spot,

whether they saw a print ad.

 

00:18:17:18 - 00:18:21:00

And so it's taking a look at the,

the marketing mix.

 

00:18:21:01 - 00:18:22:16

Right, as, like as a whole.

 

00:18:22:16 - 00:18:24:17

And we're not just an end all be all.

 

00:18:24:17 - 00:18:26:12

And I would never say nope.

This is our pet.

 

00:18:26:12 - 00:18:30:11

We are responsible because we can't prove

that all we know is what we know.

 

00:18:30:11 - 00:18:32:10

And that's that. They were in our campaign

and they showed up.

 

00:18:32:10 - 00:18:34:19

But I would imagine a number like that

that's in the hundreds.

 

00:18:34:19 - 00:18:35:22

There's a spike right?

 

00:18:35:22 - 00:18:38:22

It was a spike at some over

the course of this time.

 

00:18:39:01 - 00:18:41:12

Oh yeah. Well,

especially for this service line. Right.

 

00:18:41:12 - 00:18:44:15

Any time we run a new campaign

for that service line. Yes.

 

00:18:44:16 - 00:18:46:19

It always spikes. Sure.

 

00:18:46:19 - 00:18:49:03

You said so. You're the top of the funnel.

 

00:18:49:03 - 00:18:49:11

Okay.

 

00:18:49:11 - 00:18:52:11

And then the closing

really has to be done.

 

00:18:52:19 - 00:18:56:05

Do you get involved in that as far

as training or work tracks or things.

 

00:18:56:05 - 00:18:59:04

So we've never actively consulted

in that realm.

 

00:18:59:04 - 00:19:03:17

But we have like

we have the data on our program,

 

00:19:03:22 - 00:19:07:02

meaning how many impressions

we serve to this audience,

 

00:19:08:01 - 00:19:11:01

across the

channels that we're using, the platforms,

 

00:19:11:09 - 00:19:16:00

which like device has a higher open

rate for,

 

00:19:16:01 - 00:19:19:22

you know, or click rate

for a different ad, dimension.

 

00:19:20:14 - 00:19:23:14

So we have all this data

and we know how many times people click

 

00:19:23:23 - 00:19:25:16

and which ad they click.

 

00:19:25:16 - 00:19:29:10

So we know the front end, right.

 

00:19:29:23 - 00:19:32:03

If there's a lot of action

on the front end.

 

00:19:32:03 - 00:19:32:12

Right.

 

00:19:32:12 - 00:19:35:06

But there's not a lot of action

on the back end okay.

 

00:19:35:06 - 00:19:38:10

There's a there's a problem

somewhere in that funnel.

 

00:19:38:11 - 00:19:41:17

So if we have movement on the front,

but it's not translating to sales.

 

00:19:41:17 - 00:19:44:09

Well let's take a look at

are you recording your calls.

 

00:19:44:09 - 00:19:47:08

Well you should take a look at some of

those calls and see how they're doing.

 

00:19:47:08 - 00:19:50:00

What is the call time.

 

00:19:50:00 - 00:19:52:08

What is the.

 

00:19:52:08 - 00:19:55:22

I did an exercise for one of our clients

where I basically secret

 

00:19:55:22 - 00:19:59:13

shopped them on a few of their competitors

along the market.

 

00:19:59:13 - 00:20:02:15

Right. And and I looked at things like,

 

00:20:04:06 - 00:20:07:08

how long did it take for a human

to get on the phone?

 

00:20:07:08 - 00:20:07:20

Right.

 

00:20:07:20 - 00:20:09:03

And so here's the thing.

 

00:20:09:03 - 00:20:14:15

I played, a prospective patient

with slight knee pain.

 

00:20:14:15 - 00:20:15:10

Right.

 

00:20:15:10 - 00:20:19:14

It's not that bad that I need something

done now, but I don't know that it's going

 

00:20:19:14 - 00:20:22:14

to get much better, because knee pain

usually doesn't get better on its own.

 

00:20:22:15 - 00:20:22:21

Right.

 

00:20:22:21 - 00:20:25:01

And I'm just exploring my options.

 

00:20:25:01 - 00:20:27:10

So my questions were,

 

00:20:27:10 - 00:20:29:15

who would be the specialist

that I would see?

 

00:20:29:15 - 00:20:30:00

Right?

 

00:20:30:00 - 00:20:32:16

And when can I get an appointment

with them?

 

00:20:32:16 - 00:20:33:09

Okay.

 

00:20:33:09 - 00:20:36:09

And then the other data

I was collecting was,

 

00:20:36:18 - 00:20:38:19

what's the IVR experience like?

 

00:20:38:19 - 00:20:42:19

Is it six minutes of them telling me

that my time is valuable, right.

 

00:20:43:00 - 00:20:44:06

You'll be with me right away?

 

00:20:44:06 - 00:20:46:14

Yes, because you could tell me

that all day long.

 

00:20:46:14 - 00:20:49:00

But if I'm still on hold

after five minutes, like,

 

00:20:49:00 - 00:20:51:19

just trying to talk to

someone like you can hang up words.

 

00:20:51:19 - 00:20:53:18

They're just words

Right.

 

00:20:53:18 - 00:20:56:18

And what was the call

like when they did pick up the phone?

 

00:20:57:01 - 00:21:02:02

Was there any type of compassion

or empathy to me?

 

00:21:02:02 - 00:21:03:21

Were they listening to me

 

00:21:03:21 - 00:21:07:04

and or were they just trying

to get my name and, and date of birth

 

00:21:07:04 - 00:21:09:05

so they can put me in the system

and check something out?

 

00:21:09:05 - 00:21:09:11

Right.

 

00:21:09:11 - 00:21:11:07

Is this a person

on the other end of the phone

 

00:21:11:07 - 00:21:15:10

who also does insurance verifications

and gets involved with some light billing?

 

00:21:15:13 - 00:21:18:12

Or, someone who's on your front desk,

who does scheduling

 

00:21:18:12 - 00:21:20:13

and does a little bit of this,

little bit of that. Right.

 

00:21:20:13 - 00:21:24:12

And you have to also have them do sales

and also make some phone calls,

 

00:21:24:16 - 00:21:25:21

preorder stuff. It's like

 

00:21:26:23 - 00:21:27:21

and I get it,

 

00:21:27:21 - 00:21:30:14

everybody in private practice

health care wears multiple hats.

 

00:21:30:14 - 00:21:31:22

Right.

 

00:21:31:22 - 00:21:35:19

But if if your patients

are your capital right.

 

00:21:36:00 - 00:21:38:22

And the process for acquiring

 

00:21:38:22 - 00:21:42:22

your patients is broken, right,

you're going to have a problem.

 

00:21:43:00 - 00:21:44:00

Right.

 

00:21:44:00 - 00:21:48:00

But I like the value

add that you're bringing us to okay.

 

00:21:48:15 - 00:21:50:13

Here's we're finding an issue.

 

00:21:50:13 - 00:21:51:15

Let's get this fixed.

 

00:21:51:15 - 00:21:53:20

The best way we can coach you to do that

 

00:21:53:20 - 00:21:56:13

as compared to saying, okay,

we did our job right.

 

00:21:56:13 - 00:21:58:03

And, you know, see.

 

00:21:58:03 - 00:22:00:05

If our clients don't win,

we don't win. Right.

 

00:22:00:05 - 00:22:02:20

So and I know you take the same approach

with your clients.

 

00:22:02:20 - 00:22:06:01

Like if there's a problem,

if there's an issue that we need to solve.

 

00:22:06:06 - 00:22:08:18

All right, let's work

together to figure out the best way.

 

00:22:08:18 - 00:22:09:21

What, like what's going on?

 

00:22:09:21 - 00:22:11:13

If we can identify the problem,

 

00:22:11:13 - 00:22:13:19

there's always going to be a way

that we can fix it.

 

00:22:13:19 - 00:22:16:22

It might not be

is as easy as just implementing one thing.

 

00:22:16:22 - 00:22:20:15

We might need to try a few things,

but if we go at it together right,

 

00:22:21:03 - 00:22:23:20

the odds of us getting it done

are much greater.

 

00:22:23:20 - 00:22:27:14

I notice sometimes

when I see the ads that you're

 

00:22:27:18 - 00:22:31:08

you're putting on, you cap the age at 64.

 

00:22:32:09 - 00:22:35:09

So you're

not looking for Medicare patients.

 

00:22:35:14 - 00:22:37:23

Sometimes we are. Okay. But why?

 

00:22:37:23 - 00:22:39:03

Why do you do that?

 

00:22:39:03 - 00:22:40:07

Why is that the target?

 

00:22:40:07 - 00:22:43:12

So we launched a new program recently.

 

00:22:43:12 - 00:22:45:18

It's called CMM direct. Okay. Okay.

 

00:22:45:18 - 00:22:48:14

We listen perfect.

We listen to our prospects. Right.

 

00:22:48:14 - 00:22:51:16

And our pricing for our program.

 

00:22:51:21 - 00:22:55:12

We're usually price

to drive or communicate

 

00:22:55:12 - 00:22:58:12

with a lot of people in an area.

 

00:22:58:12 - 00:22:59:17

Hundreds of thousands of people.

 

00:22:59:17 - 00:23:01:18

Right. Got it.

 

00:23:01:18 - 00:23:05:14

So what we learned quickly

was that individual specialists

 

00:23:06:00 - 00:23:09:00

or one surgeon,

 

00:23:09:11 - 00:23:10:20

they're not looking for that.

 

00:23:10:20 - 00:23:13:04

They want to see a lift. Right.

 

00:23:13:04 - 00:23:17:16

But they typically want a more narrower

scope of patient.

 

00:23:17:16 - 00:23:18:07

Okay.

 

00:23:18:07 - 00:23:21:19

So if we are going to,

you know, dial in our laser, right.

 

00:23:21:19 - 00:23:25:18

And really get, get and niche down

right more times than not,

 

00:23:26:07 - 00:23:29:15

our clinics,

our clients, our prospects want

 

00:23:30:14 - 00:23:31:00

to see

 

00:23:31:00 - 00:23:34:18

patients that will generate more revenue

for them. No.

 

00:23:34:18 - 00:23:38:01

That's because as a business function,

you know, look again

 

00:23:38:09 - 00:23:41:09

Medicare is great, right?

 

00:23:41:19 - 00:23:43:12

But if your payer mix is off,

 

00:23:43:12 - 00:23:47:05

if you're seeing more than 65% of patients

 

00:23:47:05 - 00:23:50:05

in one payer segment, right,

 

00:23:51:18 - 00:23:52:21

there could be some challenges.

 

00:23:52:21 - 00:23:54:07

I'm not I'm not going alarmist.

 

00:23:54:07 - 00:23:56:11

I don't want to say, like,

you need to fix this system.

 

00:23:56:11 - 00:23:59:19

Like it's not like that,

but you get more negotiation.

 

00:23:59:19 - 00:24:02:08

Wait, if you're evenly spread.

 

00:24:02:08 - 00:24:07:16

Right, you can take advantage of savings

on the contracting side.

 

00:24:08:04 - 00:24:11:14

And I think it's just a, a sign of,

 

00:24:12:12 - 00:24:15:12

I want to say healthier.

 

00:24:16:17 - 00:24:17:12

It's a business

 

00:24:17:12 - 00:24:22:10

better poised for growth, right,

than if it's out of scale.

 

00:24:22:12 - 00:24:24:00

I totally get it.

 

00:24:24:00 - 00:24:25:06

That's a great answer.

 

00:24:25:06 - 00:24:27:04

It's a business decision. Right?

 

00:24:27:04 - 00:24:30:21

It's a 100% because at the end of the day,

I wish health care wasn't a business.

 

00:24:31:01 - 00:24:33:14

I really wish it wasn’t right.

You were saying.

 

00:24:33:14 - 00:24:36:18

I wish that you would be out of a job

and I would be out of a job, too.

 

00:24:38:04 - 00:24:38:17

But it's not.

 

00:24:38:17 - 00:24:41:10

And we're here. I that's

that's a great answer.

 

00:24:41:10 - 00:24:44:20

You know, I knew there was a reason,

you know, and that's why I asked.

 

00:24:45:03 - 00:24:48:18

But the fact of the matter is that,

you know, you're spending money

 

00:24:48:18 - 00:24:50:18

on advertising.

 

00:24:50:18 - 00:24:53:10

You want to get the return

maximized, right?

 

00:24:53:10 - 00:24:54:21

You have to maximize the return. Exactly.

 

00:24:54:21 - 00:24:56:18

And that happens on commercial payers.

 

00:24:56:18 - 00:24:57:02

Sure.

 

00:24:57:02 - 00:25:01:01

And one of the so the reason that we

we started this program is twofold.

 

00:25:01:05 - 00:25:05:00

One, for those groups that are it's

just that

 

00:25:05:00 - 00:25:08:14

they need to get their payer mix

a little more, in check.

 

00:25:09:05 - 00:25:11:21

A pretty big, clinic.

 

00:25:11:21 - 00:25:14:21

They, I think it was 75% Medicare.

 

00:25:15:03 - 00:25:16:10

Okay. That's great. 

Right

 

00:25:16:10 - 00:25:19:10

They were aware of it,

so they didn't know what to do.

 

00:25:19:10 - 00:25:22:19

And I said, here's what we can do. 

Right

 

00:25:22:19 - 00:25:28:09

And their response was, we can do that,

I said, yes, yes, we can do that.

 

00:25:28:18 - 00:25:31:08

So that's, reason number one.

 

00:25:31:08 - 00:25:33:23

Reason number two is let's say you are

 

00:25:35:05 - 00:25:36:04

a highly

 

00:25:36:04 - 00:25:39:13

trained, skilled surgeon,

but you're only a year

 

00:25:39:13 - 00:25:42:00

or two out of fellowship

and you're new to your clinic.

 

00:25:42:00 - 00:25:42:10

Okay. Right.

 

00:25:42:10 - 00:25:45:16

So private practice and you

 

00:25:46:23 - 00:25:50:21

are seeing patients, but you're seeing

who they're giving you, right?

 

00:25:50:21 - 00:25:53:08

You don't yet have a seat at the table.

 

00:25:53:08 - 00:25:57:07

You're not quite seeing

that marketing budget love from them

 

00:25:57:07 - 00:25:59:07

in order to grow your business.

 

00:25:59:07 - 00:26:04:02

So I call these surgeons

who are well known in the community.

 

00:26:04:08 - 00:26:04:16

Right.

 

00:26:04:16 - 00:26:07:04

These docs that that are just

they're hot shots.

 

00:26:07:04 - 00:26:08:22

They've been doing it

for, you know, forever.

 

00:26:08:22 - 00:26:10:07

And everybody knows who they are.

 

00:26:10:07 - 00:26:11:22

These are the cornerstone surgeons

Right

 

00:26:11:22 - 00:26:14:22

You could be an incredible surgeon.

 

00:26:14:22 - 00:26:16:09

Right

 

00:26:16:09 - 00:26:18:22

But you're just not known 

Right

 

00:26:18:22 - 00:26:21:13

So how do you compete

with the cornerstones?

 

00:26:21:13 - 00:26:21:22

Right.

 

00:26:21:22 - 00:26:27:18

You need a highly targeted, direct way

to put you in front of the people

 

00:26:27:18 - 00:26:31:01

most likely to need your services,

whether they need your services

 

00:26:31:01 - 00:26:34:04

in two weeks, two months or two years,

you need to be known

 

00:26:34:04 - 00:26:38:11

because your lack of awareness

will keep you seeing the scraps.

 

00:26:38:11 - 00:26:41:09

That's right. Exactly.

Give me your best success story.

 

00:26:43:19 - 00:26:45:12

There's a couple of them.

 

00:26:45:12 - 00:26:48:02

Yeah, okay, I'll take two.

 

00:26:48:02 - 00:26:49:09

I think this year.

 

00:26:49:09 - 00:26:52:21

So one of our clients

who we've been running campaigns for,

 

00:26:54:15 - 00:26:57:04

all year long,

we've run about two campaigns per month

 

00:26:57:04 - 00:27:01:00

with this group, and we usually have

a static total joint campaign.

 

00:27:01:03 - 00:27:01:11

Okay.

 

00:27:01:11 - 00:27:05:16

But and then we layer in two months

of spine, two months of financial.

 

00:27:06:05 - 00:27:07:20

Because doing a one off

 

00:27:07:20 - 00:27:11:11

campaign for one month, you really can't

get the penetration right.

 

00:27:11:19 - 00:27:15:06

But they've proven that

they have the branding, they have the, the

 

00:27:16:02 - 00:27:20:05

the awareness, the brand awareness in

their community, okay, that they can okay.

 

00:27:20:05 - 00:27:24:12

So this year,

I think the last time I checked,

 

00:27:26:04 - 00:27:28:09

they've seen

 

00:27:28:09 - 00:27:33:16

I think it was about 3400

net new patients this year.

 

00:27:33:16 - 00:27:35:06

And that's 20%.

 

00:27:35:06 - 00:27:38:13

So their net new is 20%, 21%

 

00:27:38:20 - 00:27:43:04

of the total patients that are that are,

our program is driven

 

00:27:43:12 - 00:27:47:05

and this client is they're

very much concerned with the net new.

 

00:27:47:05 - 00:27:49:23

That's their primary KPI.

Sure makes. Sense.

 

00:27:49:23 - 00:27:51:20

Just from a lifetime

value of a patient. Right.

 

00:27:51:20 - 00:27:53:20

And they're really good at follow-ups 

 

00:27:53:20 - 00:27:57:03

are really good a patient engagement

once they're in the clinic.

 

00:27:57:04 - 00:27:59:17

Right. That's another thing

that we don't have anything to do with.

 

00:27:59:17 - 00:28:00:00

Right.

 

00:28:00:00 - 00:28:05:01

Is just

how do you maintain not just satisfaction.

 

00:28:05:01 - 00:28:06:20

Right. But the experience. Right.

 

00:28:06:20 - 00:28:09:20

And let them know that, look,

we do other things and we're here

 

00:28:09:21 - 00:28:13:16

and, you know,

and it's like if if someone is,

 

00:28:15:20 - 00:28:18:17

if someone's in pain,

 

00:28:18:17 - 00:28:20:21

it's not a question

of where they're going to go

 

00:28:20:21 - 00:28:23:19

if they already went somewhere

that can help them. Right.

 

00:28:23:19 - 00:28:25:13

And they had a great experience. Right.

 

00:28:25:13 - 00:28:29:00

They still might go back if they had

a terrible experience because, you know,

 

00:28:30:20 - 00:28:31:19

people are funny.

 

00:28:31:19 - 00:28:33:19

Yeah, right. People are funny.

They don't like new.

 

00:28:33:19 - 00:28:36:14

We don't like change. Right.

And they already have all my information.

 

00:28:36:14 - 00:28:38:11

It's like, is it

was that really not that hard?

 

00:28:38:11 - 00:28:41:09

Well, for some people it is. And,

 

00:28:41:09 - 00:28:44:09

but I think that what we do is so unique

 

00:28:44:14 - 00:28:47:14

is, that it's weird

 

00:28:47:21 - 00:28:51:14

to think that I'm sure there's groups

out there that that do what we do.

 

00:28:51:22 - 00:28:54:01

I don't know that they do it on the scale

that we do

 

00:28:54:01 - 00:28:58:05

in terms of having private practices

be our focus.

 

00:28:58:05 - 00:29:00:03

Right.  Right. 

Systems. Yeah.

 

00:29:00:03 - 00:29:03:19

Big systems with big budgets and

you know, a lot of numbers.

 

00:29:04:07 - 00:29:06:21

Sure. They have enhanced yeah.

 

00:29:06:21 - 00:29:09:09

Intelligence systems. Sure, sure.

 

00:29:09:09 - 00:29:11:16

How does somebody get in touch with you?

 

00:29:13:02 - 00:29:16:14

They can send up the mustache bat signal,

Just kidding.

 

00:29:16:14 - 00:29:17:16

Wouldn't that be cool?

 

00:29:17:16 - 00:29:19:19

We should work on that.

 

00:29:19:19 - 00:29:20:17

My LinkedIn.

 

00:29:20:17 - 00:29:22:10

Okay. My name is Seth Turnoff.

 

00:29:22:10 - 00:29:26:05

Okay, and they can search me there,

or they can hit me up on our website.

 

00:29:26:05 - 00:29:29:22

It's, custommedicalmarketing.com,

all spelled out?

 

00:29:29:22 - 00:29:32:09

All spelled out. 

Okay. Very good.

 

00:29:32:09 - 00:29:33:06

I have this question.

 

00:29:33:06 - 00:29:36:16

I always like to to ask one of everybody

if I.

 

00:29:36:21 - 00:29:39:11

Seth, if I gave you a magic wand

 

00:29:39:11 - 00:29:43:16

and you were able to do whatever you want

with it to help your company

 

00:29:43:16 - 00:29:46:16

or health care in general,

what would you do with it,

 

00:29:47:13 - 00:29:49:09

man? Okay, this is good.

 

00:29:49:09 - 00:29:53:06

So what I would do with it is I would get

 

00:29:54:07 - 00:29:57:23

three other big marketing companies,

vanilla marketing companies,

 

00:29:57:23 - 00:30:01:23

the ones that do the PPC, the SEO,

and we build websites

 

00:30:01:23 - 00:30:03:19

and we do reputation and all these things.

 

00:30:03:19 - 00:30:06:11

I would get maybe, maybe just one.

I don't need to be greedy, right?

 

00:30:06:11 - 00:30:10:14

I would get one and we would institute

a program where we would go head to head

 

00:30:11:14 - 00:30:15:00

and you put,

we're going to do the same budget, right?

 

00:30:15:00 - 00:30:15:09

Right.

 

00:30:15:09 - 00:30:17:23

And we're going to do the same program.

 

00:30:17:23 - 00:30:18:14

Right.

 

00:30:18:14 - 00:30:21:19

And you run your program

and we'll run our program, okay.

 

00:30:22:05 - 00:30:23:00

And let's see what happens.

 

00:30:23:00 - 00:30:24:16

And we're going to run it

for the same client,

 

00:30:24:16 - 00:30:28:14

for the same practice,

like a real Pepsi, Pepsi challenge.

 

00:30:28:14 - 00:30:31:03

Yeah. And and let's see what happens.

 

00:30:31:03 - 00:30:32:16

Oh, that sounds very doable.

 

00:30:32:16 - 00:30:33:15

Yeah, I think so.

 

00:30:33:15 - 00:30:35:22

Yeah. You forgot.

You gotta find the right person. Hey.

 

00:30:35:22 - 00:30:39:19

I really appreciate you coming by today

and sharing what you do,

 

00:30:39:19 - 00:30:43:07

but I think it's magnificent,

the way you're able to dial down

 

00:30:43:07 - 00:30:46:11

exactly the for the patients that that

that the providers are looking for.

 

00:30:46:19 - 00:30:50:02

And, you hope that you'll,

you'll come back again?

 

00:30:50:08 - 00:30:50:21

Definitely.

 

00:30:50:21 - 00:30:55:09

I appreciate the opportunity to come in

and chat with my friend Josh again.

 

00:30:55:09 - 00:30:56:15

There you go.

 

00:30:56:15 - 00:30:58:16

I appreciate everything

that you're doing to.

 

00:30:58:16 - 00:30:59:16

Thank you for listening today.

 

00:30:59:16 - 00:31:02:17

Please follow us on Facebook and LinkedIn,

and you can check us out at

 

00:31:02:17 - 00:31:04:01

TheAngryBiller.com.