Healthtech case study

Cost per new customer cut by a third

Kubera Health. How a creative testing habit brought profitable spend back.

Why it mattersMost brands lower CAC by spending less. Cutting it a third while spend went up means the creative finally did the work.

The resultsHealthtech
CACDown 33%
Creative tested3 to 20+ a month
Profitable spendRoughly doubled
AOVUp 14%
Creative win rate~1 in 6 scaled
The situation

Where they started.

Kubera Health had scaled paid spend fast and watched the cost per customer climb with it. Creative was stale (the same three ads had run for months), the landing pages hadn't changed since launch, and the Meta account structure fought itself every time the budget moved. The goal wasn't to spend less; it was to make growth profitable again so spend could keep climbing.

From the founder

“We doubled the spend and the cost per customer still fell. I didn't believe creative testing would be the thing, but it was.”

Founder, Kubera Health

Every engagement is different; results shown are not a guarantee. How we present results

What we ran

What we did about it.

The 30-Day Plug-In audit pointed at creative, not targeting: the account had burned through its audiences with the same three messages. The plan put creative on a real testing cadence (new angles every week, judged on cost per new customer, not clicks) and rebuilt the landing pages and account structure so winners could scale without breaking. It is the kind of work we run for founder-led startups.

01Put creative on a real testing cadence
02Rebuilt the top landing pages around the actual offer
03Restructured the Meta account so scaling didn't break it
04Pulled budget off the audiences quietly losing money
KilledThe legacy “greatest hits” ad set. It was winning auctions and losing money.
Day 1Plug-In: audit, access, baseline
Day 30Creative testing cadence running
WeeklyCadence: working session, Friday update
Day 90Rebuild: winning angles scaled up

Cost per new customer came down by a third while profitable spend roughly doubled. The testing cadence surfaced a winner about one ad in six, average order value rose 14%, and the rebuilt account structure let the winners scale without falling apart. By the first 90-Day Rebuild, the question had flipped from "why is CAC climbing?" to "how fast can we feed this?"

More of the work: Go Swag and Manako Labs

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