

The challenge
Aliera Health approached me at a turning point. The company had long relied on brokers and agencies but needed to shift toward direct-to-consumer sales to remain competitive in a changing healthcare market. The focus was on individual and family plans, yet entering this digital space posed significant challenges.
With no prior digital advertising experience, Aliera started with no brand awareness, benchmarks, or historical data to guide campaign decisions. Competing against large insurers with massive budgets puts them at a clear disadvantage. Operating in over 40 states also required a strategy that balanced broad reach with controlled ad spend.
The Open Enrollment period created both opportunity and high-stakes competition, as advertising costs across the industry soared. Because brand recognition was still limited, Aliera needed an approach that could raise awareness while generating measurable performance. All campaigns had to meet a strict $40 cost-per-lead target, demanding strong ROI from day one. Constant bid fluctuations, shifting demographics, and competitive markets further complicated the landscape, making ongoing optimization and analysis critical to success.