Regulated Markets · Healthcare

HIPAA-compliant paid media for healthcare brands

Most agencies treat HIPAA as a reason your ads can't scale. We treat it as the practice area. Coast Studio runs paid acquisition for healthcare, telehealth, and DTC health brands — building ad accounts that keep optimizing when platform signal degrades and PHI has to stay out of Meta and Google.

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$50M+

Ad spend managed

10x

Spend scaled, consumer health

444%

ROAS lift on TikTok

260%

ROAS lift, healthcare lottery

The problem we solve

Healthcare brands face three referees at once: HIPAA and the OCR tracking guidance, the FTC and state laws like Washington's My Health My Data Act, and the ad platforms' own health restrictions. Meta throttles health accounts into restriction tiers that block conversion events. Google signs no BAA for Ads. The pixel is the most litigated tracking tool in healthcare.

The result: teams either stop advertising or keep running a setup that quietly transmits PHI. Neither grows the business safely. We build the third option — measurement under restriction.

What we do

Compliant tracking architecture

Server-side conversion transmission behind a PHI-scrubbing gateway, neutral event schemas, and consent gating — so ad platforms get a clean signal and never PHI. CAPI, server-side GTM, and scrubbed Google imports.

Paid acquisition that keeps optimizing

Meta, Google, and TikTok campaigns structured for restricted health accounts: neutral taxonomies, broad targeting, and creative that clears platform and regulator review. Telehealth and clinic playbooks.

Measurement you can defend

Geo-lift experiments, first-party attribution, and dashboards where PHI is allowed to live — a real read on ROAS without user-level patient data.

Performance creative, in-house

UGC and performance creative produced in-house and engineered for the feed, written to sell without naming a diagnosis. See the work.

How we start

1Audit. We audit your site and accounts for PHI leaks and platform exposure, and hand you the findings.
2Rebuild. We stand up compliant server-side tracking and a clean event schema before spend scales.
3Scale. We run and grow the accounts, measuring lift with experiments instead of surveillance.

Senior operators only — seven-plus years of experience, no junior handoff. Contract structures cover paid ads management, UGC, and paid ads plus add-ons.

Who we work with

Telehealth, healthtech, DTC health and wellness, medical and dental clinics, behavioral health, and adjacent regulated categories in fintech and legal. If a compliance line runs through your growth, it is where we work.

Common questions

What makes paid media HIPAA compliant?

The pipeline, not the platform. Compliant paid media keeps PHI out of ad platforms that sign no BAA — server-side scrubbed conversions, neutral event schemas, targeting without patient data, and consent gating — while still optimizing spend.

Do you work with telehealth and behavioral health brands?

Yes. Those are the hardest cases on Meta and Google and the core of our practice — including mental health, weight management, and reproductive health, where platform restrictions are strictest.

Can you fix an account that already leaked PHI?

Yes. We audit what has been transmitted, stop the leak, and rebuild tracking server-side. Breach-notification decisions stay with your counsel; we handle the marketing rebuild.

Grow without the compliance risk

Tell us where your account stands. We'll tell you what's leaking, what's fixable, and what it takes to scale spend safely.

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