How a Healthcare Advertiser Earned $45K with Push Notifications

Introduction

An Affordable Care Act specialist was fed up with high competition, strict ad rules, and surprise account suspensions on Facebook and Google. Seeking a fresh channel, they tried push notifications on Pushub. In just four months, this switch generated $45,000 in revenue, with 1,773 inbound calls and an average CPA of $25.79. Here’s the full story, broken into three stages: initial hurdles, breakthrough changes, and scaling up.

Stage 1: Initial Testing and Challenges

In November and December of 2023, the advertiser spent $2,119.59 and recorded 38 calls at a CPA of $55.70. They chose Pushub for its finance- and health-interested audience, daypart targeting, and state-level segmentation. A tracking pixel provided real-time data, but creative angles and landing page flow weren’t clicking. Over the holiday pause, they realized they needed tighter copy, stronger incentives, and expert support to meet a $30 CPA goal.

Stage 2: Targeted Creative & Managed Services

In March 2024, Pushub’s Success Team stepped in. They moved the campaign to managed services, overhauled ads and landing pages, and rolled out dynamic questionnaires that pre-qualify leads. Headlines like “Qualify for a Subsidy Card up to $2,500” and images of people reviewing benefit letters drove engagement. They tested over 20 ad variants, rotated blacklists and whitelists, and adjusted bids daily based on performance. Spend jumped to $19,902.47, calls soared to 760, and CPA dropped 43% to $26.18.

Stage 3: AI Optimization & Ongoing Growth

April brought another 19% spend increase to $23,705.22 and 975 calls at a $24.31 CPA. They segmented users by subscription age and introduced an AI optimizer that analyzed five years of campaign data to automate bid and source management. By combining human review with machine speed, they could fine-tune splits, exclude underperforming placements, and boost bids where it mattered most.

Final Results

Over four months, the advertiser spent $45,727.28 and delivered 1,773 calls at an average CPA of $25.79—well under the $30 target. Diversifying into push notifications cut dependency risks and unlocked a high-volume, low-competition channel for healthcare offers. They proved that with expert support, testing rigor, and data-driven tweaks, push campaigns can rival traditional platforms.