Retention is the P&L
Acquisition cost is recovered in month three or not at all.
A patient acquired for four hundred dollars against a monthly program fee is unprofitable until roughly month three. Every point of month-two churn is a direct hit that nothing on the acquisition side can compensate for.
What the pack models
Programmes, not appointments.
- Enrollment
- A program state with a start, a term and a status, rather than a series of unconnected bookings.
- Titration schedule
- The planned dose progression, with the next step visible to the practice and the patient.
- Adherence
- Whether the patient is following the plan, recorded at each check-in and reportable across the cohort.
- Check-in cadence
- Scheduled from the enrollment date, so a missed check-in is a visible state.
- Body composition
- Recorded at timepoints tied to the program rather than to the visit.
- Programme churn
- Cancellations and pauses as their own states, reported against the month acquired.
The boundary
What sits with the prescriber, not with us.
Prescribing, laboratory ordering and the telehealth visit belong to the clinical systems you already run. We looked hard at prescribing as a module and concluded it is not ours to sell.
A refill request is a different object: a message from a patient to a practice, carrying no transmission liability. That much is ours.