Diagnosing zero healthcare sales (11k sent, 5479 opens, 0 clicks, 0 orders).
Root cause of clicks=0: Listmonk only registers a link for tracking when the
href ends with the literal @TrackLink marker; all 10 hc templates lacked it
(trucking/CRTC have it). So the entire funnel was unmeasurable below 'open'.
Changes:
- Click tracking: append @TrackLink + UTM to every /order/ CTA across all 10
templates (external gov self-verify links left untracked on purpose).
- Remove all service prices from emails (99/49/49/99yr/9mo). Price is
now revealed on the order page after value is established; catalog
(api/src/service-catalog.ts) stays source of truth. Kept the 0,000 OIG
penalty stat (regulatory fact, not our price). Added a neutral 'flat fee shown
up front' reassurance block where the fee table used to be.
- Compliance/honesty: the nppes_outdated email asserted a per-record
'FLAGGED OUT OF DATE / detected' status, but its selector only checks
deliverability and the data has no NPPES last-updated field -> unsubstantiated
for every recipient. Reframed to a generally-true periodic-attestation message
('PERIODIC REVIEW REQUIRED', 'most practices drift out of date'). Same hedging
applied to npi_reactivation ('may be deactivated ... confirm on official
sources'). Substantiated reval 'past due' claims (backed by the public CMS
Revalidation list) were kept.
- Fixed stale $299 OIG metadata in build script -> $79/mo (reference only).
Docs: docs/healthcare-competitive-pricing.md (benchmark research) and
docs/healthcare-email-compliance-review.md (CAN-SPAM / FTC / impersonation pass;
flags SOC2/HIPAA/PCI badge claims for owner confirmation).
Verified headless: all 10 render with 0 JS errors, exactly 1 tracked CTA each,
no price leaks.
Convert OIG/SAM from one-time $299/yr to recurring $79/month (card+ACH only) -
the first real recurring-billing product in the system. Exclusion screening is
a *monthly* federal obligation, so recurring monitoring fits the requirement and
is the biggest valuation lever (vs a one-time annual run).
Catalog (single source of truth):
- service-catalog.ts: add billing_interval + allowed_methods to ComplianceService;
oig-sam-screening -> 7900c, billing_interval:"month", allowed_methods:[card,ach],
name "(Monthly Monitoring)".
- gen-service-catalog.py + check-service-catalog-drift.py: carry/guard the two new
fields; regenerate site catalog.
Checkout (api/src/routes/checkout.ts):
- mode:"subscription" with recurring price_data when billing_interval is set;
surcharge absorbed for recurring (clean $79/mo); server-side METHOD_NOT_ALLOWED
re-validation against allowed_methods.
- ensureColumns + migration 100: compliance_orders.stripe_subscription_id,
bundle_upsell_sent_at (+ subscription index).
Webhooks (api/src/routes/webhooks.ts):
- record stripe_subscription_id on checkout.session.completed (subscription mode).
- invoice.paid (subscription_cycle only) -> re-dispatch screening for the cycle;
invoice.payment_failed -> admin alert + first-failure customer nudge;
customer.subscription.deleted -> mark order cancelled. (API 2026-03-25 moved the
subscription link to invoice.parent.subscription_details.subscription.)
Fulfillment:
- job_server.py: pass recurring_cycle/invoice_id into the order.
- npi_provider.py: OIG handler labels renewal cycles "[Monthly cycle]" + re-screen
note; bundle action runs only the FIRST screening + flags the $79/mo upsell.
Bundle land-and-expand:
- Provider Compliance Bundle now includes only the first OIG/SAM screening (was
giving away $948/yr of monitoring inside an $899 bundle).
- new worker scripts/workers/bundle_upsell.py (+ pw-bundle-upsell timer): ~3 weeks
after a paid bundle, emails the customer to continue $79/mo monitoring; dedup via
bundle_upsell_sent_at; skips customers who already have an OIG/SAM order.
Surfaces updated to $79/mo: PaymentStep (filters methods, "Billed every month,
cancel anytime"), order pages, healthcare index, npi-compliance-check tool (also
fixed stale $699 bundle drift -> $899), hc_oig_screening + hc_compliance_bundle
emails.
Docs: billing.md gains a "Stripe-native Subscriptions" section + a reality-check
banner (Adyen/ERPNext-gateway model documented there is NOT live; Stripe is the
real rail). Fixed run-migrations.yml container name bug
(performancewest-postgres-1 -> performancewest-api-postgres-1, overridable).
Tests: api/tests/recurring-subscription.test.ts (28 assertions) covers catalog
gating, method validation, surcharge suppression, recurring line-item build,
invoiceSubscriptionId extraction, renewal-cycle gating. tsc clean; site build
clean; catalog drift OK.
Manual deploy step: enable invoice.paid, invoice.payment_failed,
customer.subscription.deleted on the Stripe webhook endpoint.
Per your call: add the same personal founder card (headshot linked to /about,
service-neutral satisfaction-guarantee quote, signature, title) to the four
remaining HC templates for a consistent trust signal across all healthcare
outreach. Kept the factually-direct subjects where the situation IS past-due/
deactivated (npi_reactivation) -- only the framing softens, not the facts.
All HC templates now use the v2 signature.
CAN-SPAM requires a valid physical postal address in every commercial email.
All 8 HC campaign templates and the FCC campaign_template.html only had
'Cheyenne, WY' (no street) -- added the full
'525 Randall Ave Ste 100-1195, Cheyenne, WY 82001' to match the (already-correct)
trucking templates. Audited every Listmonk source/sent campaign + wrapper
templates: all active sends carry address + unsubscribe.
Also: revalidation segments now use hc_revalidation_personal.html with subject
'Let's make sure your Medicare revalidation is handled in time'.
Refresh (hc_data_refresh.py):
- CRITICAL: drop optout_ending from REFRESHED_FIELDS -- the refresh never
computes it, so propagating it blanked the channel CSVs and would starve the
compliance_bundle segment (whose selector IS optout_ending).
- MAJOR: only rewrite leie_excluded when OIG was actually pulled (guard was
'not skip_oig OR not skip_sam', so a --skip-oig run blanked all exclusion
flags). Also write 'Y' (matching the original list builder) not '1'.
- Use 'no_reval_flag' (the original vocabulary) instead of 'not_on_list' when an
NPI drops off the reval list, and clear reval_due_date too.
- Throttle politeness: move time.sleep(0.05) above the early-continue paths so
EVERY CMS request is spaced, not just the minority that are on the list.
- Guard blank-NPI rows (leave their status untouched instead of mislabeling).
- Master write preserves any columns beyond HEADER (no silent column drop).
Warmup cron (build_healthcare_campaigns_cron.py):
- Fix the daily-slice split: it summed to less than the budget (dropped ~2/day)
and could OVERSHOOT on tiny totals (each 'other' floored to >=1). Now uses
divmod for an even remainder and reclaims rounding onto the lead, so
sum(per_seg) == total_slice exactly for every input (verified 0,1,2,7,100,300).
Templates: the non-revalidation emails rendered {{ .Subscriber.Attribs.detail }}
(a reval due date) under a 'Practice'/'Status'/'Record' label -- a wrong/
confusing personalization on a live send (esp. OIG, selector 'any'). All four
now show the practice name; 'detail' is retired from rendering (revalidation
uses reval_due_date/days_overdue directly).
The revalidation email had a 'check the official CMS record yourself' proof
block (the strongest trust signal), but the other four healthcare programs had
none -- just the generic SOC2/guarantee footer. Each now points the provider to
the actual public government source that backs its claim:
- NPPES outdated -> 'Look up my NPI on NPPES' (npiregistry.cms.hhs.gov, fully
public; shows the exact address/taxonomy/contact payers and CMS see).
- OIG screening -> 'Search OIG LEIE / Search SAM.gov' (exclusions.oig.hhs.gov +
sam.gov), with an honest note that a one-time self-search isn't the documented
recurring screening CMS expects.
- Reactivation (deactivated) -> deactivation isn't a single public dataset, so
this is framed honestly: most deactivations follow a lapsed revalidation
(public CMS Revalidation list) and show in NPPES; also 'are your claims
paying?' as a self-check. No fabricated 'deactivated record' card.
- Compliance bundle -> all four official sources (CMS Revalidation, NPPES, OIG
LEIE, SAM.gov) it monitors year-round.
All four government URLs verified reachable (200/302). No paper/mail filing
mechanics revealed; CMS/NPPES/OIG/SAM public names are fine and signal
expertise.
- Add the 'Performance West is an independent compliance firm, not affiliated
with CMS or Medicare' footer disclaimer to the 4 remaining HC emails
(reactivation, NPPES, OIG/SAM, bundle), matching the revalidation email.
OIG email also names the OIG and SAM.gov it references.
- Scrub client-facing mechanics: drop the CMS-855 form number from the
reactivation CTA and the PECOS system name from the revalidation CTA; clean
the same out of source comments.
