ASPIRED
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HeartScan – Optimizing Performance Marketing to Drive Subscriptions

Starting Point

HeartScan is an innovative mobile app that uses AI and SCG (seismocardiography) technology to allow users to monitor their heart health in real time, without the need for additional medical equipment. With just a smartphone and the app, users can check their heart function within a minute and receive alerts about potential irregularities.

At the start of our collaboration, HeartScan was already running Google Ad campaigns in the US using automated strategies. At the time, the primary goal was to drive as many app downloads as possible. However, after in-depth analysis, we identified a critical issue: while the number of downloads was growing, the number of active users subscribing to the paid plan was not increasing at the same rate.

Challenges

  1. Low conversion from installs to subscriptions

Many users downloaded the app but did not continue to use it or purchase a subscription.

  1. Broad targeting with no focus on high-value users

The initial campaigns attracted users who were interested in testing the app but had low purchasing intent.

  1. Limited market scope

The ads were focused on a single market (USA), missing potential audiences in other regions.

  1. Unoptimized ad structure

The Google Ads campaigns lacked structured segmentation, which made it difficult to optimize performance.

We needed a new strategy that would focus on attracting high-value users who were more likely to engage with the app long-term and subscribe.

What We Achieved

1. Focused on High-Value Users

We shifted targeting to focus on iOS users, significantly increasing the conversion rate from installs to paid subscriptions.

2. Expanded Market Reach

We tested campaigns in six new countries:
Canada, Australia, Japan, United Kingdom, Germany, Austria.

3. Multi-Channel Campaigns

We diversified ad placement across three traffic sources:

  • Apple Search Ads – Targeting users actively searching for health-related apps.
  • Google Ads – Implementing structured ad groups (7+) to test different campaign settings.
  • Meta Ads – Launching multiple ad formats, including app download campaigns, web-to-app strategy, and a web funnel with a quiz.
4. Testing & Optimization
  • We built a dedicated landing page and tested a web-to-app strategy in Google Ads.
  • We ran A/B tests on multiple ad variations to optimize targeting and messaging.
Results in Numbers
  • 37,348 new users (including organic downloads) between March and June 2024.
  • 1700+ app installs in the best-performing campaign (May–June 20).
  • 6 new international markets tested.
  • Average cost per iOS user acquisition (after optimization): 22 PLN ($5.5).

Conclusion

By shifting the focus from downloads to high-value users, optimizing targeting, and expanding internationally, we helped HeartScan significantly increase subscription conversions while maintaining cost efficiency.

Team members responsible for the project

Alena Shkiranda (Performance Team Lead), Alina Bukalova (Senior Performance Consultant), Yulya Autko (Creative Strategist)

ASPIRED
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