All industries Industry

Healthcare & Medical Practices

One 1-star cluster on Healthgrades costs more than a fellowship.

Healthcare reputation moves measurably with rating — every 0.1 star shift in average rating shifts patient choice by roughly 4–6 percentage points in choice experiments. Compound that across a multi-clinic group and the EBITDA impact is real.

Where the attacks come from

Five pressure points unique to healthcare & medical practices.

Review bombing post-billing dispute

Insurance / billing complaints escalating into coordinated 1-star clusters across Google, Healthgrades, Yelp.

HIPAA-aware response cadence

Replying to a clinical review wrong creates regulatory exposure. We coach voice without crossing the line.

Physician name drift

Old addresses, defunct affiliations, expired board certifications stuck on RateMDs, Vitals, Doximity.

Mass-action negative SEO

Ambulance-chaser ad networks bidding on physician names with negative framing.

Wikipedia visibility

For department chairs and named-chair holders, biased Wikipedia framing affects faculty recruiting and grants.

4.2 → 4.8 avg rating across 14 locations · 90 days
Case study

Cardiology group hit with 312-review brigade recovers full margin.

A reciprocal-referral dispute escalated into a coordinated 1-star bombing across Google and Healthgrades. We deployed the Citadel Protocol — TOS-violation takedowns, authored patient stories, and a sentinel net for repeat offenders. Result: 90-day recovery to historic baseline, zero ongoing operational drag.

See all case studies
The 6-hour rule

The first six hours decide the next five years.

One short call. Walk away with a printed defense plan — whether or not you ever sign with us.