The Retention Engine – Truemeds

Improving 90-Day Retention by 14% via Behavioral Trigger Systems

Sector: Health-Tech / E-Pharmacy (Truemeds)

1. The Challenge

In the high-churn world of e-pharmacy, the biggest leak in the bucket was refill consistency. Patients would drop off after their first order due to lack of reminders or friction in the re-order process. The goal was to transform a transactional pharmacy into a habitual health partner.

2. The Strategy

  • 0-1 Retention Framework: Built a systematic “Reminder & Refill” engine from scratch. Instead of generic notifications, I implemented behavioral triggers based on the patient’s specific medication cycle.
  • A/B Testing for Habit Loops: Conducted rigorous testing on reminder conversion rates—optimizing timing, channel (WhatsApp vs. App Push), and copy urgency.
  • Revenue Optimization: Integrated a cross-selling and up-selling recommendation system for OTC (Over-the-Counter) products within the re-order flow to maximize LTV (Lifetime Value) without increasing acquisition costs.
  • Internal Portal Synergy: Redesigned the internal Catalog and Ops portals to ensure that when a user was ready to re-order, the stock and delivery data were 100% accurate, preventing “Out-of-Stock” churn.

3. The Impact

  • Retention Lift: Improved cohort retention by 14% through 0-1 initiatives.
  • AOV Growth: Delivered a significant lift in Average Order Value via the OTC recommendation engine.
  • Operational Velocity: Drastically improved CS and Catalog efficiency by modernizing internal tool UI/UX.

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