Doctors, Clinics, and Pharma Companies Lose Revenue When Patients Don't START or STAY on Treatments

Patients are abandoning prescriptions and dropping off therapy because education stops at the exam room.

The result is delayed care, lower adherence, and lost revenue.

The #1 Reason Patients Don’t Move Forward is Not Cost - It’s Confusion.

Across every healthcare segment, the pattern is the same.

Patients are getting guidance from everyone else except their own doctor.

  • Social Media Influencers

  • TikTok, Instagram, YouTube

  • Google and ChatGPT

And this fragmented ecosystem shapes patient beliefs long before they interact with your brand or your providers.

  • Ads and Sponsored Content

  • Competing Providers

  • Reddit and Facebook Groups

  • Friends and Family

This isn’t a marketing problem. It’s a clarity problem.

The Problem

  • High prescription abandonment
  • Low treatment initiation
  • Poor long-term treatment adherence
  • Rapid drop-off within 6 months
  • Slow market growth vs competitors
  • Lost revenue and ROI gaps

We had the same problem in our practice.

Dr. Shefali Miglani had eligible patients in her chair every day, but not the time to fully explain the value of treatment. Appointments were short, questions came late, and conversations felt rushed.

She did not have the right language to guide patients, the confidence that their concerns were fully addressed, or a system to follow up and continue the conversation outside the visit.

Shefali Miglani, OD

Optometrist
Owner of Monroe Eye Care
Chief Medical Officer at Hoot

Bob Miglani

Founder & CEO of Hoot
Ex-Pfizer
Marketing Expert

We tried everything:

Nothing moved the needle.

Patients still didn’t START treatment. They ghosted consultations, didn’t fill prescriptions, showed up inconsistently and dropped out of therapy early.

We realized patients enroll in care because they want education from the person they trust most: their own doctor.

They are not looking for generic blog posts, AI explanations, or call centers reading scripts. They want their doctor explaining their condition in a clear, credible way.

The challenge is time and scale. Doctors cannot educate every patient individually. And health systems and brands have no reliable way to control when education happens, confirm it was consumed, or measure its impact on conversion and adherence.

A Doctor and a Marketer
Solved the Problem

Automated Patient Education Designed to Increase Initiation and Adherence
Educate patients about the problem on their device, in
their language, and at their pace.

DOCTOR
EXAM ROOM
AT HOME
  • Clarify the Language
  • Use Visual Aids
  • Custom Handouts

Doctor-led Education Leads to TRUST

Healthcare Decisions Made at Home with Spouse
  • Doctor-Created Educational Videos
  • Videos Sent via SMS/Email
  • Videos are sent out at the most optimal time in the patient journey

How Hoot Works

  • 1

    Create Video Education: Zoom, Professionally Shot, or Self-Recorded

    We deliver physician-aligned education that increases prescription fills and keeps patients engaged in therapy. These videos are sourced from professional on-site shooting, AI generation, or recordings from platforms like Zoom.

  • 2

    Hoot Automated Delivery of Patient Education Videos Throughout the Patient Journey

    Pre-consultation. Post-consultation. Before procedures. During treatment protocols. After patient support program enrollment. Hoot sends the right video to the right patient at exactly the right time in their journey.

  • 3

    Patients Understand & Trust. Driving High Adoption & Adherence

    Patients see clear explanations that help them commit to therapy and understand its value. No more Dr. TikTok. No more impersonal call centers. Just physician-led education that actually builds trust.

Video Based Patient Journey

Sample flow for Oncology

Patients like you, trust you and believe you're an expert when they see you on video.

1st Visit

Evaluation

Pre-Treatment

Treatment

Post-Treatment

Adherence Follow-Up

Choose between recording
your own videos or our AI
agent patient educator

When patients are educated before they see the doctor, they arrive informed and aligned, improving treatment initiation and adherence.

What Changes When Patients
Actually Understand?

For Practices:

For MSOs/DSOs:

For Pharmaceutical Brands:

  • Higher consultation-to-conversion rates
  • Better procedure show-up rates
  • Increase treatment protocol adherence
  • More patient referrals
  • Less staff time answering repetitive questions
  • Standardized patient education across all locations
  • Higher per-location revenue without adding headcount
  • Better data on what drives conversions
  • More patient referrals
  • Scalable systems that don’t depend on individual physician communication skills
  • Improves treatment adherence and persistence
  • Increases patient support program enrollment
  • Physician-aligned education delivered at the point of care
  • Measurable patient engagement across the treatment journey
  • Reduces reliance on high-cost call center outreach
THE RESULT

Low prescription abandonment

Higher treatment initiation

Strong long-term treatment adherence

Sustained engagement beyond 6 months

Faster market growth vs competitors

Recaptured revenue and improved ROI

What Happens If You Don’t Fix This?

  • Practices will keep losing consultations to confusion while their competitors figure out how to educate at scale.

  • MSOs/DSOs will keep throwing money at marketing to acquire new patients instead of converting the ones already in the pipeline.

  • Pharma brands will keep losing patients at the pharmacy, falling short on adherence, and failing to prove measurable return on patient support spend.

  • Patients continue to STAY CONFUSED and don’t START treatment.

  • And you’ll keep losing revenue to the most fixable problem in healthcare: confusion.

Or you can fix it.

Because the winners in care, whether you’re a practice, an
MSO, or pharma brand, aren’t the ones doing ads.

They’re the ones whose patients actually understand what they’re buying.

And stay on it long enough to get results.

Proof that Hoot Works

Book a Demo

We’ll show you how Hoot integrates into your existing workflows, brand
messaging, or organizational structure.

Design and Launch Your
Patient Journeys

Patients START and STAY
on treatment

Trusted by Healthcare Systems, Pharma Brands and Medical Organizations Nationwide.

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