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Industry deck · Care and seniors · Germany
6H.
Industry · Care
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Industry deck · 6H Agency × Care and seniors Based on · 36 months of care data on Taboola As of · Oct 2026

Native for care providers: reach families before they search.

Who we are, what we learned from over €1.3M in care media, what the 2027 care reform means for the care box (Pflegebox), home emergency alarms (Hausnotruf) and stairlifts, and how our NativeScale engine optimizes campaigns every hour.

€55Mad spend managed on native
15,053signed Pflegebox applications via Taboola
avg. €119weekly CPA across 24 weeks
Contents
A6HWho we are, what we deliver
BMarketCare, families and the 2027 reform
CDataOur care numbers on Taboola
DNativeScaleHow our engine optimizes
EPlaybookFunnel and angles per product
FStartWorking together in 12 weeks
A · 6H Agency

A native-only performance agency with its own optimization engine.

We plan, produce and run native campaigns for the German-speaking market: from the ad and the explainer article to the qualified lead in your system.

Spend€55Mad spend managed on native
Landing pages2K+landing pages and advertorials built and tested
Verticals12×verticals scaled successfully
Growth300%average channel growth for new clients
Experience in senior and health markets
Consumable care aidsPflegebox, DACH15,053 applications
Hearing careConsultation appointments for seniors5,984 leads
StairliftExplainer funnel, treppenlift-ratgeber24.delive
InsuranceLong-term care and legal insurancelive
Trusted by

HelloFresh · Babbel · AG1 · Zanadio · Liftstar · ERGO · Vice Golf

5 years of native · 12+ verticals · 8–10M data points behind NativeScale’s rules.

A · Services

Everything between ad and lead, under one roof.

You provide the target CPL, approvals and lead status. We build and run the rest.

01
Strategy and angles

Angles from news cycles, seasonality and our care data, agreed with your marketing team in a workshop.

02
Advertorials and explainer domains

Over 2,000 landing pages built. The article explains the entitlement before your form appears.

03
Creative production

5 to 7 variants per angle, 50+ approved in reserve. When a creative fatigues, its successor is already waiting.

04
Tracking and postbacks

Click ID, soft conversions and lead status via S2S postback. We handle the Taboola integration for you.

05
Media buying across native networks

Taboola (Realize) and Outbrain (Teads) from day one; MediaGo, MGID and Amazon DSP as the next stage.

06
Optimization with NativeScale

Hourly bid, budget and creative decisions, each recorded in the rule log and part of the weekly report.

B · Market

Families decide on care. And families read the news.

Nearly nine in ten people in need of care live at home. A daughter, son or partner usually decides on a home emergency alarm (Hausnotruf), stairlift or care box (Pflegebox), and native reaches them right next to the news they read.

Beneficiaries6.0Mpeople received statutory long-term care insurance benefits at the end of 2025.
At home86%are cared for in their own home, most of them by family members.
Family caregivers4.6Mworking-age people care for a family member, 63% of them women.
Untapped60%don’t use the relief allowance (Entlastungsbetrag); 27% don’t know it exists. Demand that only surfaces once someone tells them.
How 5.7M people in need of care are looked after Care statistics 2023
3.1M
1.1M
0.7
0.8
At home, cared for by family onlythe core audience for native
With home-care serviceat home
Care level 1at home
In a nursing homeresidential care

Sources: Federal Ministry of Health (BMG), benefit recipients 31 Dec 2025; Federal Statistical Office (Destatis), care statistics 2023; Bertelsmann Stiftung, 20 Oct 2026; pflege.de study 2024, n = 2,884; Bitkom 2026 (81% of internet users aged 65+ read news online).

B · 2027 care reform

The reform is this winter’s big story, and it reshapes your product mix.

On 30 Sep 2026 the federal cabinet adopted the draft Care Reorganization Act (PNOG). Families are now looking for guidance.

PNOG timeline Bundestag dates provisional
30 Sep 2026Cabinet adopts the draft
TodayFirst reports; families have many open questions
Nov 2026First reading in the Bundestag
Dec 2026Planned vote
1 Jan 2027Planned to take effect
What the draft means for care products Per cabinet draft
BenefitTodayFrom 2027 per draft
Consumable care aidsPflegebox, curabox€42 per monthFlat rate dropped, folded into a budget
Relief allowanceEntlastungsbetrag · everyday help€131 per month€175 community-support budget, care level 2+
Home emergency alarmHausnotruf · subsidy€27 per monthNo change planned
Home adaptation grante.g. stairlift€4,180No change planned
Now

Every change makes headlines, and every headline raises questions at home. A reform explainer will be this winter’s strongest care ad.

Budget belongs where the subsidies stay: home emergency alarms and stairlifts. Pflegebox providers now need a second product funnel.

Sources: cabinet draft of the Care Reorganization Act (PNOG), as of 30 Sep 2026 (not yet passed); Federal Ministry of Health (BMG), benefit amounts 2026.

B · Why native

Read like an article, not scrolled past like a banner.

Native ads sit on news sites alongside editorial recommendations, right where families read about the care reform, subsidies and care levels, long before they type a search term.

Visibility+53%more attention than classic display ads
Click rate0.80%CTR on native, vs. around 0.09% on display
Recall+20%higher ad recall
Trust84%higher brand trust in a news environment
01

Trigger

A fall, a diagnosis, discharge from hospital. Suddenly, care is urgent.

02

Discovery

News, explainers, reform coverage. No search term yet. This is where native sits.

03

Research

„Pflegegrad beantragen“ (apply for a care level), „Hausnotruf Kosten“ (home emergency alarm cost). Every provider bids on the same click.

04

Conversion

Application, inquiry, consultation. The provider that explained in step 2 wins here.

C · Our care data

Care on native: €119 average CPA over 24 weeks.

Weekly CPA from care campaigns under 6H management. Conversion = signed application. Anonymized.

Weekly CPA · 24 weeks · Care DACH Campaign data
Avg. CPA€119
Range€95–168
Under €12013 of 24 weeks
Period24 weeks
01 · SeasonalityOctober to January is the windowIn 2024, CPA from October to January was 29% below May to September. August is the most expensive month every year.
02 · Device92% of budget runs on mobileMobile at €86 CPA vs. €115 on desktop. Tablet doesn’t pay off in this category.
03 · Placements70 sites deliver 80% of applicationsOut of 8,738 sites served. Regional news portals beat health sites.
04 · WeekdayNo weekday effectCPA varies by only ±6% across weekdays. So we allocate budget by season and placement, not by day.

What this means for care providers: On native, a care application realistically costs around €120, under €100 in good weeks. NativeScale contains cost spikes with per-site budget caps and a second network. Source: internal 6H campaign data.

C · 36 months of care native

€1.32M in media, 15,053 applications: what really works in the feed.

Full year 20248,383applications from €623k in media, avg. €74 CPA
Best month€46CPA after a year of optimization
Best 8 weeks€55CPA on 1,290 applications
Senior leads€31CPL for hearing-aid consultations, 5,984 leads, desktop almost as cheap as mobile
#1 by volume
„Achtung: Wer Pflegegrad 1-5 hat, hat Anspruch auf monatliche Pflegeprodukte“Attention: anyone in care levels 1–5 is entitled to monthly care products
Applications6,534
CPA€84
CTR0.18%
#2 by volume
„Achtung: Wer einen Pflegegrad hat, der lässt oft bares Geld liegen!“Attention: people with a care level often leave money on the table!
Applications4,871
CPA€73
CTR0.21%
Best CPA · seasonal hook
„Neujahr 2026: Wer Pflegegrad 1-5 hat, hat Anspruch auf monatliche Pflegeprodukte“New Year 2026: anyone in care levels 1–5 is entitled to monthly care products
Applications47
CPA€51
CTR0.21%

Pattern: The product never won; the entitlement did. The headlines talk about care levels and money left unclaimed, and a seasonal hook like New Year pushes CPA down further. New campaigns use the same mechanics with wording that complies with the § 78 SGB XI care-aid supply contract (no “free”, need stated).

C · Competition in the feed

2,022 care ads in the German feed. The category pays off.

Anstrex Native, Germany, Taboola and Outbrain, care keywords. 377 are live right now.

Top care advertisers on native Anstrex
AdvertiserSeenLiveLongest
Pflege.net37834169 days
Sicher Leben22791188 days
Checkfox22917348 days
Hausnotruf Heute21335439 days
Treppenlift-Angebotsvergleich927129 days
439

days: the longest-running care ad in the German feed, a home emergency alarm ad saying „Die Kasse zahlt“ (“the insurer pays”). Nobody runs an ad that long unless it’s profitable.

Meanwhile, no Pflegebox provider has a live ad, and the big care portals are absent entirely. The feed is wide open.

What the 377 live ads promise Share of headlines
Insurer named
43%
“pays”, subsidy
41%
“free”
31%
Care level
27%
Longest-running live ads Consecutive days
„Sturzgefahr bei Senioren: Für diese Uhr zahlt die Kasse!“Fall risk for seniors: the insurer pays for this watch! · Hausnotruf Heute · Taboola439
„So bekommen Senioren eine Notrufuhr, die die Kasse zahlt.“How seniors get an insurer-paid emergency watch. · Hausnotruf Heute · Taboola354
„Vor 1960 geboren? So zahlt die Pflegekasse Ihren nagelneuen Treppenlift“Born before 1960? How the care insurer pays for your brand-new stairlift · Checkfox111

Source: Anstrex Native, retrieved 30 Oct 2026; live = last seen on or after 30 Sep 2026; counts are lower bounds.

D · 6H NativeScale

NativeScale: eight signals in, around 50 actions per hour out.

Our own optimization engine. Every hour it reads eight live signals, checks over 1,200 rule variants and acts before an account manager opens Monday’s report. The team handles strategy and approvals; the engine handles execution.

8 live signals

CPA per placement
CTR
Creative fatigue
Hour
Weekday
Device
Region
Spend share
1,200+ rule variants
6HNativeScalehourly
~50 actions / hour

Actions

Pause placementabove 1.5× median CPA
Day-part bids by hourup to ±50% per time slot
Hot-swap creativefrom the approved pipeline
Shift budget between Taboola and Outbrainthe cheaper auction gets it
Insert city into headlinecity macro, on 80%+ of inventory
Season

Budget follows the care year

From October to January an application was 29% cheaper than in summer. The engine weights budget accordingly.

Site cap

No single site carries the load

At times a third of applications came from one site. Per-placement caps mean losing one site won’t sink the campaign.

Device

Mobile first, desktop targeted

92% of care budget ran on mobile, at €86 instead of €115 CPA. Desktop only gets budget where it converts.

50% cap

Winners don’t burn out

Once an angle reaches 50% of weekly spend, the next approved variant rotates in automatically.

Method, not account dataCare figures from Taboola Backstage, Pflegebox account under 6H management, 2023 to 2026.
D · Platforms and publishers

Two auctions from day one, each hedging the other.

Your budget never depends on one platform. Every hour, NativeScale favors the cheaper auction, and it adds networks only once a winning angle is proven.

Taboola · Realize primary from day one

High-reach news and lifestyle portals: t-online, GMX, web.de, n-tv, Wetter.com. In care, regional news sites also delivered our cheapest applications.

Outbrain · Teads primary from day one

Validated premium inventory: Focus, BILD, Chip, n-tv, RTL, Upday. Publishers the audience already trusts, re-weighted weekly by NativeScale.

Next stage, once a winner is in place Standby
MediaGoMGIDAmazon DSPmore as needed

From our care data: 70 of 8,738 sites delivered 80% of applications, and regional news portals beat health sites. That’s why we start on proven placements, not the whole network.

E · Funnel

Four steps, and the last one drives the first.

The ad doesn’t sell a product; it explains an entitlement. You pay for qualified leads, and that same signal drives the bidding.

01

Ad on a news site

Taboola and Outbrain, on German news and advice sites.

„Pflegereform 2027: Diese Zuschüsse bleiben Ihrer Familie“2027 care reform: these subsidies stay with your family
02

Explainer article

Explains the entitlement in three minutes, labeled as an ad. On your domain or a 6H explainer domain.

Read and scroll depth as the first signal
03

Your form

Application, inquiry or consultation on your site. Your funnel, your data.

Form click as the second signal
04

Qualified lead reported back

Lead status via S2S postback to both networks. Bids rise on sites that bring real customers and fall everywhere else.

Lead quality feeds back into bidding
E · Playbook per product

Four care products, four different native strategies.

Home emergency alarm

Falls, family, subsidy

Family members buy. The longest-running care ad in the feed targets them directly.

Subsidy
€27 per month
Reform
stays
Caveat
Subsidy only with a care level
Stairlift

Subsidy and cost clarity

Few, very valuable leads. The article pre-qualifies: stair type, living situation, care level.

Subsidy
up to €4,180
Reform
stays
Caveat
Lead quality over lead price
Care level · Advice

Explain the reform

Highest reach this winter. The reform explainer links to a care-level calculator, appeal guidance and all products.

Subsidy
all benefits
Reform
main topic
Caveat
no success rates, no government-style look
Care box (Pflegebox)

Entitlement, not product

Proven on native: 15,053 applications in our data. From 2027, everything depends on the law.

Subsidy
€42, uncertain from 2027
Reform
flat rate to be dropped
Caveat
no “free”, state the need

Compliance in every angle: labeled as an ad per § 5a of the German Unfair Competition Act (UWG), no insurer logos, no “free for everyone”, and for care aids a reference to need under § 7 of the care-aid supply contract.

E · Quality and control

You keep control of quality and brand, not just the budget.

70

of 8,738 sites delivered 80% of our Pflegebox applications. We start on those placements instead of paying for the learning curve twice.

Sites
0.8%
Applications
80%
01
Blocklists from day one

Sites that didn’t convert in our care accounts are blocked from the start.

02
Copy that passes legal review

Labeled as an ad, no government-style look, no insurer logos, no “free for everyone”. Approved by you before going live.

03
Budget caps per publisher

At times a third of all applications came from a single site. That’s why both networks run in parallel, with per-site caps.

04
Agency fee, not per-application commission

We work in your media accounts for an agency fee, not a commission per referred application. That keeps the model compatible with the ban on paid referrals (Vermittlungsverbot) in the care-aid supply contract.

F · Working together

A 12-week pilot, €11–15k per month, with a clear stop rule.

Weeks 0–2

Set up

Tracking, lead feedback, articles and ads for approval.

Weeks 3–6

Learn

Two to three angles per product on both networks. Weekly report with cost per qualified lead.

Weeks 7–12

Scale or stop

Budget goes to the sites and ads that hit your target CPL. More networks open once a winner is in place. The result: a recommendation backed by numbers.

Recommended pilot budget
€11–15kper month in media
€5k€11k€15k€25k

At avg. €119 CPA, that’s around 90 to 125 leads per month, enough for both networks to learn reliably within six weeks.

Taboola · primaryOutbrain · primary
Pilot parameters
Duration12 weeks
ProductsBased on your lead value (see playbook)
TargetYour target CPL per product, not our benchmark
Stop rule+30% over target after week 6: stop or rebuild
Optimization6H NativeScale, hourly, human-supervised
ReportingWeekly report, walkthroughs every two weeks
Next steps

Start now, while the reform is in the news.

What we need from you

Target CPL and lead value per product

So we optimize for your business, not for clicks.

Lead status reported back

Via postback or API: qualified, canceled, closed.

One approval path

For ads and articles, with one contact person and your legal team.

What happens next
1

Workshop, 60 minutes

Agree on target CPL, products, tracking and how to handle the reform.

2

Drafts in ten business days

Ads, explainer articles and a measurement plan, ready for approval.

3

Live in four weeks

So the campaigns learn while families are reading the reform news.