Keystone.ARC Health Partners
Practice leader overview · For Nate to present · June 2026

Your clinicians.
The internet's most trusted voices.

This is a plan to make your practice the first name patients find when they search for mental health answers — not through ads, not through SEO tricks, but because your doctors are actually showing up and helping people. AI tools are changing how patients find providers. This strategy puts your experts at the center of that shift.

Why now — the shift that's already happening

"The SEO landscape has shifted in a way that makes Reddit impossible to ignore. Google now heavily favors national authoritative institutions — Cleveland Clinic, Mayo, NIMH — for most behavioral health keywords. It's nearly impossible to compete there. What's changed is that the consumer LLMs — ChatGPT, Grok, and Perplexity — heavily surface Reddit, Wikipedia, and YouTube, in that order, when answering questions. That is where a credible, non-promotional presence actually moves the needle on organic visibility."

— Nate Purpura, Head of Growth Marketing · ARC Health · June 2026
The Google problem
You cannot outrank Cleveland Clinic. You don't have to.

Google has consolidated behavioral health search results around national institutions. Independent practices competing for the same keywords are invisible on page one. That battle is over. Reddit is where the new patient discovery is happening — and it's a battle independent practices can actually win.

The LLM shift
ChatGPT, Grok, and Perplexity surface Reddit first.

When patients ask an AI tool about depression treatment or TMS therapy, the AI is drawing from Reddit, Wikipedia, and YouTube — in that order. A credentialed clinician with a real Reddit presence is more likely to be cited by an AI tool than any practice website. That is where organic visibility is being built right now.

The content engine
One engine. Every channel. The only realistic path.

What we're building for all ARC practices is a single content engine — every piece of credible clinical content gets distributed across Reddit, YouTube, GMB, and blogs. It's the only realistic path to long-term organic growth that doesn't require outranking Cleveland Clinic.

The scale of the opportunity
4.5M+
Combined subscribers across the 7 subreddits your experts are positioned to lead
35
Expert Q&A answers already written, reviewed, and ready for your clinicians to personalize and post
Assets produced from every webinar your expert hosts — blog, Reddit post, 5 Q&A updates, 3 social posts, 1 email
How it works — the preferred approach

ARC surfaces the questions and drafts the responses. Your practice tweaks, approves, and posts. That's it. The heavy lifting stays with us.

What ARC does
Surface, draft, route

ARC monitors all target subreddits daily, identifies high-intent questions that match your practice's expertise, and drafts evidence-backed responses using OpenEvidence and your clinician's voice profile. Every draft comes to you ready to personalize — no writing from scratch, no Reddit monitoring required on your end.

What your practice does
Tweak, accept, post

You receive the draft, make it yours, and post it under your practice account. That's the path Nate recommends — your practice controls what goes live, under your brand, without any individual clinician needing a personal Reddit profile. One or two posts per month per practice to start.

The content engine — 1 webinar becomes 6 assets
🎙
Step 1
Host Webinar
📄
Step 2
Auto-Transcribe
✍️
Step 3
Blog Post
🔴
Step 4
Reddit Post
📱
Step 5
3 Social Posts
📧
Step 6
Email Recap

Your expert hosts one 45-minute webinar. ARC's content team produces everything else. Your expert reviews and approves before it posts. That's the full ask on the production side.

What we're asking of your practice

Designed to be light on your clinicians. Heavy lifting stays with the ARC team.

2–3hrs / week
Your clinician
  • Review and personalize 3–5 pre-written Q&A answers before they're posted (~15 min each)
  • Host one AMA session per quarter (pre-scheduled, ARC handles all promotion)
  • Review and approve one webinar-to-blog post draft per month (1 hour)
  • One onboarding call with the ARC team on Reddit best practices (~45 min, one time)
1hr / week
Your practice manager
  • Review flagged content in the approval queue (filter by your practice name — takes 10–15 min)
  • Approve blog posts and Reddit posts before they go live
  • Coordinate webinar scheduling with the ARC content team (one email/call per month)
DailyARC team
ARC marketing team — this is on us
  • Monitor subreddits twice daily for relevant threads
  • Draft Q&A responses from the answer bank and route for expert review
  • Ghost-write blog posts from webinar transcripts
  • Manage Reddit accounts, karma tracking, scheduling, and publishing
  • Monthly AI citation check via SEMrush
What the first 90 days looks like
Week 1–2
Account setup. Reddit accounts created for each expert. Subreddits claimed and configured. Onboarding call with your practice. Reply Templates answers reviewed and personalized for your expert's voice.
Week 3–4
First comments posted. Experts begin responding to high-intent threads in their specialty subreddits. First owned subreddit post published. First blog-to-Reddit post via Loomly + Zapier.
Month 2
First webinar. 45-minute session recorded and transcribed. Blog post drafted and approved. Content pipeline live. Karma building. First AMA planned and promoted.
Month 3
First AI citations check. SEMrush scan for ARC expert content appearing in Google AI Overviews and Perplexity. Practice subreddit has 50–100+ subscribers. Expert has 20–50+ karma. First measurable pipeline impact assessed.
What success looks like at 90 days
50+
Expert comments posted across target subreddits — each a citation-eligible expert voice on record
90-day target
1
Webinar fully converted into blog post, Reddit post, social content, and email — published and indexed
Month 2
1
AMA session hosted, promoted, and archived — thread remains indexed and citable by AI engines indefinitely
Month 3
AI
First expert content appearing in ChatGPT, Grok, and Perplexity responses — tracked and documented
Month 3 check
Proof of concept — Bicycle Health

"When I was at Bicycle Health, we ran a very effective program in r/suboxone and r/opioids for two-plus years. It effectively tripled organic growth in just under 12 months."

— Nate Purpura, Head of Growth Marketing · ARC Health
What they did
Credible, non-promotional presence in high-intent communities

Bicycle Health built a consistent presence in two specialized Reddit communities directly relevant to their patient population. The same model we're proposing for ARC: evidence-based answers, no self-promotion, real clinicians, community-first tone. Two years. Same approach.

What it produced
3× organic growth in under 12 months

Tripled organic growth without outranking anyone, without paid search, and without changing their website. The Reddit presence fed the AI citation engine that was just beginning to emerge. ARC has 20+ practices and 7 mapped subreddits. The same compounding effect applies — at scale.

Account setup — your call

You choose how your practice shows up. All three options are fully managed by the ARC team.

Option A · Recommended
Practice account — e.g., u/GROWCounseling

Content posts under your practice brand. No personal profile required from any individual clinician. ARC drafts, you or your practice manager tweaks and approves, you post directly under the practice account. This is the path Nate recommends — maximum control, minimal exposure for individual clinicians.

Option B
ARC corporate account attributed to your expert

Content posts under an ARC-managed account with your clinician's name and credential attached. The expert's identity is present without them managing a personal Reddit profile. Good for clinicians who want name attribution without direct account ownership.

Option C
Individual clinician account — e.g., u/dr_wendy_dr

Clinician builds their own Reddit account and posts under their real name. Highest trust signal and citation value — Reddit communities respond strongly to credentialed individual voices. Requires the clinician to maintain their own account. ARC drafts everything; they approve and post.

On managing negative comments

"You cannot delete comments on Reddit, and attempting to respond to negative ones almost always makes it worse. My experience across Twitter and Reddit over many years is that 98% of complainers online are noise. As long as the content is genuinely useful, evidence-based, and community-first — the right move is to ignore critics. Engaging invites escalation. Ignoring them makes them disappear."

— Nate Purpura · experience at scale across two companies
The rule
Useful content + ignore critics

Content that is genuinely helpful, clinically grounded, and community-first very rarely attracts sustained criticism. When it does, the ARC team monitors it. Hostile or trolling comments get ignored — not deleted, not engaged. The thread moves on.

The exception
Escalation protocol exists for real crises

Negative comments are different from crisis signals. The ARC team has a written escalation protocol for any thread where a user is in genuine distress. That response is immediate and follows a defined path — it's separate from community noise management entirely.