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How Mavlers helped a healthcare agency

hit 100% link-building goals & elevate link quality

Healthcare Marketing Agency
Healthcare Marketing AgencyHealthcare Marketing Agency
About the client
About the client

About the
client

The client is a dynamic digital marketing agency driven by authenticity, innovation, and results. For over six years, they've built genuine client relationships through transparent communication and ethical strategies.

Passionate about testing new approaches and solving complex challenges, their "do-whatever-it-takes" ethos ensures measurable growth, competitive dominance, and impactful outcomes across SEO, paid advertising, web, and social media.

About the client
About the client

When volume alone could no longer move the SEO needle

So, the agency was piling up links by the hundreds. But when they zoomed out, they saw the cracks:

01Too many links from directories and,[object Object]

Too many links from directories and low-tier domains.

02Not enough from ,[object Object], healthcare publishers.

Not enough from niche-relevant healthcare publishers.

03DR thresholds are set too low to move the ,[object Object]

DR thresholds are set too low to move the SEO needle.

04Risk of scaling mediocrity instead of ,[object Object]

Risk of scaling mediocrity instead of scaling impact.

They didn't just need more links. They needed better, cleaner, more relevant links, at scale.

Switching to a dedicated, high-threshold link-building team in 2021 ~ Scaling to six specialists by 2025

We came on board with a dedicated resource engagement model starting with one link-building specialist in February 2021 and growing to a six-member team to re-architect their link acquisition program.

This is what our approach looked like:

Raise the bar

Raise the bar

DR > 40, spam score <10, no shady verticals (gambling, tobacco, CBD, for instance).

Stay on-niche

Stay on-niche

Healthcare relevance wasn’t optional; it was mandatory.

Blend tech & touch

Blend tech & touch

Outreach scaled through Pitchbox, quality filtered by human judgment.

Diversify smartly

Diversify smartly

Guest posts, healthcare directories, infographics, and magazine placements, not a one-trick pony.

Setting the bar: 40-45 approved links every month, full healthcare relevance

Here's what changed on the ground: our dedicated resources started hitting 40–45 approved links a month, but not the "spray-and-pray" kind. These were healthcare-aligned, DR-solid, clean links that could actually move rankings.

And most importantly:

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100% link delivery target achieved every single month.

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The average DR of delivered links often exceeds client targets.

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"Bad" links cut down to near zero.

100% target matching every month of 2025 + unique domains up

When you partner with us, delivery never misses a beat! Here's an insight into the monthly performance snapshot (2025).

Month
Target
Delivered
Avg DR Target
Avg DR Delivered
Unique Domains
Target
Unique Domains
Hit
March
360
360
31
47.58
55
55
April
378
378
31.8
40.21
58
59
May
370
370
34.3
42.79
61
61
June
388
388
36
39.84
65
49
July
354
354
37.8
37.85
69
69
August
258
258
39.7
46.59
76
77
400350300250200150100500
360
378
370
388
354
258
MarchAprilMayJuneJulyAugust
Overall links achieved per month
8075706560555045
55
59
61
49
69
77
MarchAprilMayJuneJulyAugust
Line chart overlay: Avg Domain Rating trend (Unique Domains Hit)

Link quality portfolio shifted:
Good + decent ≥ 60%, bad links near zero

We didn't just measure volume. We tracked link quality composition month by month and used it as our North Star.

Here's a quick dive into link quality performance over the past 6 months;

Month
Good Target
Good Achieved
Decent Target
Decent Achieved
Ok Target
Ok Achieved
Bad
Not Found
March
15%
21%
40%
45%
40%
30%
3%
2%
April
20%
20%
40%
41%
38%
31%
0%
2%
May
25%
19%
45%
51%
28%
29%
0%
2%
June
30%
15%
45%
57%
23%
28%
0%
2%
July
30%
10%
45%
50%
23%
37%
0%
2%
August
40%
7.75%
40%
50.39%
18%
41.47%
0%
0%

Insights:

Good and Decent links consistently formed the majority of acquisitions.

Bad or irrelevant links were virtually eliminated, staying under 2%.

A quality-first approach meant stronger domain authority gains and more stable organic rankings.

How we define link quality

Good

Links from strong, niche-relevant healthcare websites.

Decent

Solid sites, maybe not healthcare-specific, but respectable and passable.

Ok

Borderline, off-niche, weaker quality (spammy ads, thin authority).

Bad

Shady, irrelevant, or harmful sites. Unacceptable.

100%90%80%70%60%50%40%30%20%10%
Bad
Decent Achieved
Good Achieved
Ok Achieved

Tools + process engine that enabled the shift

Here's an insight into the tools and techniques that helped us deliver results above & beyond for the client.

Tools and process
Tools and process
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Pitchbox: Automated outreach and follow-ups.

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Domain analysis tools: DR, spam score, traffic stability.

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Manual quality checks: Ensured contextual fit and safety.

This combination of automation and human expertise created a streamlined, scalable, and risk-free process.

The outcome: Clean link profile + faster SEO gains + zero compromise on targets

By August 2025, they weren't just counting links. They had:

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6x dedicated Mavlers specialists securing healthcare-relevant links.

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100% of targets achieved consistently month after month.

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DR benchmarks beaten across multiple campaigns.

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Near elimination of bad links, strengthening trust signals.

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Diversified backlink profile across 70+ unique healthcare domains.

The result?

Their SEO campaigns moved with more authority, less risk, and visible momentum.

Outcome results
Outcome results

The road ahead

With link acquisition now a quality-first, scalable engine, the client is poised for sustainable organic growth in the competitive healthcare SEO space. Together, we continue to refine strategies to build stronger authority and long-term results.

The road ahead