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Native Strategy · Care · Germany
6H.
pflege.de · Native
DE
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Native Strategy · 6H Agency × pflege.de Based on · 36 months of care data on Taboola As of · Oct 2026

Native for pflege.de: reach families before they search.

What we learned from over €1.3M in care media on Taboola, what the 2027 care reform means for your lead funnels, how our NativeScale engine manages spend, and what a twelve-week test for pflege.de would look like.

€1.32Mcare media on Taboola under our management
15,053signed care box (Pflegebox) applications
avg. €119CPA per signed order, not per sign-up
€40–45CPL for pure lead forms, for comparison2026 estimate. Based on 5,984 senior leads (hearing care)
Contents
AMarketWho decides and where they read
BReformWhat changes for your products in 2027
CDataOur care numbers on Taboola
DCompetitionWhat’s running in the feed now
ESetupFunnel, products, NativeScale
FPilot12 weeks, €11–15k per month
A · 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 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 are women.
Untapped60%don’t use the relief allowance (Entlastungsbetrag); 27% have never heard of it, per your own study.
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 pflege.de 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
#1

“Pflegereform” (care reform) is already your strongest organic search term. Native brings this content to families who aren’t searching for it yet.

Budget belongs where the subsidies stay: home emergency alarms and stairlifts. We’ll plan Pflegebox campaigns once the law is final.

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; Similarweb, pflege.de search terms, Oct 2026.

C · Our care data

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

Weekly CPA from care campaigns under 6H management. This is not a sign-up CPA: each conversion is a signed, binding order, after which the customer receives the care box every month. 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 pflege.de: A care application realistically costs around €120 on native, 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 in December 2024, after a year of optimization
Best 8 weeks€55CPA on 1,290 applications, January to February 2025
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. For pflege.de we would use the same mechanics with wording that complies with the § 78 SGB XI care-aid supply contract (no “free”, need stated).

D · Competition in the feed

2,022 care ads in the German feed. Not a single one from pflege.de.

6H native market scan, Germany, Taboola and Outbrain, care keywords. 377 are live right now.

Top care advertisers on native Taboola + Outbrain
AdvertiserSeenLiveLongest
Pflege.net37834169 days
Sicher Leben22791188 days
Checkfox22917348 days
Hausnotruf Heute21335439 days
Treppenlift-Angebotsvergleich927129 days
0

native ads from pflege.de. curabox ran a nine-day test on Outbrain in February 2026; no ad is live today.

Pflegebox providers currently have zero live ads. 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: 6H native market scan, as of 30 Oct 2026; live = last seen on or after 30 Sep 2026; counts are lower bounds.

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 pflege.de or a dedicated advice domain.

Read and scroll depth as the first signal
03

Your form

Home emergency alarm, stairlift or care-level inquiry on pflege.de. 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 · Products

We start with the products the reform doesn’t touch.

Start · Week 3

Home emergency alarm

Family members buy, and the subsidy stays. “The insurer pays” drives the longest-running care ad in the feed.

Subsidy
€27 per month
Volume
Lead value
Start · Week 3

Stairlift

Few but very valuable leads. The subsidy of up to €4,180 is a strong hook.

Subsidy
up to €4,180
Volume
Lead value
Entry point · in parallel

Care reform explainer

Highest reach; routes readers to care level, home emergency alarm and stairlift. We test whether it delivers cheaper leads than direct ads.

Subsidy
all benefits
Volume
Lead value
After the law passes

Pflegebox

Proven on native (see our data). If the flat rate stays, we port the setup over. If it goes, the budget is already in products that perform.

Subsidy
€42, uncertain from 2027
Volume
Lead value

6H assessment, before factoring in your lead value per product. We’ll reorder by margin in the workshop.

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”. pflege.de signs off before go-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.

E · 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.
F · Pilot for pflege.de

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

Home emergency alarm, stairlift and reform explainer 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. Pflegebox joins once the law allows. We finish with 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 signed orders per month, enough for both networks to learn reliably within six weeks.

Taboola · primaryOutbrain · primary
Pilot parameters
Duration12 weeks
ProductsHome emergency alarm, stairlift, reform explainer
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
Demo · Bathroom renovation

Six bathroom-renovation ads, built from what already runs in the feed.

Feed preview · how the ads appear on news sites (ads run in German)AI-generated images
Grant

Wanne raus, Dusche rein: Die Pflegekasse zahlt bis zu 4.180 € dazu

Tub out, shower in: the care fund pays up to €4,180Wohnratgeber 60+ · Anzeige
Costly mistake

Badumbau mit Pflegegrad: Diesen teuren Fehler machen viele vor dem ersten Angebot

Renovating with a care grade: the costly mistake many make before the first quoteWohnratgeber 60+ · Anzeige
Expert voice

Pflegeberaterin erklärt: So viel Zuschuss gibt es 2026 für die bodengleiche Dusche

A care advisor explains the 2026 grant for a level-entry showerWohnratgeber 60+ · Anzeige
Relatives

Der Wannenrand wird zu hoch? Was Angehörige jetzt über den Zuschuss wissen sollten

Tub rim getting too high? What relatives should know about the grantWohnratgeber 60+ · Anzeige
Couples

Beide mit Pflegegrad? Dann sind bis zu 16.720 € für den Badumbau möglich

Both with a care grade? Up to €16,720 for the bathroom is possibleWohnratgeber 60+ · Anzeige
Local + compare

Köln: Bis zu 4 Angebote für den barrierefreien Badumbau vergleichen

Cologne: compare up to 4 quotes for an accessible bathroomWohnratgeber 60+ · Anzeige

Angles from the longest-running Badumbau ads on Outbrain and Taboola in Germany: grant, costly mistake, expert voice, relatives. Facts from the statutory grant under § 40(4) SGB XI: up to €4,180 per measure, up to €16,720 with several eligible residents.

Demo · Lander

The advertorial convinces, the check qualifies the lead.

1

Ad

One of six angles in the news-site feed.

2

Advertorial

A three-minute read: the tub rim, the grant, the two costly mistakes.

3

Grant check

Four questions. Without a care grade, readers go to the pflege.de care-grade check first.

4

Hand-off to pflege.de

Answers and click ID go into the form; lead status flows back into bidding.

Built mobile-first: in our care campaigns, 92% of spend runs on smartphones. Demo: no data is sent.

Open the live demo →
Next steps

Launch in late November, while the reform is in the news.

What we need from pflege.de

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

Launch in late November

So campaigns learn while families are reading the reform news.