the new CMO Role
Reallocating the promotional marketing spend of a health system, as called for in The ServingOverSelling Pledge, would typically impact a major portion of a system’s marketing budget. That’s the point of course, to shift that money from selling patients and those in the community to helping them. But that begs an obvious question for many – if a system cuts its promotional marketing, does it still need a CMO and marketing department?
For the last three years of my career in healthcare marketing, I focused on the changing role of the health system CMO. In the summer of 2024, I first identified the industry trend “Rome is Burning,” where I outlined a confluence of factors that posed new threats to the role. At the time, five well-known health systems had eliminated the CMO role. That number grew to double digits by 2025, and artificial intelligence was added to the list of threats. After two industry events attended by dozens of top CMOs in the space, a research study, and a paper, the case was clear – the role of the CMO had been diminished and was losing its value with the C-suite. So combine all of that with reallocating the vast majority of promotional marketing, and that would be the nail in the coffin of the CMO role at health systems, right? Well, not necessarily.
To be honest, the answer depends on the system and the CMO. That’s because during all of that time studying those issues and talking to CMOs, it became evident that the value of a CMO in the future would not come from promotional campaigns or performance marketing. There are actually numerous ways, outlined below, for a CMO to show up and deliver far more value than she ever has in the past. But for any of the nine accountabilities outlined below, the questions will be:
Can leadership be convinced these focus areas bring more value to the organization than promotional marketing does?
Will the organization let the CMO lead or share in the lead in these areas?
Does the CMO want to lead in these areas?
If the answers to these questions are yes, or could be yes given some time and effort, then the future is bright for the CMO.
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This may be the most significant area for a CMO to own in delivering real value to the organization. During the 2024 Joe Public Retreat, many attendees spoke of how their own accountabilities in this area allowed them to play a significant role in helping both the organization and the patients they serve. As I’ve said for more than twenty years, those with a marketing background are better positioned to understand and represent the needs of a consumer than any other executive in the organization. Specific strategies and activities could include:
Overall experience assessment, planning and management
Understanding the voice of the customer/patient
Application of behavioral science strategies to improve experiences
Enhancing/growing patient navigation offerings
Website, call center and “digital front door” strategies
Pricing transparency initiatives
Charity care and financial assistance communication
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One of the top challenges facing both patients and health systems, access is only worsening thanks to federal budget cuts, closing hospitals and clinics, growing volumes and increasingly expensive health care coverage. While access could fall under the consumer experience in general, it is often tackled as a separate strategy at health systems.
Patient journey mapping and journey improvement
Physician relations, referral mapping and improvement
Wayfinding, signage and digital signage
Translation services
Scheduling capabilities
Transportation services
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While the value of marketing in the eyes of health system leaders has diminished, the value of communications has only risen, especially since the Covid pandemic. Along with owning the consumer experience, CMOs who have gained oversight of communications say that discipline is far more valued by leadership than marketing.
Corporate communications
Public relations
Media relations
Issues/crisis
Payor negotiation communications
Executive visibility
Community reporting
Internal communications
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Just because ServingOverSelling calls for the end of bloated branding campaigns doesn’t mean your brand doesn’t matter. It’s just that your brand is built based on what you do, not what you say. So brand strategy and management still matter a great deal, and no one is better positioned to own that than the CMO.
Brand strategy
Brand architecture
Online reputation management
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For years, we advocated for health systems to embrace a “post health system brand,” one that was focused on helping the community in some way rather than just promoting your doctors or US News rankings. The value of driving public health and health literacy is still an incredible opportunity for health systems to build their reputations, as they are still seen as the most trusted source (along with physicians and nurses) for medical information by the public (this is even more true given what has happened at the federal level with the policies issued from departments such as HHS, the FDA and the CDC). You can build your reputation and help make the communities you serve healthier through:
Disease prevention campaigns
Health literacy programs
Anti-misinformation campaigns
Community health initiatives
Public health education (maternity health, mental health, etc.)
Crisis communications and emergency health event response
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Federal funding cuts of all stripes over the past two years far outweigh any financial gain that could have been driven by promotional marketing efforts in the health system space. Ensuring your organization is working to fight for the political and regulatory causes that matter, and partnering with other systems and associations in that fight, will mean more to your bottom line in the future than any billboard or US News ranking.
Health policy advocacy
Coalition work
Patient safety, equity, and outcomes leadership
Healthcare worker advocacy
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Labor is and will continue to be one of the most significant challenges for health systems. Marketers have been playing a growing role with staff and physician recruitment, and the opportunity is there for many to play a far greater role in improving your organizations recruitment strategies and actions. (Yes, this constitutes “promotional marketing,” but promotion in the service of recruitment, done well, can actually demonstrate meaningful results, as opposed to consumer and patient marketing).
Employer brand strategy
Recruitment messaging
Recruitment campaigns advertising
Retention communication
Workforce pipeline development (partnerships with local high schools, nursing schools, etc.)
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In many organizations, engagement of staff is woefully inadequate. True engagement goes beyond a monthly newsletter and table tents in the cafeteria. If it’s true that health system brands are built by the experience they deliver (not the messaging they sell), then nothing is more important to your brand than a strong culture and happy employees. (And no, this does not include brand embodiment – see here to understand why.)
Employer brand strategy
Mission, vision and values stewardship
Internal storytelling and cataloging
Employee onboarding and mission orientation
Internal recognition
Management of leadership road shows, town halls and other feedback mechanisms
Internal communications
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Imagine how much stronger your brand reputation would be if you reallocated all the money typically spent on promotional advertising to instead truly engage your community. Visibility while helping those in your community will return far stronger value to your organization than any brand campaign could hope to achieve.
Community listening and feedback programs
Partnerships with community-based organizations
Community benefit storytelling
Community health worker support and programs
Support for local causes, initiatives and campaigns to better community health