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: 

  1. Can leadership be convinced these focus areas bring more value to the organization than promotional marketing does?

  2. Will the organization let the CMO lead or share in the lead in these areas?

  3. 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.