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The Affordable Care Act’s Lasting Impact On Healthcare Marketing

Perhaps the most significant health policy of our time, it revolutionized coverage and access, as well as the way healthcare companies communicated. With its future uncertain, now is the time to look back on how it shaped a new era of healthcare marketing strategy and messaging.

Everything about the American healthcare system changed 15 years ago when the Affordable Care Act (ACA) was signed into law. Perhaps the most significant health policy of our time, it revolutionized coverage and access, as well as the way healthcare companies communicated. 

With its future uncertain, now is the time to look back on how it shaped a new era of healthcare marketing strategy and messaging. 

Marketing for healthcare in the wake of reform

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Marketing for healthcare organizations is challenging, and change is the only constant. It’s an intricate environment with countless stakeholders to consider, complex sales cycles (especially in B2B), fierce competition and intense regulatory oversight. 

Occasionally criticized as slow-moving, when the ACA went into effect, the industry quickly shifted to align around the legislation’s three core goals: access, quality and costs. 

At the same time, marketers hurried to reach everyone from patients to the C-suite with brand new messages, with nearly all types of healthcare companies innovating around four important dynamics. 

  1. Healthcare consumerization

The ACA’s emphasis on access and quality promoted experience initiatives, making healthcare increasingly consumer focused. The industry level set to regard healthcare users just like those of banking, retail and hospitality—all of whom expect transparent information to make informed decisions. 

Breakthroughs like price transparency initiatives and the Health Insurance Marketplace emerged out of this. For the first time, consumers could easily browse insurance options, compare features like monthly premiums and provider networks, and even shop for surgeries online. 

Today, consumers have more power over their healthcare decisions than ever before, which has encouraged market competition. As a result, companies began focusing more strongly on differentiating their offerings and demonstrating value through proof of better consumer experience, including health improvement. 

  1. Health technology

Yet another turning point for the industry, long resistant to change, was a push into the digital age. From the widespread adoption of electronic health records to new mandates around data sharing and interoperability, the ACA created an environment where health technology had to evolve quickly to keep up.

It forced marketing professionals—many of whom were embedded in legacy hospital systems or traditional payer organizations—to adapt. Even those who had never considered themselves tech-savvy had to get up to speed with health IT terminology. Marketers needed to understand things like HIEs, HIPAA compliance in digital campaigns, and the implications of the HITECH Act

They became translators between complex tech initiatives and patient- and provider-facing messaging. And most were doing so in an increasingly crowded health technology market, with solution providers claiming to fix every problem across the healthcare continuum. Cutting through the clutter with meaningful claims was crucial (and challenging). 

  1. Value-based care

The three core goals of the ACA put quality and outcomes at the center while deeming the traditional fee-for-service model unsustainable. Enter value-based care—not just a buzzword, but a fundamental shift in how care was delivered. 

This new model required extensive education for every stakeholder. And much of that responsibility landed on the shoulders of marketing and communications professionals who needed to position healthcare offerings through the lens of value: delivering the right care at the right time to improve outcomes, enhance patient satisfaction and reduce costs. 

Therefore, the field evolved. It wasn’t enough to simply promote services or products—companies had to prove impact. Companies relied on data to communicate the efficacy of value-based care in ways that mirrored how providers report on patient outcomes. In practice, that meant showcasing patient success stories, implementing personalized engagement strategies, and using tools like ROI calculators in B2B contexts to demonstrate measurable impact. 

  1. Industry consolidation

While consolidation in healthcare predates the ACA, the law’s focus on integrated, coordinated care quickened the trend. Merger and acquisition (M&A) activity became a strategic lever for driving efficiency and access, controlling costs and improving outcomes. This was especially true among provider organizations seeking economies of scale and more market negotiating power. 

But the wave didn’t stop with providers. Tech and support services also saw major shifts, with non-traditional players entering the space — Amazon’s acquisition of One Medical is one example. Meanwhile, healthcare giants pursued adjacent services (like CVS Health’s purchase of Oak Street Health). Along these same lines, joint ventures and strategic partnerships emerged as alternatives to traditional M&A. These arrangements aligned incentives between unlikely allies — such as hospitals and insurers — to unlock new revenue streams and expand capabilities neither could achieve alone.  

As entities merged, marketing departments were tasked with redefining market positioning, educating stakeholders across new segments (B2B, B2P and B2C) and unifying messaging to maintain brand integrity. In today’s environment that is largely dominated by corporate giants, smaller players must work harder to differentiate themselves. But even large organizations face branding challenges as they evolve. Regardless of size, clear positioning remains vital across the industry. 

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Summing up 15 years of a ripple effect

The ACA molded our industry into what we know today. It pushed healthcare toward consumer-driven experiences, digital ecosystems, outcome-based models and record consolidation. The legislation’s overarching goals of improving care access, quality and cost continue to drive macro industry strategies and microtrends. 

Marketing, public relations and communications professionals are the key to translating its evolution for each stakeholder along the way. 

Regardless of the ACA’s future, it fundamentally redefined these roles. In an industry where change — at whatever speed — is constant, the individuals who can clearly tell the story of its transformation will continue to help lead organizations toward success.

Photo: zimmytws, Getty Images

Sarah McLeod is CEO of Activate Health, a strategic marketing and PR firm focused exclusively on the healthcare industry. She brings 20 years of marketing, communications and media relations experience to her role leading the agency in its delivery of comprehensive marketing support for clients across the healthcare ecosystem, from specialty pharmacy to payer organizations, health technology firms and hospitals. Previously, she held various marketing leadership roles for Fortune 500 companies and as entrepreneurial organizations, including Univita Health, CIGNA Voluntary and University of Wisconsin Health – Hospitals and Clinics.

Sarah is an active member of the healthcare business community and participates in national nonprofit organizations dedicated to connecting senior executive women for career advancement and industry improvement. She has been recognized for her organizational acumen and marketing expertise through various leadership and industry awards, including the American Marketing Association and the IABC Phoenix Chapter.

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