Summer Fridays, Last-Minute Asks, and the Forgotten Oncology Nurse
By Chris Martin, Sr. Director, Business Development
The sun is out, the weather is beautiful, friends and family are around, and agency campaign planning season is here – hooray!!!
Which means, in addition to missing holidays, pretending summer Fridays still exist, and answering last-minute client asks that somehow became urgent three weeks ago, agencies now get to do one of the hardest things in healthcare marketing: build smarter plans for 2027 with less time, fewer people, tighter budgets, higher client expectations, and the occasional “can we make this more innovative?” dropped into the conversation like that is a 10-minute fix.
No pressure at all – insert “LOL” here!
But this is exactly why planning season matters. It is not just the annual exercise of rebuilding last year’s plan, swapping in a few new channels, updating the flowchart, and hoping the client sees progress. For healthcare agencies, planning season is the moment to step back and ask a much more important question:
Are we bringing clients a better way to reach the right audiences, or are we just repackaging the same audience logic in a new deck?
That distinction matters more than ever. The market is already moving, but the real shift is not about chasing the next channel. It is about whether the audience strategy underneath the plan is strong enough to hold everything together. Healthcare media plans are becoming more fragmented, more measurable, and more exposed, which means weak audience logic has fewer places to hide.
Connected TV (CTV), programmatic, email, paid social, AI-enabled media, and influencer-style engagement all create new ways to reach healthcare professionals (HCPs) and healthcare decision-makers. But every one of those channels raises the same uncomfortable planning question:
Who exactly are we trying to reach, and why do we believe this is the right way to reach them?
It is one thing to say the plan includes more channels. It is another thing to prove the underlying audience strategy is sharp enough to make those channels work together. New channels do not automatically create new strategy. Sometimes they just create more expensive fragmentation.
That is where planning season gets interesting. For agencies, the pressure is obvious. Clients want new thinking, but they also want it to be practical, compliant, measurable, affordable, and ready yesterday. The opportunity is bigger. Planning season is the moment for agencies to challenge the default plan and bring forward more novel ways to define, reach, activate, and measure healthcare audiences at scale.
That last part matters. Novel audience strategy cannot just be a clever insight buried in a slide. It has to be something an agency can actually activate. It has to scale beyond one narrow target list. It has to identify not just the obvious HCPs, but the broader care team around them: the clinicians, nurses, allied professionals, referral partners, site-of-care influencers, and decision-adjacent roles that shape whether a therapy is understood, adopted, supported, and sustained.
That does not happen by simply pulling the same target list and sending it to more platforms. It happens when agencies have partners who can help pressure-test the audience, identify what may be missing, recommend smarter activation paths, and connect the plan back to what clients actually care about: reach, efficiency, performance, and a strategy they can believe in.
The Old Audience Plan Is Not Enough Anymore
For years, too much healthcare audience planning has started from the same basic place: specialty, condition, geography, maybe some prescribing or claims-based logic, then a channel plan layered on top. That approach still has value. No one is saying to throw out the fundamentals, but fundamentals alone are no longer enough.
Two different partners can both say they can reach “cardiologists,” “oncologists,” “primary care physicians,” or “high-value prescribers.” That does not mean the audiences are built the same way, activated the same way, refreshed the same way, scaled the same way, or likely to perform the same way.
Planning and activation teams know this better than anyone. They are the ones who feel the difference when an audience is clean versus messy, when the file is launch-ready versus full of exceptions, when the match rate holds versus disappoints, and when the client asks, “Why this audience?” and the answer is either defensible or uncomfortable.
The real planning opportunity is to move beyond obvious audience definitions and ask better questions. Who else influences care decisions? Where does this provider sit in the care journey? Are there care-team dynamics we are missing? Are there nurses, care coordinators, office managers, referral partners, or other healthcare professionals who directly shape whether the strategy succeeds in the real world?
It also means asking whether the plan can identify intent, engagement, referral behavior, site of care, or treatment-stage signals. Can we define the full care team, not just the primary prescriber? Can we scale that audience in a way that is actually reachable across programmatic, paid social, email, CTV, and other channels? Can we coordinate those channels around the same audience truth? Can we build a plan that feels new without becoming complicated for the sake of being complicated?
That is where better audience strategy starts. Not with a longer list, but with a sharper one. And often, with a more complete one.
Novel Does Not Mean Gimmicky: The Forgotten Oncology Nurse Phenomenon
Novel does not mean gimmicky. It means defining and reaching the full care team around a therapy instead of bolting a new buzzword or channel onto last year’s plan. In oncology, that often means the nurse: the role most likely to decide whether a treatment experience actually holds together once the prescription is written.
There is always a danger in planning season that “new” becomes theater: a new slide, a new buzzword, a new channel, a new AI mention, but ultimately the same underlying plan. That is not innovation. That is decoration.
The Forgotten Oncology Nurse Phenomenon is what happens when a campaign recognizes the prescriber, funds the direct-to-consumer (DTC) plan, but misses the fullcare-team influencer who helps determine whether the treatment experience actually holds together.
Oncology is a good example. In looking at how oncology campaigns perform beyond the media plan, one thing becomes clear: oncology nurses are deeply involved in whether a therapy actually succeeds in the real world, but they are rarely treated as a primary audience. Their role is not theoretical. It is practical:
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Adherence and persistence: helping manage side effects, answer questions, and keep patients on therapy day to day
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Patient support program (PSP) activation: driving awareness, enrollment, and actual usage of support programs
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Patient experience: shaping how patients understand, discuss, and stay confident in their treatment journey
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Stronger adherence signals: fewer drop-offs tied to tolerability, confusion, or lack of support
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Higher PSP utilization: more patients actually using support services, not just enrolling
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More consistent treatment experience: better alignment between clinical intent and real-world execution
Yet many oncology campaigns remain heavily weighted toward prescribers and DTC, with nurses sitting somewhere in between or getting picked up indirectly. When that flips, the strategy becomes more complete. When oncology nurses are intentionally built into the plan with content and channels that match how they actually operate, the campaign is no longer relying only on the prescriber and hoping the rest of the treatment environment catches up. It is engaging the care network that helps determine whether the treatment experience actually holds together.
In those programs, the impact can show up in very practical ways:
That is where the planning question becomes very practical: can we define that audience clearly, make it targetable, reach it across programmatic, paid social, and email, coordinate the message with the broader brand strategy, and do it at enough scale to matter?
That shift from indirect influence to intentional inclusion is exactly the kind of audience thinking planning season should create. The opportunity is not just to reach more HCPs. It is to better define the full care team and the network of decision influencers that actually shape outcomes.
A novel approach to reaching healthcare audiences should make the plan more precise, more useful, easier to defend, and more scalable. It should help the agency uncover audience opportunities the client may not have considered while still giving the activation team something they can actually launch. That may mean building audiences around full care-team influence rather than only specialty, identifying HCPs based on behavioral or engagement signals rather than static classification, layering clinical context with real-world provider behavior, or defining networks of care decision influencers instead of stopping at individual prescribers.
It may also mean using email as a coordinated activation layer that supports programmatic and paid channels, applying trigger logic to respond to engagement, or looking at audiences through the lens of access, referral patterns, site of care, patient support, adherence, and treatment experience. The point is not to make the plan look more complex. The point is to make it work harder.
That is especially important for planning and activation teams because they are under pressure from every direction. Senior leadership wants strategic differentiation. Investment teams want efficiency and margin protection. Data and analytics teams want defensible methodology. Clients want performance. And the people building the plan need all of that to translate into something executable without creating another fire drill.
Planning Teams Need Partners, Not Order Takers
The partner you choose is a planning decision, not just a procurement one. The right partner does more than fill the order. It helps you see what the brief is missing before the plan locks, brings new audience angles and care-team mapping, and flags cost and measurement early enough to shape the work instead of cleaning up after it.
This is where partner selection becomes a planning issue, not just a vendor issue. An order-taking vendor waits for the brief, pulls the list, sends the file, and moves on. A true partner helps pressure-test the brief.
That difference matters. The best partners help agencies see what might be missing before the plan is locked. They can bring forward new audience angles, smarter segmentation, care-team mapping, channel-specific recommendations, cost-conscious activation paths, and measurement considerations early enough to shape the work.
That is what planning and activation teams need most during planning season: not more complexity, but more useful thinking. The right partner should be able to identify the obvious audience, the audience you may be missing, and the broader care team around the target. They should be able to show where nurses, allied HCPs, referral partners, or other decision influencers may matter. They should help explain where email can support the broader omnichannel plan, where programmatic can extend reach, how to add scale without losing audience integrity, where costs can be managed without weakening the strategy, what can be measured, and how to explain it to the client.
That is not sales support. That is planning support. And in today’s agency environment, that kind of support is a competitive advantage.
Omnichannel Has to Mean Coordination
Omnichannel is not a channel count. It is coordination: one audience, one message logic, and one measurement approach working across email, programmatic, and paid social so the channels reinforce each other instead of competing. Sending the same list to five places and calling it integrated is distribution, not strategy, and clients can tell the difference when they ask what actually worked.
Every agency has seen the word “omnichannel” stretched beyond recognition. Sometimes it means a connected strategy. Sometimes it means the same audience was sent to five places and everyone agreed to call it integrated.
Planning season is the time to be honest about the difference. True omnichannel is not more channels. It is coordination. The audience, message, activation path, and measurement approach need to work together. Email should not sit off to the side. Programmatic should not operate from a separate audience logic. Paid social should not be disconnected from the broader HCP strategy. Measurement should not arrive after the fact as a scramble to prove value.
For planning and activation teams, this matters because fragmented execution creates fragmented stories. And fragmented stories become painful when clients start asking what worked, why it worked, and what should happen next.
The opportunity is to build plans where channels reinforce each other. Email can drive direct HCP engagement. Programmatic can extend reach and frequency. Paid social can support awareness and reinforcement. Trigger logic can respond to actual behavior. Measurement can connect the dots in a way that gives account teams and clients a clearer story.
But coordination only works if the audience foundation is strong enough to support it. If the audience is too narrow, too obvious, or too disconnected from how care is actually delivered, omnichannel becomes a distribution exercise instead of a strategy.
That is the difference between checking boxes and building a plan.
Cost Still Matters, Maybe More Than Ever
Even the best audience idea is useless if the agency cannot afford to activate it. Cost belongs in the planning conversation from the start: match rate, activation cost, vendor count, internal time, and what happens when the client changes direction. Bad audience inputs do not just hurt performance. They create rework that quietly burns margin long after the plan is approved.
Novel audience strategies are only useful if agencies can afford to activate them. That is why planning season cannot be only about the big idea. It has to be about the economics of execution.
Investment teams are not wrong to ask hard questions. Where is the waste? What is the match rate? What is the cost to activate? How many vendors are involved? How much internal time does this require? What happens when the client changes direction?
A better partner should help agencies answer those questions. Flexible cost models, cleaner activation paths, better audience quality, scalable audience construction, and fewer operational headaches all matter because hidden costs are still costs.
Bad audience inputs do not just hurt performance. They create rework. They slow teams down. They make client conversations harder. They burn margin in ways that rarely show up cleanly on a media plan.
So yes, planning season should be about new ideas. But the strongest new ideas are the ones that also make economic sense. They can be explained. They can be activated. They can be scaled. And they can be defended when the client asks why the plan is built that way.
What Audience Strategy Should Agencies Plan For in 2027?
As agencies move into 2027 planning, the question is not simply:
What channels should we recommend?
The better question is:
What audience strategy gives our client a smarter, more defensible, more efficient way to reach the people who actually matter?
That question changes the conversation. It moves the agency away from vendor-driven planning and toward partner-enabled strategy. It creates room for new audience approaches that go beyond static targeting. It pushes teams to define not just the HCP, but the full care team and the network of decision influencers around the brand.
It gives planning and activation better inputs. It gives leadership a stronger client narrative. It gives investment teams a more defensible cost story. It gives data and analytics a cleaner methodology to stand behind.
Most importantly, it helps the agency show up as what clients are asking for right now: not just a media buyer, not just an executional team, but a strategic partner that can bring new thinking into a crowded, complicated, high-pressure healthcare market.
Planning season is here. The holidays may be at risk. Summer Fridays may be fictional. The last-minute asks are definitely coming. But the agencies that use this moment to challenge the default audience plan, pressure-test their partner ecosystem, and bring clients novel but executable ways to reach healthcare audiences will be the ones that walk into 2027 with more than a plan.
They will walk in with a point of view on who really matters, how to reach them, and how to build a plan that does more than check the usual boxes.
Frequently Asked Questions
What does the Forgotten Oncology Nurse Phenomenon mean for my media plan?
It means a campaign can fund the prescriber and the consumer plan yet still underperform because it overlooks the nurse who manages adherence, side effects, and patient support day to day. Building the nurse in as an intentional audience, not an afterthought, makes the plan more complete and the treatment experience more consistent.
How should healthcare agencies define an audience beyond the prescriber?
Start with the full care team, not the single target. Map who influences the care decision: nurses, care coordinators, office managers, referral partners, and site-of-care roles. Then layer behavioral, engagement, and referral signals on top of specialty and claims data so the audience reflects how care actually gets delivered, not just who writes the script.
What is the difference between omnichannel and just running more channels?
More channels is distribution, whereas omnichannel is coordination. In a coordinated plan, email, programmatic, and paid social work from the same audience and message logic, with measurement built in from the start. If each channel runs on its own audience definition, you have fragmentation that gets expensive to explain when the client asks what worked.
How do we bring novel audience thinking without blowing the budget?
Tie every new idea to activation and cost. A stronger audience should be cleaner, more scalable, and easier to defend, which reduces rework and hidden waste. Ask for match rate, activation cost, and vendor count up front. The best new ideas are the ones that can be explained, scaled, and afforded, not just admired in a slide.
What should agencies prioritize in 2027 planning season?
Audience strategy first, channels second. The agencies that win treat planning season as the moment to challenge the default audience plan, pressure-test their partners, and define the full care team rather than repackaging last year’s target list. A sharper, more complete audience makes every downstream channel and measurement decision easier.
How HealthLink Dimensions Helps Agencies Plan a Sharper Audience
Bringing a sharper, more complete audience to planning season is exactly what HealthLink Dimensions is built for, across the full data lifecycle. Profile helps agencies define and identify the right healthcare professionals and the broader care team, including the roles static target lists tend to miss. Enrich validates and completes that audience so the file is launch-ready instead of full of exceptions. Engage activates it across email, programmatic, and paid social, including Trigger Email that responds to real engagement signals. Pulse measures what actually happened, including Script-Lift Analysis, so the client story is defensible.
About HealthLink Dimensions
HealthLink Dimensions helps healthcare marketers and agencies reach the right healthcare professionals with accurate, privacy-conscious data and activation across the full lifecycle: Profile, Enrich, Engage, and Pulse. The company is built on three commitments: Product Excellence, Superior Service, and Privacy & Compliance. Its provider data is 12X-Verified for accuracy and is tied to the National Provider Identifier (NPI) rather than protected health information, which keeps healthcare professional marketing effective without depending on PHI.
Data to Insight. One Trusted Partner.


