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Article

From Transaction to Trust: Moving Beyond DTC in Health Communications

October 6, 2025
By Barry Sudbeck and Laura Musgrave

In the strategic evolution of health communications, patient advocacy and engagement are emerging as the essential successor to legacy promotional efforts, such as marketing, advertising and sales-focused communications. This shift is driven by new regulatory pressures on direct-to-consumer (DTC) promotion in the United States and a broader global movement toward patient-centered care.

As the FDA signals aggressive enforcement against imbalanced or misleading promotion, the limitations of one-way mass media campaigns have become apparent. The industry now faces a critical mandate: to develop communication strategies that are not only compliant and transparent but also define a powerful new paradigm for connecting with customers. Building genuine, authentic patient relationships is emerging as the most powerful way for the industry to realize this goal.

This new approach fundamentally reframes patient outreach as a driver of long-term corporate reputation and trust, not merely as an alternative marketing channel. And the solution lies within an asset most companies already possess: their patient engagement teams. With an approach that is rooted in listening, two-way exchange, and building credible relationships, these teams are uniquely positioned to lead this change. Their work moves beyond the conventional one-way flow of information; it is about establishing a sustained presence within patient communities, understanding their real-world needs and co-creating resources that provide tangible value. This is how enduring trust – the most valuable asset of all – is built.

Successfully navigating this path requires adherence to core principles that separate authentic engagement from promotion. To ensure credibility, full transparency in all communications, sponsorships, and partnerships is required to protect the integrity of both the company and its patient partners. Furthermore, all information must be rigorously evidence-based and balanced, presenting both benefits and risks with equal clarity. Finally, every interaction must honor patient autonomy by equipping them with knowledge for shared decision-making, rather than steering them toward a commercial objective.

Our current body of research is being augmented by fresh evidence and real-world examples. A white paper summarizing these findings will follow soon.

This evolution from transactional promotion to long-term engagement is not a passing trend. For companies willing to lead, it is a profound strategic opportunity to redefine their role from a vendor of products to a true partner in patient health. Patient engagement is becoming the defining standard for credible health communication, now and in the future.

Article

Why Global Agencies Must Rewire for the New Era

October 1, 2025
By J.J. Carter

One year into my role as President & CEO at FleishmanHillard, one truth stands out: global agencies stand at a crossroads.  Over the past 12 months, I’ve traveled to dozens of offices worldwide, listened to our teams, and met with nearly 200 clients. I’ve seen firsthand the extraordinary energy of our firm thriving in this moment of complexity and consequence.

When a client faces a reputational crisis that spans continents, creates an entirely new category, or launches a breakthrough product across multiple markets, they turn to us. Global agencies excel at orchestration, diversity of perspectives, and resilience under pressure.

But legacy strengths alone are not enough. Being the biggest does not secure relevance, and ubiquity matters less than deep sector expertise. The world is moving at a pace that demands more than incremental change. Tectonic shifts in business, technology, and society are accelerating — audiences are fragmented, channels more abundant, and trust more fragile.

Modern Comms Strategy

To remain indispensable, we must rethink our operating system: how we deliver value, how we scale, and how we measure success. This transformation rests on three primary disruptions:

1. Retiring the Billable Hour 

The traditional agency model—built on billable hours and incremental outputs—is no longer fit for purpose. Clients value impact more than activity, and today’s challenges require more than time alone — they require tools, technology, knowledge, and multidisciplinary teams. Every assignment demands a diverse set of skills working in harmony. Treating every hour as interchangeable devalues expertise and drags everyone into a race to the bottom. We must build commercial models that reflect true value, and it requires partnership between agency and client to do so. 

2. Fusion of Tech + Talent 

AI and digital tools are raising the baseline for what’s possible in research, insights, and content. But technology isn’t our differentiator. The future belongs to communicators who can interpret complex signals, counsel clients, and craft narratives with dexterity. At FleishmanHillard, we’ve launched the largest upskilling effort in our 80-year history, embedded AI into our processes, and empowered every team member to be both a technologist and a trusted advisor. This fusion of tech and talent is what enables us to deliver ideas and impact at the speed of 2025 and beyond. 

3. Specialism at Scale

Clients today face challenges that are simultaneously local and global, technical and political. They need partners with deep expertise in the most complex issues of our time — from geopolitics to trade disruptions, from climate regulation to cybersecurity — delivered with the consistency of a worldwide network.

When a company is caught in a geopolitical dispute, it requires communications expertise that spans diplomacy, trade, and reputation management. When a global brand navigates climate regulation across multiple jurisdictions, it needs advisors fluent in sustainability standards and energy transition. When supply chains fracture under trade pressures, businesses demand counsel that blends economic insight with real-time public affairs.

That is why we are evolving our model to integrate high-value specialisms within a seamless global structure. From guiding corporate leaders through high-stakes transformations, to helping brands drive sales through new market segments or leveraging global platforms like the FIFA World Cup or the Olympic Games to prove brand value— our expertise is designed around the industries and capabilities that will shape our clients’ futures.

This focus on specialism is not only about delivering sharper insights — it is about building resilience. We deliver the precision of a boutique, with the strength and stability of a global consultancy.

Act now to define what endures

The year ahead will not reward those who wait. It will reward those bold enough to redefine value, blend human judgment with technology, and bring specialist insight to a global stage. This is more than an inflection point for agencies — it is a proving ground for the role of communications in business and society.

Those who rise to the moment will not only shape what comes next, but what endures. They will define how markets evolve, how reputations are built, and how trust is sustained for decades to come. At FleishmanHillard, we embrace that responsibility — and we are determined to seize the opportunity to lead. 

Here’s to the next 365…

J.J. Cartner width= J.J. Carter is President and Chief Executive Officer of FleishmanHillard.

Read More From J.J.: To Break Through, You Have to Earn It

 
Article

Protecting Relationships During a Cyber Crisis

June 3, 2025
By Cody Want

When a cyber incident hits, IT and legal are often the first to get the call—for good reason. IT teams must act swiftly to contain, remediate and investigate the breach, while legal teams must ensure compliance with regulatory and contractual obligations and manage legal exposure.

But a strictly technical or legal lens can narrow your field of vision. Without broader perspective, you risk overlooking the long-term impact on trust and reputation. In the critical early hours of a response, you need someone in the room to ask: “Now that we know what we’re required to do—what else should we do?”

How you manage the technical and procedural aspects of a cyber incident is essential—it’s foundational to restoring operational confidence. But reputation isn’t built on competence alone; it’s a true test of values. In a crisis, stakeholders are paying attention not only to what you do, but how you engage—and whether your actions reflect the commitments you’ve made in steadier times. The impressions formed in these moments of uncertainty can endure far beyond the incident itself.

Think of cyber incident response as a three-legged stool: IT, legal and communications. Without that third leg, your response may be technically compliant—but misaligned and disconnected from the broader reality of stakeholder expectations. That imbalance can compound risk.

Communicating through a cyber crisis is rarely straightforward. There’s significant pressure to provide clarity on the situation, but forensic investigations take time, threat actors cover their tracks and facts change. The difficulty of navigating these considerations—and the potential impact of a misstep—doesn’t mean you should downplay the need to communicate. It means it’s more important than ever to fill that space, especially when the demand for communications is highest.

That complexity isn’t a reason to step back from communication—it’s a signal to step in more thoughtfully. In moments of high uncertainty, demand for transparency rises.

The right communications strategy acknowledges these challenges while ensuring that trust and relationships aren’t casualties of the crisis. Here are three principles to guide your approach:

  • Be stakeholder-centric: Start with a clear understanding of who your stakeholders are and what they need to hear from you. Reputation is shaped in the details of how you communicate—how you time employee updates, brief partners and how you equip and support customer-facing teams.
  • Avoid media tunnel vision: The headlines matter, but they’re not the whole story. In most incidents, your long-term reputation is shaped more by internal and stakeholder communications than by a single news cycle. Media relations is just one part—often a small part—of a much broader response.
  • Think of future conversations: Imagine explaining your decisions months from now to a key stakeholder. They might not be fully satisfied, but will they understand and respect how you handled the situation given the constraints you were facing?

When and How to Communicate

Cyber incidents create uncertainty. If you don’t provide information to your stakeholders, others will do it for you—customers on social media, employees in break rooms, journalists on deadline.

More On Planning For Uncertainty: Meet the Global Executive Advisory

This doesn’t mean sharing everything, with everyone, all at once. It means thoughtfully assessing what your stakeholders likely know or assume, what you know and can responsibly say, and how best to bridge the gap. There’s no perfect answer. Often, it’s a day-by-day judgment call.

Understanding every stakeholder’s perspective and expectations in this level of detail takes work—but it’s work that always pays off. In a crisis, you’ll never regret having spent time preparing your communications strategy.

Some of the key questions to ask:

  • Clients & Partners: Should high-value relationships get a direct update or a 1:1 call? How are you supporting them through operational disruption?
  • Customers: Are they worried about incompetence—or their data? How are you addressing concerns, inquiries, and frustration?
  • Employees: Do they know what they can and can’t say? Are they prepared to respond to external questions or internal uncertainty?
  • Media & Digital: Should you respond to inquiries, or would that validate speculation? How do you monitor and address unverified rumors before they escalate? What should you do about blogs and anonymous accounts?
  • Board & Investors: How do you keep key stakeholders informed without escalating concern or overpromising outcomes?
  • Regulators & Authorities: Beyond mandated disclosures, what messaging aligns with your broader corporate values?
  • Other Key Audiences: Who else expects to hear from you? Have you considered suppliers, industry associations, or even competitors who might be affected?

More Than a Response—A Reputation Strategy

IT and legal are essential to resolving the technical and regulatory dimensions of a cyber incident. But stakeholders don’t measure your performance by minimum requirements—they measure it by how you made them feel. Ask yourself: are you communicating in a way that reassures and retains trust?

The best responses manage short-term pressures without compromising long-term relationships. Even within the constraints of investigation and legal risk, organizations that integrate communications expertise are better positioned to emerge with credibility intact—and often stronger.

Cyber incidents may be inevitable. Reputational damage doesn’t have to be. The real question isn’t just whether you responded— it’s whether you’re responding in a way that strengthens trust and credibility in the long run.

Cody Want Cody Want is FleishmanHillard’s U.S. Cyber Crisis Lead with extensive experience in cyber incident response and preparedness. He has helped clients through a wide range of crisis and issues situations, including undercover media investigations, major restructures, union disputes and many other regulatory and reputational challenges.

 
Article

Ready for What’s Next: Corporate Preparedness & Resilience in the Age of Permacrisis

May 23, 2025
By Vipan Gill

Crises are no longer episodic disruptions. Today, they form a continuous backdrop – an evolving dynamic that threatens organizational resilience and corporate reputation. Organizations that embed crisis preparedness as a core strategic capability – not simply an insurance policy – will be positioned not just to weather future challenges, but to lead through them.

That’s because risk today is faster, more complex and amplified across more dimensions than ever before. We are operating in a state of “permacrisis”. While crises are not necessarily new, it’s the speed, complexity, and amplification of risks across many different channels that have changed. Every organization faces compounding risks, whether they make headlines or not. Yet many companies remain underprepared. Insights from this month’s PRWeek Crisis Comms Conference 2025 revealed that nearly half of all companies still lack a formal crisis plan.

Readiness is Cultural, Not Just Tactical

In a world where every day feels like a crisis, many leaders mistake constant exposure for readiness. But resilience isn’t built in the moment. It’s embedded over time. Today’s risks demand deeper planning and perspective. Organizations must embed clarity of ownership, decision-making agility, and cross-functional coordination well before a disruption occurs.

At FleishmanHillard, this belief is core to how we guide clients. The conference reinforced what we see in our daily counsel; the absence of a crisis playbook isn’t the only risk. The bigger vulnerability is failing to operationalize crisis readiness as a living, evolving part of the business. In an era defined by disruption, resilience is the ultimate differentiator.

From Reactive to Resilient: Redefining Crisis Leadership

Historically, crisis management was shaped by high-profile, acute events. Today’s most damaging issues often simmer below the surface, emerging gradually, escalating quickly, and leaving little time for response.

World-class crisis outcomes now hinge on proactive, sustained investments in organizational preparedness, not just reactive action during a major event. Resilient brands do not just defend their reputation during crises; they proactively strengthen it through everyday actions.

To move from reactive to resilient, organizations need a modern readiness framework that embeds resilience into day-to-day operations. Core elements include:

  • Real-Time Risk Sensing: Implement tools to monitor traditional media, social platforms, fringe forums, and the dark web for emerging threats.
  • Reputation-First Scenario Planning: Develop scenarios that address both operational and reputational impacts, with predefined decision-making criteria.
  • Authentic Language Frameworks: Ensure communications reflect organizational values, particularly on sensitive or contentious topics to maintain credibility.
  • Strategic Spokesperson Planning: Prepare visible leaders who can act as credible, empathetic representatives under pressure.
  • Continuous Crisis Training: Treat readiness as a muscle to be exercised regularly, not a skill activated during emergencies alone.

In today’s attention economy, fringe narratives can move mainstream within hours. Resilient organizations sense what’s coming and shape the narrative before others do.

Proactive Narrative Management: Preparing for AI-driven Risk

AI is changing how reputations are shaped. Machine learning models, news algorithms, and social amplification systems serve as frontline interpreters of a brand’s behavior and its reputation. These systems don’t wait for formal updates, they ingest, index and amplify whatever narratives are most readily available.

That’s why prebunking– establishing credible narratives proactively–is essential. Organizations can no longer rely solely on reactive corrections during an active crisis. Instead, building trusted reputational foundations early on improves how audiences, and AI systems, interpret emerging narratives.

A strong crisis preparedness program ensures that communications strategies are not merely reactive after an incident, but active, strategic, and values-led well in advance.

Elevating the Role of Communications in Crisis Strategy

The role of communicators has evolved.  In a permacrisis environment, we are not just message managers, we are strategic stewards of corporate reputation—proactively guiding organizations through uncertainty, informed by data, technology, and human judgment.

While technology provides powerful tools, the true advantage lies in how organizations interpret those signals and act on them. Human insights remain essential. Context. Empathy. Judgement. These are the ingredients of trusted, decisive leadership in the moments that matter.

Our Approach  

Our global crisis and issues management team combines real-world, local market experience with global reach—guiding clients through uncertainty across time zones, sectors and cultures. We help organizations build and operationalize readiness, so that when it matters most, you’re not reacting—you’re leading.

FleishmanHillard Executive Advisory Board