How Linear TV is Navigating Reinvention in the Streaming Era

Delaney Tierney, Supervisor, Video Investment | Toby Katcher, SVP, Video Investment

May 28, 2025

Intro:

Although streaming services continue to grow in popularity, Linear TV remains a powerful and influential medium. Once the undisputed leader in televised content, Linear TV is now evolving alongside the rise of on-demand platforms. For healthcare advertisers, this changing landscape poses an important question: how can they sustain engagement, efficiency, and brand impact across a diversifying video ecosystem?

Background: From Network Dominance to Digital Convergence

Linear TV’s history spans from early network dominance to cable expansion and now, digital convergence. The rise of streaming platforms like Netflix, Hulu, and Amazon Prime Video in the 2000s disrupted traditional viewing habits, offering on-demand access, flexible consumption, and personalized recommendations. Despite this shift, Linear TV has demonstrated resilience, integrating with digital and streaming ecosystems.

Current TV Landscape: Streaming Meets Linear Resilience

Today’s landscape is defined by consumer choice, cost-consciousness, and evolving consumption habits. Streaming services like YouTube, Amazon Prime Video, and Netflix lead in market share. Consumers are drawn to streaming’s affordability, flexibility, and diverse content libraries.

However, Linear TV retains its value:

  • Habit and Familiarity: Traditional TV remains a familiar routine for many, offering consistency and predictability.
  • Simplicity, Reliability, and Access: Linear TV provides a hassle-free viewing experience, particularly appealing to older demographics who may find streaming platforms complex. It doesn’t require internet connectivity or navigating multiple apps.
  • Live and Local Content: Linear TV remains the primary platform for live sports, news, and major events, attracting large audiences.
  • Bundling Opportunities: Bundled packages can make Linear TV a cost-effective option for some households.

Despite predictions of its demise, Linear TV has seen a resurgence, with network scripted hits validating its continued impact. Viewers still crave episodic, long-running programming, fostering deep connections with characters and shows. Top-rated programs perform strongly across both traditional and digital platforms, highlighting the need for a cross-platform media strategy.

Implications for Healthcare Advertisers: Maximizing Impact

To effectively reach healthcare professionals (HCPs), patients, and caregivers, advertisers must adapt their strategies to a fragmented, multi-screen environment. Strategic curation is essential, ensuring brand safety and compliance with regulatory norms.

Here’s how to adjust:

  • Integration: Linear & Streaming Audiences for Maximum Reach: Combine linear content with streaming platforms to broaden audience reach. Cross-platform media buys extend the effectiveness of Linear campaigns with digital extensions, optimizing performance in real-time.
  • Leveraging Free Ad-Supported Streaming TV (FAST) Channels: FAST channels offer a cost-effective, high-reach advertising opportunity. These channels mimic traditional TV environments, providing a mix of classic and modern content supported by advertising. The global FAST market is projected to reach over $10 billion in ad revenue by 2027.
  • Capitalizing on Live Events for Brand Awareness: Live events, particularly sports, continue to draw significant viewership, offering valuable brand visibility. Healthcare brands can leverage these events for public health initiatives, drug launches, and awareness campaigns. Live news also provides a credible space for patient education and public service announcements.
  • Enhanced Measurement and Targeting: Advancements in measurement technologies enable more precise audience targeting and performance tracking. Nielsen’s expanded measurement framework includes viewership across both Linear TV and streaming audiences. AI-driven insights help predict viewer behavior, enabling data-driven planning decisions. CTV has accelerated measurement innovation, with programmatic ad buying providing real-time feedback for optimization.

Why is this Important for Pharma Brands?

Linear TV remains a powerful channel for reaching older generations, who are important audiences for many pharma brands. Adults aged 50 and older watch TV regularly, with baby boomers spending significant time watching linear TV. This demographic holds significant purchasing power, making them a crucial target for pharma brands. Healthcare and pharmaceutical marketers invest heavily in conventional media, including Linear TV.

The Future is Hybrid

The future of TV lies in hybrid strategies, blending Linear, Addressable TV, and digital streaming. As healthcare advertisers navigate the shifting video ecosystem, adaptability will be key to maximizing the strengths of both formats and meeting the evolving demands of modern entertainment consumption.