Muck Rack's May 2026 study found earned media accounted for 84% of citations in ChatGPT, Claude and Gemini answers, with paid content at 0.3%, and other trackers point the same way with different definitions. For agencies, press coverage now works as an input to AI answers, with recency, outlet choice and query type shaping what gets cited.
From Ford and NVIDIA to Robinhood's Sherwood, companies are hiring veteran journalists to publish their own coverage as search traffic to news sites falls. Independent evidence of business results remains limited, and credibility depends on editorial standards.
As Google completes its third-party cookie deprecation and Meta's Advantage+ absorbs more DTC ad spend, brands are debating whether investing in first-party data infrastructure is a genuine competitive advantage or costly overhead only large players can justify. The stakes are highest heading into Q4 2026, when signal loss is reshaping how performance marketers measure ROAS, build audiences, and attribute new customer acquisition.
AmSpa survey data and 2026 ad benchmarks reveal that the average med spa spends 7% of revenue on marketing — slightly below the cross-industry norm — while Beauty and Personal Care paid search costs dropped sharply and repeat patients already account for nearly three-quarters of visit volume.
Amazon's demand-side platform is pulling DTC ad budgets away from Meta and Google by offering purchase-intent data no other platform can match — but its real value depends heavily on whether a brand already sells on Amazon.
Frustrated by stubbornly high Meta CPMs and murky Advantage+ reporting, a growing number of direct-to-consumer brands are diverting performance ad dollars into connected television. Early movers in home goods, fitness equipment, personal care, pet care, and subscription food report measurable lift — but the channel demands a patience and planning discipline that conflicts with how most DTC growth teams are wired.
