THE DISAPPEARING MIDDLE MARKETING IN HEALTH + WELLNESS: WHAT IT MEANS FOR YOUR BRAND
The health and wellness industry continues its remarkable expansion, projected to reach $11 trillion by 2034. Yet beneath this growth lies a significant shift that many brands are overlooking: the vanishing middle market.
THE POLARIZATION OF HEALTH + WELLNESS SPENDING
Recent research from our "State of Health & Wellness Marketing 2025" report reveals a striking trend: consumer wellness spending is increasingly concentrating at opposite ends of the spectrum. Today's consumers are either:
Seeking affordable, high-value essentials - Basic wellness products and services with transparent benefits and accessible price points
Investing in premium, transformative experiences - High-end offerings with exceptional quality, personalization, and measurable outcomes
What's notably absent? The middle ground where many established health and wellness brands have traditionally positioned themselves.
WARNING SIGNS YOUR BRAND MAY BE CAUGHT IN THE MIDDLE
This market polarization creates a precarious position for brands lacking clear differentiation. Your brand may be vulnerable if:
Your pricing sits between budget and premium options
Your marketing emphasizes "good quality at reasonable prices"
You're competing primarily on modest feature improvements
Your customer base shows declining loyalty and price sensitivity
You feel constant pressure to discount to maintain volume
These symptoms indicate potential exposure to the "middle market trap" - a position of increasing vulnerability as consumer preferences continue to diverge.
THE STRATEGIC IMPLICATIONS
For health and wellness businesses, this market bifurcation demands a clear strategic response:
FOR BRANDS CURRENTLY IN THE MIDDLE MARKET:
The data suggests two viable paths forward:
Option 1: Strategic Elevation - Reposition your brand toward the premium end through:
Deeper specialization in specific health outcomes
Enhanced credibility through research and partnerships
Exclusive experiences and personalized solutions
Premium pricing aligned with elevated value proposition
Option 2: Value Optimization - Reposition toward the value-driven segment through:
Streamlined offerings with transparent benefits
Optimized operations to support competitive pricing
Enhanced accessibility across channels
Clear, direct communication of functional benefits
The least viable option is remaining undifferentiated in the middle, where margins compress and acquisition costs rise.
CASE STUDY: SUCCESSFUL NAVIGATION OF MARKET POLARIZATION
A revealing example comes from a wellness studio brand that recognized this trend early. Previously positioned as a mid-market provider with moderate pricing and standard classes, they faced declining margins and increasing customer acquisition costs.
Their strategic response included:
Creating a clearly segmented class and retail architecture with distinct brand positioning for different market segments
Developing a premium membership with exclusive offerings and events, and enhanced support
Gradually phasing out undifferentiated middle-market services
The results were compelling:
42% growth in premium membership revenue within 18 months
37% increase in overall profit margin
28% reduction in customer acquisition costs
Improved brand clarity across all market communications
THE PATH FORWARD: STRATEGIC BRAND DEVELOPMENT
This market polarization reinforces the critical importance of strategic brand development in today's health and wellness landscape. Brands with clear positioning, distinctive value propositions, and consistent execution are capturing disproportionate value as the middle continues to erode.
Our research shows that health and wellness brands with strategic positioning outperform competitors across key metrics:
43% higher customer retention rates
28% increased average transaction value
37% greater customer advocacy and referrals
These findings confirm that strategic brand development is not merely a marketing exercise but a fundamental business investment that drives measurable results.
ASSESSING YOUR POSITION
As you consider these market dynamics, critical questions for your health and wellness brand include:
Where does your brand genuinely sit in this polarizing landscape?
Does your current positioning align with evolving consumer preferences?
Which strategic direction—elevation or value optimization—better leverages your core strengths?
How can you create clearer differentiation from competitors caught in the middle?
GAINING STRATEGIC CLARITY
Market polarization creates both threat and opportunity. Brands that recognize this shift and take decisive action to clarify their positioning will thrive, while those that remain ambiguous risk increasing irrelevance.
Want to explore this trend in greater depth and discover how strategic brand development can position your health and wellness business for sustainable success?
Our comprehensive "State of Health & Wellness Marketing 2025" report provides data-driven insights and actionable strategies to navigate this evolving landscape. Download the complete research to gain clarity on your optimal positioning and strategic path forward.
Kōvly Studio is a full-service brand and marketing agency for experience-driven brands. We support health + wellness brands in connecting with their most profitable target market. Our distinct approach and expertise enable us to transform businesses, allowing our clients to pursue their business goals with confidence.