As chronic health and musculoskeletal conditions continue to grow, today’s workforce faces formidable barriers to productivity and well-being. Over two-thirds of U.S. companies have attempted to address this phenomenon by investing in occupational wellness programs. Some focus solely on individual initiatives, such as weight loss or smoking cessation, while others provide health screening. Few, however, are sustainable. The RAND Workplace Wellness Programs Study found that on average, wellness programs only save $1.50 per employer-invested dollar. While certain programs deliver more favorable results—such as BIOKINETIX, with an average ROI of 6 to 1—they remain statistical outliers. With so much at risk, why do most wellness programs yield relatively low returns?