Consider, only 17% of companies in the United States have health and well-being programs categorized as comprehensive or robust in design according to the most recent National Worksite Health Promotion Survey (1). Although this conclusion spotlights a gap, it also provides insight into potential solutions. One clear observation is that program implementations structured according to clearly delineated principles show great potential for successful outcomes. In cross sectional analyses, we have shown that the more principles of program design are included in the program mix being implemented, the lower the population level of health risks. In addition, when comparing work sites implementing health and well-being programs designed at different levels of adherence to best practice program principles, those that incorporate more principles of design experience better current health insurance claims trends through time.