While the stated goal of workplace wellness programs is to improve employee health, many US employers have turned to them to help alleviate the impact of enormous increases in health insurance premiums[8] experienced over the last decade. Some employers have also begun varying the amount paid by their employees for health insurance based on participation in these programs.[9] Cost-shifting strategies alone, through high copayments or coinsurance may create barriers to participation in preventive health screenings or lower medication adherence.hypertension.[10] While it was once believed that for every dollar spent on worksite wellness programs, medical costs fell by $3.27,[11] that hypothesis was disproven by a subordinate of the author of the original study.[12] The subordinate was working on behalf of the National Bureau of Economic Research.