More than 20 cents of each revenue dollar for employers are going toward health care costs that are undermanaged, according to the nonprofit Center for Health Value Innovation's Health Value Accelerator, an online tool that creates a value-based benefit design centering on both engagement and accountability.

"We weren't surprised by the results that show not only an overall lack of engagement from employees, but a need for more attention from employers, as well," says Cyndy Nayer, CHVI president and CEO. "Employers are spending billions of dollars, often without holding their plans and providers accountable. The Accelerator is the first employer engagement tool that shows these disconnects."

According to the findings, employers offer tools for workplace engagement but are neglecting to track the use or outcomes, such as behavior change or risk reduction. Incentives are not guarantee for engagement or better outcomes, and in some cases, companies had better outcomes without incentives for prevention and wellness screenings.