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Episode 81 – Why Your Wellness Program Isn’t Working

Why Your Wellness Program Isn’t Working | Ethos Benefits

Thought Leadership  ·  Episode 81

Why Your Wellness Program
Isn’t Working

The Data-Driven Fix for Employee Burnout

Guest: Dr. Romie Mushtaq, MD  ·  Board-Certified Neurologist  ·  Chief Wellness Officer, Great Wolf Resorts  ·  Author, The B usy Brain Cure

Episode 81 Thumbnail
51%
of U.S. employees are “struggling” or “suffering”
Gallup, 2025
17K+
people in Dr. Romie’s chronic stress research
Busy Brain Institute
12K+
employees in Dr. Romie’s Great Wolf Resorts program
Great Wolf Resorts, 2025
Dr. Romie Mushtaq

Dr. Romie Mushtaq, MD

Board-Certified Neurologist  ·  Chief Wellness Officer, Great Wolf Resorts  ·  Author, The Busy Brain Cure (HarperCollins)

Triple board-certified physician with 20+ years in neurology, integrative medicine, and corporate wellness. One of the first physician-appointed Chief Wellness Officers in U.S. corporate history. Featured in Forbes, NPR, NBC, and TED.

Most employee wellness programs are built on a guess. A CEO loves Peloton, so the company buys 200 of them. A board member swears by meditation apps, so one gets bundled into the benefits package. Someone’s daughter had success on a GLP-1, so suddenly the case gets made to make it free for everyone. None of it is wrong, exactly. It’s just not strategy. It’s preference, dressed up as a program.

Dr. Romie Mushtaq, a board-certified neurologist and Chief Wellness Officer at Great Wolf Resorts, joined Chelsea Ryckis on the Business of Benefits podcast to share her perspective on why most corporate wellness programs fail to move the needle on employee health, and what data-driven employers can do differently. Dr. Romie has spent two decades inside corporate America’s wellness machine and is the bestselling author of The Busy Brain Cure, published by HarperCollins. Her work has been featured in Forbes, NPR, NBC, and TED.

Her diagnosis: most wellness programs aren’t working, and most employers can’t tell because they’re measuring the wrong things.

The “Jump Rope” Problem with Employee Wellness Programs

Chelsea opened with a story from early in her career: a large bank with 10,000+ employees that described its wellness program as branded jump ropes mailed to every employee’s home. No follow-up. No data. No connection to outcomes.

Dr. Romie’s response: that story isn’t outdated. It’s just been rebranded. Pelotons. Fitbits. Meditation apps. Whatever the decision-maker personally loves gets rolled out as if popularity were the same as ROI.

For ERISA plan sponsors, that gap isn’t just a strategy problem. It’s a fiduciary exposure. Every benefit decision must be made in the best interest of those it serves.

What Burnout Actually Looks Like

Most people who say “I’m burned out” aren’t. Dr. Romie distinguishes between a “human moment”, a tough week, a caregiving stretch, and true, clinical burnout, which is a measurable physiological state.

Left unaddressed, those signals migrate into the body. Chronic, unmanaged stress correlates directly with the conditions the CDC tracks as core drivers of America’s chronic disease burden: hypertension, diabetes, and cardiovascular disease. What starts as disengagement ends in claims data.

Early Warning Signs of a Burned-Out Workforce
  • Complaints about leadership or “unfair” practices spiking in survey comments
  • Communication breakdowns and friction growing between coworkers
  • “I stayed up all night to finish this” becoming a common refrain
  • Fear-based language around AI, job security, or organizational change
  • Uptick in musculoskeletal and physical injury claims
  • Low utilization of mental health benefits despite high stated need
From the episode
Dr. Romie quote: The road to the emergency room

A 2025 Gallup analysis found that 51% of U.S. employees are classified as “struggling” or “suffering.” Gallup’s St ate of the Global Workplace research repeatedly links stress, disengagement, and poor management to trillions in lost productivity. As Dr. Romie noted in a recent Authority Magazine interview: burnout is a physiological state of brain and body breakdown.

Employee wellness program data: 51% of U.S. employees are struggling or suffering

The Counterintuitive Part: Numbers Get Worse Before They Get Better

When a wellness program is actually working, the first thing leadership sees is often a cost increase, not a decrease. Build trust, remove stigma, and utilization goes up. Employees finally see a primary care doctor and you find diagnoses of hypertension, diabetes, and other conditions that were already there, just previously invisible.

“What you’re really seeing in the business is reduced turnover, higher productivity, and improved profitability, because when you take care of your people, they take care of your clients.”

Dr. Romie Mushtaq  ·  Business of Benefits, Ep. 81

It isn’t failing. The metric that validates the investment isn’t day-90 cost. It’s reduced turnover, improved productivity, and lower utilization of high-cost emergency care over a longer time horizon.

Three Pillars. Two Questions. One Framework That Works.

Dr. Romie’s model addresses three pillars together: protect your brain (individual mental and physical health), protect your people (team-level trust and empathy), and protect your business (the systems and operations that either reduce or amplify burnout).

Dr. Romie's Three-Pillar Framework Two questions that predict retention

At Great Wolf Resorts, this approach was distilled to two questions asked across all 23 properties twice per year. Lodges that completed empathy training showed a statistically significant gap in those scores, and that single data point predicted team-level retention by department before HR ever pulled a turnover report.

Wellness That Lives Only With HR Will Die There

Dr. Romie: Wellness will die if it solely lives with the benefits directors

These programs work when wellness moves from a benefits offering to an actual cultural shift. Dr. Romie is direct: wellness will die if it solely lives with the benefits directors.

That means a wellness committee representing every division, tied into culture and leadership, with CEO and president buy-in before it reaches the client.

For smaller employers, the principle is the same at a smaller scale: gather quantitative data on brain and physical health, qualitative data through trust surveys, and direct conversation with the frontline before designing or buying anything.

Empathy and Accountability Are Not Opposites

One of the most consistent pushbacks Dr. Romie encounters: that conscious leadership and psychological safety are soft. She addresses it head-on.

Empathy and compassion coexist with expectations, accountability, and setting clear boundaries. A caring culture doesn’t mean lowering the bar. It means people show up because they want to, not because they’re afraid not to.

Chelsea echoed this from building Ethos Benefits: nearly zero turnover, exceptional client service, not one client lost in seven years. The data is there for any leader willing to build the culture that produces it.

Dr. Romie: Empathy and accountability coexist

The Bottom Line

Wellness can’t live solely with a benefits team, and it can’t be measured by participation numbers or perk popularity. It has to be treated as a culture and leadership function with the same rigor applied to claims and stop-loss data: tracked, tested, and tied to outcomes that matter.

“When employees feel genuinely seen, heard, and cared for, they will go the extra mile to create impact in the business. That’s not a soft sentiment. It’s a measurable one.”

Dr. Romie Mushtaq  ·  Business of Benefits, Ep. 81

Ready to build a wellness strategy that actually moves the needle?

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