Employers expect to increase their investments in both disease and wellness management in anticipation of the cost savings that will be delivered by a healthier employee population. But more investment doesn't necessarily translate into more business for disease and wellness management vendors. The good news is that most employers prefer to let someone else craft and manage their disease and wellness management programs. The bad news is that only about half of employers are using incentives to drive the levels of employee participation that ultimately make these programs pay off. Product managers at disease and wellness management companies will have to focus on their specific niches to keep this market healthy and growing.