A well-designed wellness and health improvement strategy led to higher engagement, significantly lower health risk and medical savings of over $1.6 million since 2005. The government of Loudoun County, Virginia had experienced unprecedented cost increases, including health care costs for the county’s employees and their families, as the rapidly developing area grew. Since 2005, the county has collaborated with Cigna to develop and implement a robust wellness program that has changed the culture of health care from crisis care and unhealthy choices to prevention and healthy lifestyles.