Three large employee assistance programs (EAPs) - Aetna, OptumHealth, and ValueOptions - piloted adding screening and brief intervention protocols for risky drinking to their services. This led to identifying 50-100% more employees with alcohol issues. Aetna identified risky drinking in 40% of clients screened and increased clinical follow-ups. OptumHealth identified risky drinking in 20.1% of clients compared to 7.5% previously and increased referrals to treatment. ValueOptions screened over 3,000 people and identified risky drinking in 7% leading to further screening, where 12% were found to have elevated risk.