There's a balance sitting in your Chase or Amex account. Maybe 200,000 points. Maybe 800,000. When you do redeem, you take the easy path — statement credit at one cent per point, or the airline's “pay with points” button at checkout. You've never opened the transfer partners tab.
Meanwhile, you're still paying cash for international flights. Still booking hotels on Expedia. Still burning points at the worst possible rate the programs let you use.
Done right, the same points are worth two to ten times more. The redemptions are there. The problem is time, complexity, and knowing which lever to pull. That's the part we do.