Guidewell and Florida Blue CEO Patrick Geraghty

Patrick Geraghty reportedly made $20+ million a year while Florida Blue/GuideWell slid into negative growth. That doesn’t feel like leadership to me, it feels like getting rich while the ship sinks.

Under his watch, thousands of jobs were cut, with another 2,200 layoffs planned this year.

Severance used to be 1 month per year of service (capped at 12 months). Now it’s capped at 6 weeks total, and in my opinion, a slap in the face to anyone who gave decades of their life to the company.

And after all that? Geraghty walks away with his golden parachute and lands a shiny new board role at MedeAnalytics ; which, to me, looks like a move focused on profits and system-squeezing, not on patients or communities.

Now, I want to be absolutely clear: I do not condone violence, I don’t excuse it, and I don’t endorse it. But it’s impossible to ignore what happened at UnitedHealthcare when Luigi Mangione shot CEO Brian Thompson. That was a horrific, tragic act. Nobody should ever respond to corporate greed with violence.

But to me, it shows something bigger: when executives repeatedly put their own wealth above employees, communities, and patients, society itself starts to crack. People lose hope, trust collapses, and sometimes individuals lash out in extreme and unacceptable ways. That doesn’t excuse it, but it highlights just how toxic and damaging this kind of leadership feels.

In my opinion, Patrick Geraghty represents exactly what’s wrong with corporate healthcare:

Profits over people.

Executives over employees.

Short-term greed over long-term stability.

To me, he didn’t just fail Florida Blue he failed Jacksonville, the state of Florida, his employees, and the idea that healthcare should actually care. The optics are ugly, the decisions feel selfish, and it sure looks like he put himself first while everyone else paid the price.

IMHO Patrick J Geraghty president and CEO of Guidewell and Florida Blue is a greedy PoS and a shining example of what’s wrong with CEO pay and for profit healthcare.

Started a new job back in March, and I have to take a wellness exam before September to avoid the $500 surcharge on my 2026 health insurance.

Kicker- I had a wellness exam in November of last year, insurance only pays for one a year, same insurance-different company- different plan- nope they are not going to pay- so I will have to pay it’s $150 but damn I feel like I shouldn’t have to.