The Survival Guide to the Healthcare Apocalypse — Your Roadmap to Fixing America's Broken Healthcare System — Available on Amazon
Impact Employee Benefit Strategies

Your Health Plan Was Designed to Cost You More. I Can Prove It.

I've spent 38 years inside the employee benefits industry — not selling insurance, but tearing apart the machinery that makes it so expensive. Here's what your broker won't tell you and what you can do about it.

Pat Reilly — By the Numbers
38
years in employee benefits
SHRM / HRCI CE Certified Speaker
Author, The Survival Guide to the Healthcare Apocalypse
Co-founder, PeopleOne Health (Google Ventures-backed)
Built one of the most advanced DPC models on the market

Patrick and Maureen possess a rare combination of deep medical plan expertise and a sophisticated understanding of school-based regulations and compliance. They were instrumental in our transition to a self-insured school district, the launch of a district primary care office, and have helped us through multiple union contract healthcare negotiations. In my years of district leadership, I have encountered few professionals who possess such a high level of professionalism and care. I truly do not know what I would do without them.

— Kelly Kessling, Benefits Manager, Central Bucks School District
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What PPOs pay vs. Medicare
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What our clients pay
$0
Copay with Direct Primary Care
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Typical total plan savings

Three Ways Your Health Plan Picks Your Pocket

This isn't a broken system. It works exactly the way it was designed to work — just not for you.

The Chargemaster Scam

Hospitals set fictitious list prices, then "discount" them to 300–500% of Medicare. Your carrier celebrates the savings. You still get hosed. A bag of saline that costs the hospital $1 gets billed at $137. That's not a negotiation. That's theater.

The PBM Shell Game

Your Pharmacy Benefit Manager makes money three ways you never see: spread pricing, rebate retention, and formulary manipulation. You're paying more for medications so a middleman can make a margin.

The Access Trap

High premiums AND high deductibles. Employees skip care because they can't afford it. They delay until it becomes an ER visit. That $45,000 claim drives next year's renewal even higher. The cycle repeats.

What you're probably doing

Fully-insured plan from a name-brand carrier

PPO paying 300–500% of Medicare rates

PBM with spread pricing and hidden rebates

Employees who avoid the doctor

12–20% annual increases

What my clients do instead

Self-funded plan — own the data, control the spend

Reference-based pricing at Medicare Plus 125–200%

Pass-through PBM — every dollar visible, you keep the rebates

Unlimited DPC — $0 copays, same-day access

30–50% total plan savings. Year one.

Plans That Save Money and Actually Get Used

I don't sell insurance. I design benefit strategies that put employers back in control and employees back in the doctor's office.

01

Self-Funded Plan Design

Stop renting your health plan from a carrier. Own the risk, own the data, control where the money goes. Stop-loss protects you from catastrophic risk. I build the structure, place the stop-loss, and manage it alongside you.

02

Reference-Based Pricing

Pay hospitals at Medicare Plus 125–200% instead of the 300–500%+ they demand through PPO contracts. Same hospital. Same surgeon. Rational price. This single move can cut facility claims by 40% or more.

03

Direct Primary Care

I helped build what I believe is the most advanced DPC model on the market — primary care, labs, imaging, behavioral health, and pharmacy under one roof. Unlimited visits, same-day access, zero copays, real doctors who know your employees by name.

04

Pass-Through PBM Access — Keep Your Rebates

No spread pricing, no hidden rebates disappearing into someone else's pocket, no formulary games. You see every dollar — and you keep the rebates that belong to you. Already live in Pennsylvania school districts and expanding fast.

Patrick helped us cut $1.2 million in healthcare spend without hurting our employees. He showed us what our broker wouldn't.

— Superintendent, PA School District

He speaks truth. Brokers and employers need to hear this. The book should be required reading for every HR director in the country.

— Broker Agency Owner
PR

Pat Reilly

Founder & Principal

38+ Years Author SHRM/HRCI CE Reformer

38 Years of Fighting the System

I run Impact Employee Benefit Strategies out of Youngstown, New York, alongside my partner Maureen Frucella at Preferred Benefit Specialists. I operate the Preferred Healthcare Systems PPO network.

I co-founded PeopleOne Health — now backed by Google Ventures with 25,000+ members and growing. I helped create what I believe is the most advanced Direct Primary Care model on the market. I've designed benefit strategies for school districts, manufacturers, municipalities, and mid-market employers across Pennsylvania and beyond.

I wrote The Survival Guide to the Healthcare Apocalypse because after 38 years watching this industry operate, I couldn't justify staying quiet anymore.

Keynotes & CE-Certified Sessions

38 years of war stories, hard data, and uncomfortable truths. SHRM and HRCI continuing education credits approved.

SHRM Conferences HRCI Sessions Broker Trainings Board Retreats School District Workshops
Book Pat to Speak

Ready to Stop Overpaying?

No pitch. No 47-slide PowerPoint. Tell me what's going on with your health plan and I'll tell you honestly whether I can help. The conversation is free.

Youngstown, New York