Where Policy Meets Implementation.
Aligning policy, strategy, and systems to deliver health and economic impact.
Our Approach
We develop actionable policies and strategies and build the operational and management systems needed to implement them.
We view policy development, organizational strategy, and operational execution as a single, continuous line of work—not separate efforts. This integrated perspective shapes every aspect of our work, from how we frame problems to how we design and implement solutions.
Policy Development. We conduct in-depth policy research, craft advocacy strategies, and design solutions that are both politically viable and practical to implement. Whether analyzing regulatory landscapes, developing proposals, or drafting briefs, we identify innovative approaches to complex challenges—ensuring immediate needs are addressed while aligning with long-term organizational priorities.
Organizational Strategy. We translate complex policy requirements into clear, actionable enterprise strategies. This includes creating roadmaps, governance structures, and workstreams that align leadership decisions, investments, and accountability with both regulatory demands and organizational objectives.
Operational Execution. We design the systems and structures that turn strategy into action. This includes care delivery models, clinical and operational workflows, and team structures that scale operations and drive performance. By working directly with teams on the ground, we ensure these processes are practical and sustainable, embedding the flexibility needed to adapt as regulations and markets evolve.
Our approach is grounded in a deep understanding of how these disciplines intersect. We anticipate where misalignments are likely to occur and address them early. By connecting the right teams, testing assumptions, and resolving friction before rollout, we ensure initiatives launch smoothly, adapt effectively, and achieve the results they were designed to deliver.
ABOUT US
Samantha Roy, Principal
Samantha Roy is a health policy and operations leader who builds systems and policies that improve healthcare and shape how industries and institutions influence health and economic well-being. She develops actionable policies and strategies and establishes the operational and management systems required to implement them—ensuring initiatives achieve the results they were designed to deliver. She has built this expertise over more than 15 years in state government, private equity healthcare, publicly traded companies, and the nation's largest municipal health system.
Samantha began her career in the Massachusetts Legislature, shaping policy agendas on affordable housing, violence prevention, and criminal justice reform while managing constituent services for Boston’s Jamaica Plain and Mission Hill neighborhoods. She was later promoted to Chief Budget and Policy Research Analyst for the Joint Committee on Public Health, where she led budget negotiations and convened hundreds of stakeholders to design payment and delivery reforms. She authored key provisions in Massachusetts' landmark cost containment law (Chapter 224), which established the nation's first statewide healthcare cost-growth benchmark against the backdrop of ACA implementation—a framework projected to save $200 billion over 15 years that has since been replicated in other states.
Moving into healthcare administration to implement policy on the ground, Samantha joined NYC Health + Hospitals, the nation’s largest municipal healthcare system. There, she transformed ambulatory practices into patient-centered medical homes and led the implementation of a $17.9 million Centers for Medicare and Medicaid Innovation grant to test an interdisciplinary care management model across six of the busiest emergency departments in the country. She also architected the system's first enterprise-wide care management strategy, integrating medical and behavioral health services across all 11 hospitals. She later joined Steward Health Care Network, where she piloted value-based contracting within a private equity-backed health system, translating state regulations and managed care contracts into an operational Medicaid ACO.
Extending her work beyond traditional healthcare settings, Samantha applied her expertise to emerging industries at Columbia Care, a publicly traded regulated cannabinoid company. As Director of Corporate Affairs and de facto Chief of Staff to the SVP, she built the federal advocacy strategy for a vertically integrated company operating across 18 jurisdictions under federal prohibition. She secured bipartisan passage of federal medical research legislation and managed government affairs in multiple states to maintain patient access, while leading cross-functional alignment of government relations, policy, and public affairs initiatives to execute corporate priorities. Concurrently, she launched and led the U.S. Cannabis Council's policy committee and seven workgroups, uniting more than 70 companies representing $31 billion in market capitalization to codify a unified policy framework and coordinate industry-wide advocacy campaigns.
As Principal of Roy Strategies, Samantha partners with executive leadership teams to develop and implement the policy, strategic, and operational frameworks that advance organizational objectives and guide health systems through complex reforms and transformation initiatives. Her recent work includes removing regulatory barriers to opioid treatment alternatives, advancing stalled rulemaking, and designing pilot pathways for opioid settlement funds. Inspired by her father’s 18-year battle with kidney failure, she also co-founded the Kidney Foundation of Ohio’s Advocacy Committee and is driving efforts to expand access to care and ease the burden of kidney disease for dialysis patients across 32 counties in her home state.
Her mission is to improve health by connecting the dots across sectors to create the conditions for people to thrive—bringing stakeholders together around shared goals, designing human-centered solutions, and implementing them with the disciplined execution to make change happen.
Samantha holds a Master of Public Administration in Health Policy and Management from NYU Wagner School of Public Service and a Bachelor of Science in Health Science and Public Health from Boston University Sargent College. She is a proud alumna of Western Reserve Academy.
In her free time, Samantha enjoys tennis, yoga, cooking, playing the piano, collecting vinyl, and spending time with her family and Bernedoodle, Remy.
