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, strategy, and operational execution as a single, continuous line of work—not separate efforts. This integrated perspective shapes how we frame problems and design solutions.
Policy Development. We conduct in-depth research and craft policy and advocacy strategies that are both politically feasible and operationally viable. Whether analyzing regulatory landscapes, developing proposals, building coalitions, or engaging decision-makers at local, state, and federal levels, we identify approaches that address immediate needs while aligning with long-term organizational goals.
Strategy. We translate policy requirements into actionable programs and operational plans. In healthcare delivery, this means designing care management systems and payment transformation strategies that align clinical operations with regulatory requirements and value-based models. In corporate and advocacy settings, this means building government affairs infrastructure and stakeholder engagement strategies that position organizations to navigate regulatory change and influence policy outcomes. We build the governance structures, workstreams, and roadmaps needed to launch and sustain these efforts.
Operational Execution. We design the systems that turn strategy into action—care delivery models, operational workflows, and team structures that scale and drive performance. We translate policy requirements into standard operating procedures, develop the toolkits and communication platforms that enable execution, and build the measurement and accountability systems that track progress and sustain performance. Working directly with teams on the ground, we ensure processes are practical and adaptable as regulations, markets, and priorities evolve.
This integration allows us to see where misalignments will emerge and address them before they become problems. We connect the right teams early, test assumptions with stakeholders, and resolve friction before rollout. The result: initiatives that launch smoothly, adapt as conditions change, and deliver the outcomes they were designed to achieve.
ABOUT US
Samantha Roy, Principal
Samantha Roy builds systems and policies that improve healthcare and advance health and economic well-being across regulated and emerging industries. 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.
She continues this work today, partnering with executive leadership teams to guide organizations 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 disease, she co-founded the Kidney Foundation of Ohio's Advocacy Committee and is driving efforts to expand access to care for dialysis patients across 32 counties in her home state.
Samantha built this integrated expertise across government, healthcare delivery, and corporate strategy. She began her career in the Massachusetts Legislature as a legislative aide, working on affordable housing, violence prevention, and criminal justice reform policies 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, convened hundreds of stakeholders to design innovative payment and delivery models, and authored provisions in Massachusetts' landmark cost containment law (Chapter 224)—establishing the nation's first statewide healthcare cost-growth benchmark projected to save $200 billion over 15 years, a model replicated in other states.
She moved into healthcare administration to build expertise in payment and delivery system transformation. At NYC Health + Hospitals, the nation's largest municipal health system, she transformed ambulatory clinics into patient-centered medical homes, 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 rooms in the country, and architected the system's first enterprise-wide care management strategy, adopted across all 11 hospitals to integrate medical and behavioral health services for value-based care. At Steward Health Care Network, she led cross-functional teams to operationalize a Medicaid ACO, accelerating value-based care adoption in private equity-backed healthcare.
She extended her work beyond traditional clinical settings to advance policy for an emerging industry through a public health lens. As Director of Corporate Affairs at Columbia Care, a publicly traded regulated cannabinoid company operating across 18 jurisdictions under federal prohibition, she led federal government affairs and cross-functional integration of government relations, public affairs, and policy across the enterprise. She briefed the White House, DOJ, and HHS on pharmaceutical-grade cannabinoid research, secured bipartisan passage of federal medical research legislation, and managed government affairs across multiple states to safeguard patient access. In parallel, she orchestrated industry-wide advocacy campaigns and launched and led the U.S. Cannabis Council's policy committee and workgroups, aligning more than 70 companies representing $31 billion in market capitalization behind a unified regulatory framework submitted to Congress.
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, playing the piano, collecting vinyl, and spending time with her family and Bernedoodle, Remy.
