Where Policy Meets Implementation.
Developing implementable policies and strategies and executing them to deliver lasting health and economic impact.
Our Approach
We develop policies and strategies designed for execution—and build the operational systems to implement them.
We operate across three levels most organizations separate: policy development, strategic design, and operational execution.
At the policy level, we shape the regulatory strategies and frameworks that define industries. At the strategic level, we translate policy requirements into enterprise systems, governance structures, and stakeholder alignment. At the operational level, we implement the infrastructure that ensures strategic intent delivers measurable outcomes.
This integrated approach is forged across 15 years in state legislatures, major health systems, Medicaid ACOs, and national trade associations. We have designed policies, built the systems to execute them, and led the teams that delivered results. This positions us to anticipate where policy intent diverges from implementation and design accordingly.
Central to our work is aligning stakeholders and creating accountability. We build the structures and processes that unite competing interests, establish clear governance, and generate momentum—ensuring initiatives move from development through execution without losing strategic intent.
ABOUT US
Samantha Roy, Principal
Samantha Roy is a health policy strategist and operations executive with over 15 years of experience developing and implementing transformational initiatives across government, healthcare, and emerging industries. She specializes in creating implementable policies and regulatory strategies and building the operating systems to execute them—ensuring strategic intent translates into measurable health and economic outcomes.
Throughout her career, Samantha has worked where policy development meets operational execution, leading cross-functional teams and managing multimillion-dollar budgets to deliver results. She deliberately built expertise across legislative affairs, healthcare operations, strategic consulting, and corporate affairs—each role deepening her ability to connect policy with implementation and positioning her to lead at the intersection of strategy and execution. Her work spans authoring enacted legislation, launching accountable care organizations, improving population health outcomes, and uniting stakeholders to advance shared priorities.
Samantha began her career in the Massachusetts State House as a legislative aide representing a Boston district, where she shaped policy agendas on affordable housing, violence prevention, and criminal justice reform while securing district funding and leading community engagement. She advanced to Chief Budget and Policy Research Analyst for the Joint Committee on Public Health during the implementation of the Affordable Care Act. In this role, she secured more than $525 million in appropriations, advanced major public health legislation, and convened hundreds of stakeholders across the healthcare ecosystem to design payment and delivery models. She authored provisions in the state's landmark cost containment law projected to save $200 billion—establishing the nation's first statewide cost-growth benchmark, now replicated across multiple states. Her provisions directed $57 million over four years through competitive grants to fund community-based prevention and wellness efforts targeting costly, preventable chronic diseases.
Driven to operationalize the policies she shaped, Samantha moved into healthcare administration. At NYC Health + Hospitals, the nation's largest municipal healthcare system, she managed multidisciplinary teams and enterprise initiatives, including transforming ambulatory practices into patient-centered medical homes that earned $2.4 million in enhanced Medicaid incentives and leading budget oversight and implementation of a $17.9 million CMMI-funded emergency department-based care management program across six hospitals, improving primary care access by 15%. She partnered with the System President and C-suite leadership to develop the implementation strategy for Mayor de Blasio's One New York Health + Hospitals Transformation Plan—a cornerstone of the city's broader economic sustainability initiative. She designed the health system's first enterprise-wide care management model, phased across all 11 hospitals to coordinate care for 32,000+ high-risk patients, integrating behavioral health and medical services to improve care coordination and financial performance.
This work prepared her to lead strategic consulting engagements at Steward Health Care Network, the population health and contracting arm of the nation's largest physician-owned healthcare network, operating 33 hospitals across eight states. She directed cross-functional teams to launch a Medicaid ACO serving 124,000 members, translating complex state and managed care contracts into governance structures and operating systems that managed value-based and risk-based arrangements for medical groups and affiliated practices. She pioneered accountable care within a private equity-backed health system, positioning the network to achieve quality and cost targets while earning performance incentives.
Following successful advisory work in coalition building and medical cannabis policy strategy, Samantha was recruited as Director of Corporate Affairs at Columbia Care, a publicly traded $1.36 billion company, to build corporate affairs strategy and advance federal advocacy across the company and broader regulated cannabis industry. Serving as Chief of Staff to the SVP of Corporate Affairs, she integrated government relations, policy, and public affairs while driving enterprise-wide alignment to execute corporate priorities. She secured bipartisan passage of medical research legislation and protected patient access through multi-state government relations. Simultaneously, she launched and led the U.S. Cannabis Council's policy committee as founding policy lead, unifying 70+ companies representing $31 billion in market capitalization to coordinate the industry's first comprehensive federal reform response. Her work elevated industry positioning with Congress and federal regulators while advancing reforms focused on medical research, public health, banking access, and social equity.
Through her independent practice, Samantha continues advancing health policy and advocacy. She co-founded the Kidney Foundation of Ohio's inaugural Advocacy Committee, where she established the organization's policy agenda to expand access to transportation and essential services for individuals with kidney failure across 32 Northeast Ohio counties—work inspired by her father's 18-year battle with the disease. She also provides strategic advisory services to healthcare organizations and advocacy groups navigating uncertainty and competing priorities, helping them identify operational gaps, maintain strategic momentum, and develop policy solutions and operational strategies for complex regulatory changes, including opioid settlement fund proposals and healthcare system preparedness for federal legislative reforms.
Samantha is pursuing executive leadership opportunities in government affairs, policy strategy, or healthcare transformation—roles requiring integrated expertise in regulatory strategy, stakeholder alignment, and operational execution. Her track record of authoring enacted legislation, building coalitions, directing government relations, and implementing enterprise transformation initiatives positions her to lead organizations through complex policy landscapes while delivering measurable business and health outcomes.
Samantha holds a Master of Public Administration in Health Policy and Management from NYU Wagner Graduate School of Public Service and a Bachelor of Science in Health Science and Public Health from Boston University's Sargent College. She is also a proud alumna of Western Reserve Academy.
Outside of work, you'll find Samantha on the tennis court, playing piano by ear, biking, collecting vinyl, cooking, and spending time with her family and her Bernedoodle, Remy.
