Where Policy Meets Implementation.
Driving health and economic impact at the intersection of policy, strategy, and operations.
Our Approach
We combine deep policy expertise with hands-on operational leadership. We don’t just advise at the strategy table—we stay through execution to ensure priorities are delivered.
At Roy Strategies, we bring over 15 years of experience across legislative affairs, regulatory strategy, health policy, and system operations. We help organizations move ideas forward and deliver results by aligning policy levers with strategic goals, stakeholder interests, political realities, and market dynamics—ensuring initiatives are not only well-designed, but built to succeed.
We’ve led complex efforts across government, health systems, and emerging industries—designing and implementing policies, programs, and strategies that drive meaningful change. Our execution-focused approach blends sector expertise with operational fluency to bridge the gap between policy and implementation.
Our work is grounded in a deep understanding of the industries we serve, the systems our clients operate, and the outcomes they seek to achieve. We bring a rare combination of policy insight, strategic foresight, and operational know-how—shaped by direct experience inside the very environments our clients aim to influence and improve.
From strategy through execution, we stay engaged—building the structure, alignment, and momentum needed to move ideas into action and implement complex initiatives that work on the ground.
ABOUT US
Samantha Roy, Founder & Principal
Samantha Roy is a health policy strategist and operations leader with more than 15 years of experience driving policy reforms, regulatory strategies, and large-scale initiatives across government, healthcare, corporations, and emerging industries. She founded Roy Strategies to bridge the gap between policy and implementation—helping mission-driven organizations set priorities, mobilize support, navigate complexity, and deliver initiatives with lasting health and economic impact.
Her career spans legislative affairs, health system operations, corporate strategy, and consulting, where she has led Medicaid reforms, advanced value-based care, directed major delivery and payment initiatives, and built national coalitions advancing public health, research, and social equity.
Samantha began her career in the Massachusetts State House, serving as a legislative aide to a Boston State Representative and later as Chief Budget and Policy Research Analyst for the Joint Committee on Public Health during development of the Affordable Care Act. She secured over $530 million in public funding, helped pass major public health legislation, convened hundreds of stakeholders to develop innovative payment and delivery models, and authored provisions in the state's landmark healthcare cost containment law—establishing the first statewide cost-growth benchmark, now replicated nationally.
To understand how the policies she helped develop played out on the ground, Samantha took on operational leadership roles at NYC Health + Hospitals and Steward Health Care Network. She directed a $17.9 million CMMI-funded emergency department care management initiative, transformed ambulatory practices into a patient-centered medical home, and developed the enterprise strategy that executed Mayor de Blasio's One New York Health + Hospitals Transformation Plan—a cornerstone of the city's broader economic sustainability agenda. She also launched a Medicaid ACO serving over 124,000 members, pioneering value-based care in a private equity-backed physician network.
At Columbia Care, she directed corporate affairs, leading federal government affairs and enterprise policy strategy to advance reform, strengthen industry alignment, and position the company as a national policy leader. She helped launch the U.S. Cannabis Council, a national trade association representing a rapidly evolving industry—building its governance and policy infrastructure and uniting over 70 companies behind a shared federal reform agenda. She approached cannabis policy through a public health lens, advancing priorities in medical research, patient access, and social equity.
Today, Samantha works with governments, health systems, corporations, and coalitions to solve complex challenges in policy, regulation, and operations. She brings expertise in policy development, operations, implementation, and systems design—aligning priorities, managing change, and delivering solutions that improve lives and health outcomes at scale.
Samantha holds a Master of Public Administration in Health Policy and Management from NYU Wagner, a Bachelor of Science in Health Science and Public Health from Boston University, and is a proud alumna of Western Reserve Academy. Outside of work, she enjoys tennis, playing piano by ear, collecting vinyl, cooking, volunteering for social impact, and spending time with her family and her Bernedoodle, Remy.
