Where Policy Meets Implementation.
Driving health and economic impact at the intersection of policy, strategy, and execution.
Our Approach
We combine deep policy expertise with hands-on operational leadership. We don’t just advise at the strategy table—we stay engaged through execution to ensure priorities are met.
At Roy Strategies, we bring over 15 years of experience in legislative affairs, regulatory strategy, health policy, and system operations to help organizations move ideas forward and deliver results. We align policy levers with strategic goals, stakeholder interests, political realities, and market dynamics, so initiatives are not only well-designed but built to achieve client priorities.
We’ve led complex initiatives across government, health systems, and emerging industries—designing and implementing the programs, policies, and strategies that drive meaningful change. Our multidisciplinary, execution-focused approach combines deep 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 strive to achieve. We bring a rare blend of policy insight, strategic foresight, operational expertise, and systems thinking—shaped by firsthand experience within the environments our clients seek to influence and improve.
From strategy to execution, we stay engaged to advance priorities—building the structures, alignment, and momentum needed to turn vision into impact
ABOUT US
Samantha Roy, Founder & Principal
Samantha Roy is a policy strategist, systems builder, and operations leader with over 15 years of experience advancing reforms, regulatory strategies, and large-scale implementation across government, health systems, public companies, and emerging industries. She founded Roy Strategies to help mission-driven organizations align policy, strategy, and operations—ensuring priorities deliver the results they're designed to achieve.
Her work spans the full policy lifecycle, from drafting legislation and regulatory frameworks to leading enterprise-wide initiatives within the nation's largest public and private health systems. She brings deep expertise in Medicaid reform, value-based care, healthcare transformation, public health, regulatory affairs, coalition development, and implementation planning.
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 the rollout 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 nation’s first statewide cost-growth benchmark, since modeled by states across the country.
To understand how the policies she helped develop were implemented on the ground, Samantha moved into operational leadership roles at NYC Health + Hospitals and Steward Health Care Network. She led a $17.9 million CMMI-funded emergency department care management program, 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 more than 124,000 members, pioneering value-based care for a private-equity backed physician network.
In the corporate sector, Samantha served as Chief of Staff to the SVP of Corporate Affairs at Columbia Care, where she led federal government affairs, directed corporate affairs, and oversaw policy and advocacy across markets. She played a key role in launching the U.S. Cannabis Council, a national trade association representing a rapidly evolving industry—building its governance and policy infrastructure, coordinating federal strategy, and aligning over 70 companies around a shared federal reform agenda. She approached cannabis policy through a public health lens, advancing priorities on medical research, patient access, and social justice.
Through Roy Strategies, Samantha partners with health systems, advocacy coalitions, trade associations, and mission-driven organizations to solve complex challenges at the intersection of policy, regulation, and operational execution. She leverages systems thinking, operational fluency, and cross-sector experience to help clients navigate ambiguity, manage change, and create the conditions for people and institutions to thrive.
Samantha holds a Master of Public Administration in Health Policy and Management from NYU Wagner and a Bachelor of Science in Health Science and Public Health from Boston University. She is also 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.
