Welcome to Randolph Pate Advisors LLC

We demystify today's complex healthcare policy landscape so you can focus on winning the future

What We Do

At Randolph Pate Advisors, we offer full-service strategic and management solutions to leading healthcare companies and innovators.

Assist leading healthcare organizations and governments (including payors, providers, state governments, and technology companies), who are making America’s healthcare system more accessible, affordable, and consumer-focused

Transform intricate regulations, legislation, and policy initiatives into clear actionable insights, informing your organization's strategy, investments, and opportunities

Leverage our extensive network of contacts, decades of experience in both government and private sectors, and deep insights into the US healthcare system to help your team navigate and excel in the complex healthcare policy and regulatory landscape

Provide solution-driven support that enables you to forge ahead in reaching your goals

Our Expertise Includes

Randolph Pate Advisors is proud to offer strategic and management consulting services on a wide range of relevant healthcare issues. We have provided extensive expertise and advice to clients around the country on many key topics currently facing the healthcare system

Individual and small group health insurance markets
Employer-sponsored/group health insurance (including ERISA)
Affordable Care Act
Health Insurance Exchanges
State and federal health reform and legislation
Medicare payment policy
Medicare Innovation Center and Innovation models
Surprise billing/No Surprises Act implementation
State waivers (Section 1115 and Section 1332 State Innovation Waivers)
Price transparency / transparency in coverage implementation

Health insurance portability, including Health Reimbursement Arrangements (HRA)
Interoperability
Quality initiatives/star ratings
Public health/vaccine coverage policy
Value-based insurance design (VBID)
Essential Health Benefits
Risk Adjustment
Medicaid Managed Care
Medicare Advantage

Who We Are

With over two decades of experience in both the public and private sectors, including serving in key roles in two presidential administrations and on Capitol Hill, Randolph Pate Advisors leverages a people-centered approach to assist with your government affairs and strategic needs.

We excel at making complex regulations and guidance comprehensible for a wide range of audiences, going beyond the jargon to provide insights into underlying trends, trade-offs, and the motivations of stakeholders both inside and outside of government.

Randolph Pate Advisors empowers our clients, from startups and non-profits to states and Fortune 500 companies, with the insider knowledge and expertise needed to navigate the intricate federal and state healthcare regulatory and policy landscapes, advancing their goals in improving the American healthcare system.

Founder and CEO

Randolph (Randy) Pate

Randy brings over two decades of public and private sector healthcare policy and regulatory experience to his role at Randolph Pate Advisors. In his most recent position serving as Deputy Administrator of the Centers for Medicare & Medicaid Services (CMS) and Director of the Center for Consumer Information and Insurance Oversight (CCIIO), Randy led the turnaround of the Health Insurance Exchanges and was instrumental in several major health policy initiatives.

During his tenure at CCIIO, premiums for benchmark plans on HealthCare.gov dropped for the first time, decreasing for three straight years. Competition on the Exchanges also increased, as the percentage of counties with only one insurer offering coverage dropped from 52% in 2018 to just 9% in 2021. Randy also led the drafting of major regulations such as the 2017 Market Stabilization Rule and played a key role in shaping federal policy on the HHS Risk Adjustment Program, Section 1332 State Innovation Waivers, Transparency in Coverage (Price Transparency), and Individual Coverage Health Reimbursement Arrangements (ICHRAs). Finally, he also spearheaded the development of Enhanced Direct Enrollment (EDE), a new technology pathway that has already enrolled millions of consumers into individual market coverage.

Earlier in his career, Randy served in a number of roles on Capitol Hill in both the House and the Senate, including as Public Health Counsel for the House Energy and Commerce Committee and later as Health Counsel for Rep. Kevin Brady on the House Ways and Means Committee. Randy was also a Health Policy Fellow at the Heritage Foundation and served as a Senior Advisor at the Department of Health and Human Services during the George W. Bush Administration.

Working in the private sector, Randy helped launch the MITRE Corporation’s policy work with CMS, and for six years served as Vice President of Public Policy for Health Care Service Corporation (HCSC), the largest customer-owned health insurance company in the country.

Randy is a licensed attorney and holds bachelor’s and law degrees from the University of Alabama. He received his Master’s in Public Health from Johns Hopkins University.

What People Are Saying

In the time that I’ve worked with Randy, our team has found him to be incredibly thoughtful, creative, pragmatic, and efficient. The speed with which he processes information, makes realistic recommendations, and shares insightful perspectives is impressive. Every time I work with Randy I find myself grateful for these qualities. He is a valuable partner and a thought leader with great potential.

Mr. Pate is one of the sharpest public health experts with whom I have worked. He has a strong background in the history and philosophical foundations of public health, and is an excellent analyst and writer. As a lawyer, he is also a national expert on medical liability reform having worked on the issue while at the U.S. Department of Health and Human Services. Randy has earned my highest recommendation.

Thought Leader • Strategist • Methodologist • Health Economist • Decision/Data Analytics • Change Agent • Motivational Leader

Randy is a solution-driven strategic thinker. Thanks to his leadership, medical liability reform has moved forward significantly, and many more providers and patients are aware of their rights to avoid the emotional and financial costs of litigation by agreeing to compensation or arbitration before care takes place. Many other health regulations are more rational and humane thanks to his insight and hard work. He knows all the experts and working with him is a pleasure.