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Demystifying today's complex healthcare policy landscape—so you can focus on winning the future.

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

Legal disciplines.

Practice Areas.

We offer full-service strategic and management solutions to leading healthcare companies and innovators.

Provide strategic advisory, research, and management consulting services to leading health care organizations and governments, including payors, providers, states, and technology companies working to make America’s health care system more accessible, affordable, and consumer-focused.

Examine the efficiency, profits, and structure of an organization to provide well-advised measures to increase its efficiency

Leverage an extensive list of contacts, decades of experience in government and public spaces, and insights to help leaders remain at the helm of the complex healthcare policy and finance landscapes

Provide solution-driven support while utilizing strategic thinking and leadership capabilities

Company Overview

Founded in 2021, Randolph Pate Advisors LLC provides strategic advisory, research, and management consulting services to leading healthcare organizations and governments, including payors, providers, states, vendors, trade associations, and technology companies working to make America’s healthcare system more accessible, affordable, and consumer focused.
Randolph Pate Advisors provides clients from startups to Fortune 500 companies with the inside knowledge and experience they need to navigate the complex federal healthcare regulatory and policy landscape. This includes offering insights based on deep knowledge of the inner workings of CMS and HHS as well as the Tri-Departments (HHS, the Department of the Treasury, and the Department of Labor). 
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Founder and CEO

Randy Pate

Randy Pate brings over two decades of public and private sector health care 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), RP led the turnaround of the Health Insurance Exchanges and was instrumental in several major health policy initiatives.

During Pate’s tenure at CCIIO, premiums for benchmark plans on dropped for the first time, decreasing for three straight years. Competition on the Exchanges also increased, as the percentage of counties with one insurer offering coverage dropped from 52% in 2018 to just 9% in 2021. Pate 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 enrolled over 1 million consumers into individual market coverage for 2021.


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. Pate 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.

Pate is a licensed attorney and holds bachelors and law degrees from The University of Alabama. He received his Masters of Public Health from Johns Hopkins University.

Pate lives in Arlington, Virginia and enjoys camping, live music, and college football.

With over two decades of experience in key healthcare policy leadership roles in the private sector, two presidential administrations, and on Capitol Hill, Randolph Pate Advisors understands that achieving results requires both effective strategic planning and a robust network of partners to turn priorities into measurable success. Randolph Pate Advisors uses a people-centered approach to assist organizations with their government affairs and strategic needs. Beyond making complex regulations and guidance easy to understand for a wide range of audiences, we go deeper to provide insight into the underlying trends, trade-offs, and motivations of stakeholders both inside and outside of government to help our clients succeed.

Key Topics

Randolph Pate Advisors is proud to offer strategic and management consulting services to clients on a wide range of relevant healthcare topics and issues. In only our first year of operation, we have already provided extensive expertise and advice to clients around the country on many key topics currently facing the healthcare system, including:

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