

What We Do and Why It Matters
The federal policy environment is increasingly complex and consequential for organizations working in healthcare, aging, disability, and rare disease. Decisions made across Congress and federal agencies directly affect programs, funding, and the communities organizations serve.
Indigo Hill Strategies helps organizations navigate Washington through integrated federal advocacy that connects policy goals, regulatory strategy, and congressional funding. Our work is informed by deep subject-matter expertise and a practical understanding of how decisions are made across Congress and federal agencies.
Why Choose Indigo Hill Strategies
Indigo Hill Strategies is purpose-built for organizations navigating complex federal policy environments in healthcare, aging, disability, and rare disease. Backed by more than three decades of combined experience across Congress and federal agencies, our work goes beyond traditional lobbying to deliver coordinated, durable advocacy strategies.
What Sets Us Apart
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Integrated federal advocacy, executed end-to-end
We intentionally connect policy development, regulatory strategy, congressional engagement, and federal funding. This ensures clients are not pursuing disconnected efforts, but advancing a unified strategy across Congress and federal agencies.
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Deep subject-matter expertise in healthcare, aging, and disability
Our team brings extensive experience working on Medicare, Medicaid, public health, aging services, disability policy, and rare disease priorities. This specialization allows us to engage quickly, anticipate policy shifts, and provide guidance grounded in how decisions are actually made.
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Bipartisan credibility and trusted relationships
We work effectively with both Democrats and Republicans across Congress and federal agencies. Our bipartisan approach helps clients build strategies that remain viable across administrations and election cycles.
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Strategic advisors, not transactional lobbyists
We serve as thought partners to our clients, helping leadership teams make informed decisions, manage policy risk, and prioritize opportunities with the greatest long-term impact.
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Proven results across Congress and the administration
Our work has supported national coalitions, health plans, nonprofits, and advocacy organizations through legislative campaigns, regulatory engagement, appropriations strategies, and high-stakes policy moments. We routinely support Hill meetings, briefings, comment letters, policy roadmaps, and executive-level strategic planning
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Our commitment
We help organizations move beyond reactive advocacy and engage Washington with clarity, intention, and confidence.

A Note From Our Founder and CEO
Organizations working in healthcare, aging, disability, and rare disease are operating in a federal policy environment that is increasingly complex and consequential. The decisions being made in Washington have real implications for programs, funding, and the communities these organizations serve.
Indigo Hill Strategies was built to help organizations navigate this moment with clarity and intention. Our work connects policy goals, regulatory strategy, and congressional engagement so clients can move beyond reaction and engage Washington in a thoughtful, coordinated way.
We partner closely with our clients, serving as trusted advisors and strategic collaborators. Whether an organization is building its federal presence or strengthening an existing one, our focus is on helping leaders make informed decisions and advance priorities that stand up over time.
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If you are thinking about how federal policy and funding affect your organization’s work, we welcome the opportunity to talk about how we can support your goals.
Yours in Service,
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Ryann Hill, MPH
Founder and CEO

