Jay Nagy

Senior Director
Specializes in behavioral health system transformation
20+ years of experience in private sector finance, health system strategy, managed care, and human services
Tampa
@alvarezmarsal
LinkedIn
Copied!
Jay Nagy is a Senior Director with Alvarez & Marsal Public Sector Services in Tampa. He specializes in the public sector and focuses on behavioral health system transformation and Medicaid managed care for vulnerable populations.

Mr. Nagy brings over 20 years of experience working in private sector finance, health system strategy, managed care, and human services. He currently leads New Hampshire’s (NH’s) implementation of Section 1115 demonstration authority from the Centers for Medicare & Medicaid Services (CMS) to allow Medicaid to reimburse a tailored package of care coordination services provided to incarcerated individuals with serious mental illness (SMI) or substance use disorder (SUD) in the 45 days prior to release.

In parallel, Mr. Nagy was instrumental in securing an extension of NH’s 1115 authority to reimburse services for Medicaid beneficiaries with SMI or SUD provided by facilities designated as Institutions for Mental Diseases, which have historically been excluded from Medicaid reimbursement. These efforts aim to improve beneficiary access to crisis stabilization services.

Notably, Mr. Nagy led an assessment of Georgia’s step-down continuum of care for patients being discharged from state hospitals, with the goal of identifying opportunities to increase state hospital throughput (particularly for forensic patients), enhance and expand capacity in step-down settings, and reduce the waitlist for competency restoration in state hospitals. Previously, he led the development of a capacity-planning tool and strategic plan to expand Georgia’s crisis continuum of care, primarily for non-forensic patients. This strategic plan supported appropriations to increase investment in the Community Service Boards that provide essential crisis stabilization services.

Prior to joining A&M, Mr. Nagy spent two years as founder and CEO of Advance Care Alliance New York (ACANY). He led ACANY through its launch as a Medicaid provider, securing its designation as a Care Coordination Organization/Health Home, and grew it into an organization serving 25% of New York’s beneficiaries with intellectual and/or developmental disabilities (I/DDs) and their families. He has also held leadership roles at CareCentrix and The Advisory Board Company.

Mr. Nagy earned bachelor’s degrees in finance and international studies from the University of Pennsylvania.

Insights By This Professional

In a recent article, A&M Public Sector Services experts discuss new Medicaid supported reentry services that bridge the gap from incarceration to community care.
On March 4, 2025, a Center for Medicaid and CHIP Services (CMCS) Informational Bulletin rescinded previous guidance related to Section 1115 HRSN authorities and committed to consider new state applications on a case-by-case basis only. This leaves states uncertain on how to use Medicaid to address these needs.
A&M's Michael Heifetz, Jay Nagy and Mathew Smith discuss Innovation in Behavioral Health (IBH) Model and its priorities and outline how A&M can assess, support and implement IBH for organizations.
How do States traditionally view payments for care provided in an “institution for mental diseases” (IMD)? Managing Director Peter Urbanowicz and Senior Director Jay Nagy take a look at behavioral health care provision and payment at the State level and share new ways to pay for this care through Medicaid Demonstration projects.
Contact me
FOLLOW & CONNECT WITH A&M