Jay Nagy

Senior Director
25+ years of experience in private sector finance, health system strategy, managed care, and human services
Specializes in behavioral health system transformation for complex public systems
Has led Medicaid and policy-driven reform initiatives for vulnerable populations
Tampa
@alvarezmarsal
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Jay Nagy is a Senior Director with Alvarez & Marsal Public Sector Services in Tampa. Specializing in the public sector, he focuses on behavioral health system transformation and Medicaid-managed care for vulnerable populations.

Mr. Nagy brings 25 years of experience across private sector finance, health system strategy, managed care, and human services. He is currently leading the implementation of a Section 1115 demonstration approved by the Centers for Medicare & Medicaid Services (CMS), enabling New Hampshire Medicaid to reimburse a tailored package of care coordination services for incarcerated individuals with serious mental illness (SMI) or substance use disorder (SUD) prior to release, to support successful community reentry. In parallel, Mr. Nagy was instrumental in securing an extension of New Hampshire’s 1115 authority to reimburse services for Medicaid beneficiaries with SMI or SUD provided by facilities designated as Institutions for Mental Diseases (IMDs).

Mr. Nagy is also working with Montana’s Department of Public Health and Human Services to implement recommendations from the state’s Behavioral Health System for Future Generations Commission. This commission was tasked with creating a plan to invest $300 million of state funding to transform behavioral health service delivery. In this project, Mr. Nagy is focusing on implementing an evidence-based care transition program for patients leaving IMDs and improving the performance of five targeted case management programs.

Notably, Mr. Nagy led an assessment of Georgia’s step-down continuum of care for patients being discharged from state hospitals to reduce the waitlist for competency restoration. Previously, he also led the development of a capacity-planning tool and strategic plan to expand Georgia’s crisis continuum of care, which supported state appropriations to increase investment in 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 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

Public Sector Services experts Michael Heifetz, Jay Nagy and Danielle Kailing share how A&M helps State Medicaid Agencies implement IBH-aligned strategies that drive behavioral healthcare access, equity and efficiency while reducing unnecessary utilization and health disparities.
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.
This article discusses the role of congregate care within the child welfare system and the challenges states face in prioritizing family-based placements over institutional settings.
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.