Brings deep payer and provider expertise with a focus on government programs
CHICAGO – Provider and payer consulting expert Kai Tsai has joined Navigant (NYSE: NCI) as a managing director in its Healthcare segment. In this role, Tsai will lead the firm’s health plan consulting solutions, advising public and private plans, provider-sponsored health plans (PSHPs), and health systems on government and commercial program strategies.
Tsai has assisted both payers and health systems with developing and implementing sustainable strategies across such programs as Medicare Advantage (MA), Medicare Part D, the Medicare Shared Savings Program, Medicaid, Dual Eligibles and Special Needs Plans. This includes strategic growth planning and new market launch, provider network selection and integration, product portfolio design, value-based programs, revenue management, and MA star ratings improvement.
According to David Burik, managing director and leader of Navigant’s payer/provider consulting division, “Given the continued growth in Medicare Advantage and managed Medicaid lines of business, Kai will deepen our ability to assist health plans and systems with their government program growth and operational strategies. We’re thrilled to have him on board.”
Tsai previously served as executive vice president of transformation at RowdMap (acquired by Cotiviti (NYSE:COTV)), where he led key accounts in leveraging the company’s benchmarks to support development of high-value provider networks. Prior to that he led Valence Health’s advisory services practice, helping position providers for value-based arrangements and development of PSHPs. Tsai holds a Master of Health Services Administration from the University of Michigan.
Navigant’s Healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed services, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing strategic, performance improvement, and business process management solutions that help them meet quality and financial goals.
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage, and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the firm primarily serves clients in the healthcare, energy, and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.