Sam R. Nussbaum (Formerly of Anthem, Inc.)

Member, LAN Guiding Committee

Chair, LAN Alternative Payment Model Framework and Progress Tracking (APM FPT) Work Group

Former Executive Vice President and Chief Medical Officer, Anthem


Samuel R. Nussbaum, MD, serves as Chair of the Health Care Payment Learning & Action Network’s Alternative Payment Model Framework & Progress Tracking Work Group. He is the former Executive Vice President and Chief Medical Officer of Anthem. During a 15-year tenure, he oversaw medical and pharmacy policy, health improvement, care management, provider contracting, innovative payment models, and outcomes research and drug safety through HealthCore, an Anthem subsidiary. Dr. Nussbaum guided Anthem’s vision regarding quality of care and a strategy to collaborate with physicians and hospitals to strengthen patient care. Prior to Anthem, Dr. Nussbaum served as Executive Vice President for BJC HealthCare where he oversaw integrated clinical services. Dr. Nussbaum had a 20-year career at Harvard Medical School and led a basic and clinical research program at Massachusetts General Hospital where he directed the endocrine group practice. Dr. Nussbaum serves on the boards of the National Quality Forum, the OASIS Institute, and BioCrossroads. He is a professor of clinical medicine at Washington University School of Medicine and serves as adjunct professor at the Olin School of Business, Washington University. Dr. Nussbaum has served as President of the Disease Management Association of America, Chairman of the National Committee for Quality Health Care, Chair of America’s Health Insurance Plan’s (AHIP) Chief Medical Officer Leadership Council, a member of the AHIP Board, and on the Secretary of Health and Human Services Advisory Committee on Genetics, Health, and Society. Dr. Nussbaum received the 2004 Physician Executive Award of Excellence from the American College of Physician Executives and Modern Physician magazine and has been recognized by Modern Healthcare as one of the “50 Most Influential Physician Executives in Healthcare” in 2010 and 2011. He earned his medical degree from Mount Sinai School of Medicine. Dr. Nussbaum trained in internal medicine at Stanford University Medical Center and Massachusetts General Hospital and in endocrinology and metabolism at Harvard Medical School and Massachusetts General Hospital.

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