American Health Plans, the nation’s leading Medicare Advantage provider-owned Institutional Special Needs Plan (I-SNP), today announced the appointment of Dr. Robert Russell, MD, MBA, as Chief Medical Officer. Russell will provide physician leadership as the organization continues to expand its provider-owned health plan and integrated clinical care model.
American Health Plans, a division of Franklin-based American Health Partners, works with more than 45 nursing home organizations across 14 states and serves more than 9,000 members through its provider-owned I-SNPs. The organization’s model brings together health plan and clinical teams to deliver coordinated, high-quality care designed specifically for older adults and people with complex health needs.
Dr. Russell has extensive clinical, operational and physician leadership experience, along with a strong familiarity with the organization and its approach to serving older adults. Most recently, he served as Chief Medical Officer for Majestic Care, an American Health Plans I-SNP partner in Indiana, while also serving as a Medical Director for TruHealth, American Health Plans’ clinical services organization.
“Dr. Russell brings a unique combination of clinical expertise, operational experience and a deep understanding of our organization and our mission,” said Mike Bailey, President and CEO of American Health Partners. “Because of his work with both Majestic Care and TruHealth, he understands our model, our provider partners and the members we serve. That experience will allow him to make an immediate impact as we continue to strengthen our clinical capabilities.”
Dr. Russell earned his medical degree from Saint Louis University, completed a fellowship in geriatric medicine, and earned an MBA from the Kelly School of Business with a concentration in Physician Leadership from Indiana University.
As Chief Medical Officer, Dr. Russell will provide clinical leadership across American Health Plans and support the organization’s continued focus on quality, care coordination and superior outcomes for its members.
American Health Plans also announced that Sumi Misra, MD, has transitioned from Chief Medical Officer to the role of Medical Director of Utilization Management. Dr. Misra will oversee inpatient utilization management and continue working closely with TruHealth, the nurse review team and health plan operations to support high-quality care and positive member outcomes.
Dr. Misra joined American Health Plans in 2020 and brings expertise in internal medicine, geriatric medicine, and hospice and palliative care. During her tenure, she has made significant contributions to the organization’s clinical programs and its efforts to improve care for older adults and members with complex health needs.
“Dr. Misra has been an important part of our clinical leadership team for many years, and I am grateful that she will continue to bring her expertise and commitment to our members in this new role,” Bailey said. “Together, Dr. Russell and Dr. Misra strengthen an already talented clinical leadership team and position us well for the next chapter of American Health Plans.”
The appointments reflect American Health Plans’ continued investment in physician leadership and its commitment to delivering coordinated, high-quality care through its provider-owned I-SNP model.
Media contact:
Dan MacDonald
DMacDonald@AmHealthPartners.com
(615) 681-5387
AmHealthPlans.com
About American Health Plans
A division of Franklin, Tennessee-based American Health Partners, American Health Plans operates provider-owned Medicare Advantage Institutional Special Needs Plans (ISNPs) in 14 states with more than 45 partners, bringing coordinated, proactive care to long-term care residents. This model equips primary care and senior living providers with a business model that improves financial performance by improving clinical outcomes for our patients and members. This division currently has co-ownership and partnership agreements with providers in Georgia, Florida, Kansas, Pennsylvania, Mississippi, Missouri, Oklahoma, Utah, Texas, Tennessee, Idaho, Louisiana, Indiana, and Iowa. For more information, visit www.AmHealthPlans.com or call 800-766-9404.
*American Health Plans is a division of American Health Companies, LLC d/b/a American Health Partners. The American Health Plans name is commonly used in the health plan marketplace to reference the health maintenance organizations which American Health Partners, through certain affiliates, owns and manages.
