Dr. Rahul Rajkumar, M.D., J.D., is Senior Vice President and Chief Medical Officer at Blue Cross and Blue Shield of North Carolina. Dr. Rajkumar came to Blue Cross NC after serving as Chief Medical Officer and SVP for CareFirst BlueCross BlueShield. At CareFirst he developed and led programs addressing costs and health care improvement. These include initiatives related to model physician practices known as patient-centered medical homes, behavioral health, telemedicine and substance abuse treatment.
Before joining CareFirst, Dr. Rajkumar served four years as Deputy Director of the Center for Medicare and Medicaid Innovation. He led federal efforts to promote value-based payments for physicians and hospitals resulting in signing tens of thousands of agreements with providers worth billions of dollars. He also oversaw programs promoting primary care, the initial federal pilots for Accountable Care Organizations (ACOs), bundled payments for health care procedures and patient safety initiatives.
Dr. Rajkumar has a bachelor’s degree in history, a law degree and a medical degree – all from Yale University. During his work at CareFirst and the federal government, he has worked as an attending physician at the Veterans Affairs Hospital in Washington, DC.