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David Nuzum

Senior PartnerNew York

Leads McKinsey’s US State & Local Government Practice. Supports public sector leaders in making improvements in public program effectiveness and state agency operational efficiency spanning health and human services, economic development, infrastructure, and information technology

David has spent more than 20 years working with the management teams of leading healthcare organizations to address the triple aim of better health, better quality of care, and lower costs. He currently leads the firm’s healthcare innovation domain within the Healthcare Practice in North America, which addresses issues such as payment innovation, provider-network strategy and contracting, care management, and other medical cost-management initiatives.

David also coleads a specialized unit within McKinsey that blends actuarial, statistics, economics, and software programming to support healthcare innovation. Under his direction, the unit has developed and implemented proprietary advanced-analytics algorithms to support total-cost-of-care shared-savings models, episode-based payment models, risk stratification, network strategy and design, and provider performance reporting. His recent projects have included the design and implementation of healthcare innovations in Arkansas, Delaware, Massachusetts, and New York, among other markets.

While at Harvard, David completed significant graduate coursework in healthcare economics and public policy at the Harvard T.H. Chan School of Public Health and the John F. Kennedy School of Government.

Published Work

Capturing performance opportunities in US state and local governments,” McKinsey & Company, April 2025

The math of ACOs,” McKinsey & Company, August 2020

The journey to a new tomorrow: A conversation with Janice E. Nevin, MD, MPH, President and CEO, Christiana Care Health System,” McKinsey & Company, November 2018

Extending the use of episode analytics beyond alternative payment models,” McKinsey & Company, March 2018

Planning for the future of healthcare: A conversation with Ken Burdick, CEO, WellCare,” McKinsey & Company, November 2017

Maximizing value in high-performance networks,” McKinsey & Company, July 2013

Past experience

Galen interactive
Vice president, health services

William M. Mercer
Associate

Education

University of Pennsylvania, Wharton School
MBA, healthcare management

Harvard University
AB, biology