David Koford

VP Health Plan Contracting

As Vice President of Health Plan Contracting, David Koford negotiates and manages all health plan contracts and supports hospital physician integration initiatives. Prior to CHC, David was Vice President of Business Support for Cirrus Health where he was responsible for corporate-wide managed care and revenue cycle functions, decision support and recovery audit contractor process management.

David has 25 years of experience in managed care contracting, revenue cycle management, revenue enhancement and operations. He served as Director of Joint Ventures for PacifiCare in Texas-San Antonio, and Director of Network Services for the Methodist Healthcare System-San Antonio. David also held multiple leadership positions with Triad Healthcare, Inc., including Regional Director of Managed Care, overseeing managed care strategy and payer relations for hospitals, ambulatory surgery centers and physician hospital organizations in multiple states.

David is a member of the Healthcare Financial Management Association (HFMA) Managed Care Forum. He is also an HFMA Fellow. David received both his Bachelor of Science and Master of Health Administration from Brigham Young University, Provo, Utah.

Blog

Negotiating Health Plan Contracts: Best Practice Tips

For hospitals, “care” typically refers to providing patient care. Yet a hospital’s financial health requires care and attention, too.

A sound financial strategy supports the provision of patient care and services communities need, and a significant component of healthcare organizations’ revenue frequently comes from health plan contracts.

So what do your health plan contracts look like? Have you reviewed them recently? Are there opportunities to modify those arrangements to maximize your reimbursement?

Here are some best practice tips for health plan contracting.

Review your health plan contracts regularly –...


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