John Kirsner

Background

About John Kirsner

With 25 years experience, I have a national practice representing health systems and large provider organizations on cutting-edge reform-driven transactions. I have assisted in the formation and operation of more than 20 clinically integrated networks. I have assisted clients in over a dozen MSSP ACOs. I advise ACOs on creative uses of the ACO waivers. I assist in the negotiation of shared savings arrangements with payers as well as hospital quality and efficiency programs and related co-management ventures. I am extremely conversant on the operation and regulatory implications of healthcare network messenger models. I have exceptional experience in the area of payer/provider contracting, including payer financial distress and preference matters. I have led multiple engagements creating innovative affiliations between large multispecialty physician group practices and hospital systems. I have created working foundation models, models similar to the Kaiser model, as well as looser affiliation structures. I have considered the impact of equity and debt financing in the context of these transactions (including situations where a provider is in financial distress) and have worked through the medical staff implications on such affiliation structures. I also have extensive experience in joint venture, joint operating agreement, and entity formation. I represent hospitals and other providers in transactional work, including M&A.I serve as board advisor to several health care clients. I am past chair of the Ohio State Bar Association Health Care Committee and currently serve as the Business Development Partner for the Columbus Office of Jones Day.