John M.Kirsner

Partner

(T) + 1.614.281.3700

With 25 years experience, John Kirsner has a national practice representing health systems and large provider organizations on cutting-edge reform-driven transactions. John has assisted in the formation and operation of more than 20 clinically integrated networks. He has assisted clients in more than a dozen MSSP ACOs. He advises ACOs on creative uses of the ACO waivers. He assists in the negotiation of shared savings arrangements with payers as well as hospital quality and efficiency programs and related co-management ventures. John is extremely conversant on the operation and regulatory implications of health care network messenger models. He has exceptional experience in the area of payer/provider contracting, including payer financial distress and preference matters.

John has led multiple engagements creating innovative affiliations between large multispecialty physician group practices and hospital systems. He has created working foundation models, models similar to the Kaiser model, as well as looser affiliation structures. He has considered the impact of equity and debt financing in the context of these transactions (including situations where a provider is in financial distress) and has worked through the medical staff implications on such affiliation structures. He also has extensive experience in joint venture, joint operating agreement, and entity formation. He represents hospitals and other providers in transactional work, including M&A.

John serves as board advisor to several health care clients. He is past chair of the Ohio State Bar Association Health Care Committee and also served as the business development partner for the Columbus Office of Jones Day from 2015 to 2018.

Experience

AKSM involved in joint ventures with urologists regarding lithotripsy, radiation therapy, and related urologic procedures
Jones Day has been assisting American Kidney Stone Management, Ltd. ("AKSM"), a leading national lithotripsy provider, with joint venture syndication work relating to lithotripsy, as well as most ancillary urology related lines of business.

COUG enters into ASC, radiation therapy, lithotripsy, and other urological ventures as largest single specialty urology practice in Ohio
Jones Day assisted Central Ohio Urology Group, the largest lithotripsy supergroup in Ohio, with the formation of an IMRT/IGRT enterprise and the later sale of a majority stake in that enterprise to a third party.

AKSM sells controlling interest to United Medical Systems
Jones Day advised American Kidney Stone Management, Ltd. (AKSM) in its sale of a controlling interest to United Medical Systems (DE), Inc.

River Valley Health Partners acquired by Prime Healthcare Foundation
Jones Day advised River Valley Health Partners in its acquisition, which includes East Liverpool City Hospital in East Liverpool, OH, River Valley Physicians, LLC, and Ohio Valley Home Health Services, Inc., by Prime Healthcare Foundation.

Palos Community Hospital builds clinical affiliation with Loyola University Medical Center
Jones Day assisted Palos Community Hospital in creating an innovative clinical affiliation with Loyola University Medical Center based in Illinois.

Health care system modernizes governance materials
Jones Day represented the management and the board of directors of an independent not-for-profit health care system regarding charitable trust and nonprofit corporate law restrictions on changes in the use of assets and modernizing governance documents.

Additional Publications

Publications Prior to Jones Day

November 2011
Health Plans Contracting Handbook:  A Guide for Payors and Providers, Sixth Edition, Chapter 3, Antitrust Issues in Payor-Provider Contracting

November 2011
Resources for ACOs:  The Final Rule and New Opportunities

2008
Health Plans Contracting Handbook:  A Guide for Payors and Providers, Fifth Edition, Chapter 2, Antitrust Issues in Managed Care Contracting

2001
Managed Care Contracting Handbook:  A Guid for Payors and Providers, Chapter 10 Protecting Against Insolvency

December 1995-May 1997
Editor, Health Law Advisor.

November 1996
IRS Eases Limits on Hospital Board Representation, OHIO MEDICINE, at 20

July 1996
The Gatekeeper Role of Physicians:  Key Issues and Compensation Concerns, Practicing in an Integrated Delivery System, at 1

April 1995
Q&A: What are the Five Most Important Business Issues Physicians Should Consider When Developing a Group Practice or Other Physician Organization?, Integrated Delivery Systems in Practice, at 6

Autumn 1994
Professional Limited Liability Companies, Lawtrends, Autumn 1994

Autumn 1994
Michigan Bulletproof LLCs: Is the Armor Too Restrictive?, Lawtrends, Autumn 1994

1994
Discipline Versus Democracy:  Party Discipline in Canadian Politics, Contemporary Political Issues at 194 (with David Kilgour and Ken McConnell)

March 1989
Call Off the Party, Policy Options Politiques

Autumn 1988
Party Discipline and Canadian Democracy, Canadian Parliamentary Review


Speaking Engagements

  • June 7, 2019
    DHG Symposium: Thoughtful Physician Alignment for Success in the RC 2.0 Environment
  • May 14, 2019
    Leveraging ACO Waivers - An Investment Opportunity for physician Led ACOs
  • December 4, 2018
    Jones Day CLE Academy: Year-End Review: The Latest Trends and Issues in Health Care
  • October 25, 2018
    ABA Webinar: Fundamentals of Value-Based Care: Risk Capability and the Ability to Optimize Value for CINs/ACOs
  • October 23, 2018
    2018 Advanced Payment Summit - "A Legal Perspective"
  • May 15-18, 2018
    DHG Symposium: Rethinking Strategic Alignment and Integration for the Clinically Integrated Network and Accountable Care Organization
  • December 7, 2017
    Jones Day CLE Academy: Innovative Uses of Technology in an Era of Health Care Reform
  • June 27, 2017
    AHLA Annual Meeting: Mastering the Hospital Quality and Efficiency Program
  • May 3, 2017
    DHG Symposium: Clinically Integrated Networks 2.0
  • May 16, 2016
    ATA Conference - ACO's and Telehealth - Using ACO Waivers to Get HIT into the Hands of Doctors
  • May 5, 2016
    DHG Symposium 2016 - Healthcare Enterprise Solutions: A Case Study in Transforming Employee Health Plans
  • March 14-15, 2016
    Contracting Strategies for Value Based Payment Models, Compliance Wars 2016: Achieving Compliance in a Hostile Environment
  • January 25, 2016
    AHLA: New Developments in Managed Care Contracting
  • December 9, 2015
    Healthcare Education Associates: The Value Based Care Master Class
  • November 18, 2015
    2015 BDO USA Leadership Conference: Current State of the Healthcare M&A Market - Implications of Increased Risk
  • October 16, 2015
    ASA HSIG "The Four Pillars of the Healthcare Industry" Conference, Regulatory Environment of Healthcare Industry Presentation
  • September 11, 2015
    CIN:Roundtable Developing Your Clinically Integrated Network
  • June 28, 2015
    Bridges & Battlefields: Issues in Unified Medical Staffing Models (AHLA In-House Counsel Program)
  • June 25, 2015
    "Opting Out" of a Unified Medical Staff
  • May 15, 2015
    The 2015 Network Building & Contracting Forum/ Connecting the Dots: From Value-Based Contracting to Performance-Based Incentives
  • May 7, 2015
    DHG Healthcare Symposium 2015/ Transformational Initiatives for Established Clinically Integrated Networks

April 11-13, 2014

ACO's What Anesthesiologists Need to Know, Advanced Institute for Anesthesia Practice

Las Vegas, Nevada

February 27-28, 2014

The Network Participation Imperative: To Participate or Not to Participate, The 2014 Network Contracting Congress

Las Vegas, Nevada

February 10-11, 2014

Acing Contract Management in a Shifting Marketplace, Best Practices in Network Development & Contract Management

Miami, Florida

October 28, 2013

Sourcing the Right Change Leader and Managing Key Legal Transactional Issues, Healthcare Consolidation & Acquisitions Leadership Forum

Atlanta, Georgia

September 23, 2013

Mastering the Nuances of Contract Management in a Changing Marketplace, Best Practices in Network Development & Contract Management

New York, New York

May 9, 2013

Approved Models to Align Incentives Between Hospitals and Their Physicians, Dixon Hughes Goodman 2013 Annual Healthcare Symposium

Isle of Palms, South Carolina

April 25-26, 2013

Into the Labyrinth: Successfully Guiding Clients Through Fully Integrated Delivery System Transaction, AHLA Healthcare Transactions Conference

Nashville, Tennessee

May 16-18, 2012

Alignment Across the Continuum, Dixon Hughes Goodman Annual Hospital Symposium

Isle of Palms, South Carolina

April 23, 2012

Healthcare 2012 and Beyond:  Analysis and Value Proposition

Columbus, Ohio

November 3, 2011

ACO's The Final Rule and New Opportunity

Webinar

September 22, 2011

Health IT/EHR

Webinar

September 20, 2011

Never Events, HACs and Other Payer Hot Topics, SCHFMA Revenue Cycle Bootcamp

Columbia, South Carolina

June 27-29, 2011

Marcus Welby MD Revisited: Patient Centered Medical Home, AHLA Annual Meeting

Boston, Massachusetts

April 8, 2011

ACO Regulation Review and Application Preparation

Webinar

March 30-April 1, 2011

ACOs, Medical Homes and Related Integration Initiatives, AHLA's Institute on Medicare and Medicaid Payment Issues

Baltimore, Maryland

May 3-4, 2010

Developing A New Cancer Center of Excellence
Structuring Physician Agreements for Mutual Success

Dallas, Texas

May 14, 2008

Council of Delegates & General Assembly:  Future of the Legal Profession Study

Convention Center, Columbus, Ohio

January 30, 2002

AHLA, Managed Care Contracting Issues for Payors and Providers

Teleconference Presentation

November 8, 1996

Update, Confidentiality of Medical Records

Cleveland, Ohio



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