With 30 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 25 clinically integrated networks and more than 15 MSSP ACOs (Medicare Shared Savings Program/accountable care organizations). 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 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 advised many telehealth providers on their payer negotiation strategies.
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 provider distress situations 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 Jones Day's Columbus Office from 2015 to 2018.
Esperienze
Altre Pubblicazioni
- February 2021
Health Plans Contracting Handbook: Eighth Edition, Chapter 3 - Antitrust Issues in Payer/Provider Contracting - September 2015
Health Plans Contracting Handbook, 7th Edition, Chapter 3 Antitrust Issues in Payer-Provider Contracting
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 Guide 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
- July 28, 2922
PYA 2022 Summer CPE Symposium: Understanding the Business Case for Using Value-Based Exceptions - July 22, 2021
HFMA's Value Based Healthcare Innovation Council:Regulatory Flashpoints - The New Value Base Rules: Practical Examples and Uses - June 21, 2021
The Four Pillars of Healthcare Valuation: Regulatory Overview for Valuation Professionals - June 11, 2020
The Post-Pandemic Landscape: Payer-Provider Relationships (Health Care on the Other Side) (BDO) - May 20, 2020
Telehealth in a COVID 19 World and Beyond (DHG) - May 15, 2020
Regulatory Overview for Valuation Professionals (NACVA) - May 14, 2020
Are Patients, Employers & Payors Ready for Telehealth? - 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
- The Ohio State University (J.D. with honors 1992); University of Michigan (B.A. 1989)
- Ohio
Listed in The Best Lawyers in America since 2007 in health care law and insurance law
Named in Ohio Super Lawyers each year since 2006 and as a "Rising Star" in 2005
Acritas "Star Lawyer" (2019, 2020, and 2021)
Listed in Chambers USA (2020) for health care law