John M. Kirsner

With 33 years' experience, John Kirsner has a national practice representing health systems and large provider organizations on cutting-edge reform-driven transactions. John has advised on dozens of CINs (clinically integrated networks) and ACOs (accountable care organizations) throughout the United States. He advises on creative uses of the MSSP (Medicare Shared Savings Program) ACO waivers. He assists in the negotiation of upside and downside risk arrangements as well as HQEP (hospital quality and efficiency program) and co-management. John has decades of experience with health care network messenger models. He has exceptional experience in the area of payer/provider contracting. 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, Kaiser-like models, and 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, and also works with health care startup technology companies.

John serves as board advisor to several health care clients. He is past chair of the Ohio State Bar Association Health Care Committee and Local Matters. He currently acts as board chair for Walk With a Doc. He served for several years as the business development partner for Jones Day's Columbus Office.