With 25 years experience, John Kirsner has a national practice representing health systems and large provider organizations on cutting-edge reform-driven transactions. He 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 (Medicare Shared Savings Program/accountable care organizations).
Mr. Kirsner 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. He 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.
Mr. Kirsner 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.
Mr. Kirsner 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.