John Kirsner is a partner with Jones Day, based in their Colombus office, he 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 (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 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.