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John Howard


St. Louis
314 552 6093 direct

As the former general counsel for two major regional health systems, John has a unique perspective on the types of legal counsel health care organizations need to achieve their business goals and improve patient care.

He also has direct experience with the sweeping changes wrought by health care reform, and can help health care institutions adapt to new issues and create real change in their organizations.

John advises health systems, large physician groups, and health care executives on a full range of regulatory, transactional, and organizational issues, and draws on his own experiences as a health care executive to counsel clients on strategic planning, hospital-physician alignment, and fiduciary board engagement.

In addition to his work as general counsel, John also recently served as the chief executive officer of the multispecialty physician group of a large health system in Tennessee. His work reorganizing a physician network resulted in national recognition for the group for its accomplishments as a patient-centered medical home and accountable care organization — all with unprecedented engagement from physicians and other providers.

John has developed a special focus on a number of hot-button issues for health care entities: accountable care organizations, clinically integrated networks, provider-plan partnerships, population health programming and bundled payment initiatives.

With his training in mediation and his diverse experience, John approaches each matter with an open mind and a keen eye for how a health care organization can derive benefit from new strategies and innovative opportunities. His collaborative approach combines strategy and structure to help clients determine where they want to go and the best way to get there.


CMS announces new voluntary episode-payment program: BPCI Advanced

CMS revises CJR program, cancels cardiac bundles

CMS finalizes additional delay for episodic payment programs

8 tips for engaging ACO boards to meet requirements in the Final Waivers

On-demand webinar available – CCJR and mandatory bundled payments

Comprehensive Care for Joint Replacement: CMS adopts mandatory approach to payment reform

CMS establishes Health Care Payment Learning and Action Network


CCJR and Mandatory Bundled Payments: Legal and Practical Perspectives


“Enabling Value and Quality: Reflections on Practical and Legal Considerations for Healthcare Transformation”
3rd Annual Quality and Patient Safety Summit, Ochsner Health System, September 2016

“Regulatory Trends in HealthCare and the Triple Aim”
Adept Health, Charlotte, North Carolina, March 2016

“Risk Readiness Assessment – Episodic Payment”
Contracting Strategies for Value-Based Payment, March 2016

Keynote Address – Holderle Lecture, “Navigating the Challenges of Bundled Payments & Gainsharing: Practical & Regulatory Implications”
Missouri Hospital Association and Missouri Society for Healthcare Attorneys Annual Meeting, November 2015

Moderator, "Patient Centricity/Patient Value: How Do We Organize Healthcare Around Patients to Improve Outcomes?"
Healthcare Businesswomen's Association/Thompson Coburn, April 2015

"Healthcare Leadership and Legal Direction"
Tennessee Bar Association Leadership for Lawyers Conference, 2012

"Cancer Center Planning: Hospital and Physician Relationships for SRS and other Services"
HFMA National Convention, 2008