Bruce Johnson assists clients with a strategic, forward-thinking and pragmatic approach. He brings more than 30 years of legal and management consulting experience to his health care organization clients. Bruce assists hospitals, medical groups, academic practice plans and other health care enterprises in crafting effective relationships to promote business objectives while taking into account strategic, compensation, business operations, compliance, and other issues in today’s changing payment and delivery environments.

His recent experiences include assisting clients with:

  • Clinically Integrated Network and Accountable Care Organization development and implementation, including the development of multiple Medicare Shared Savings Program ACOs
  • Bundled service, shared savings, pay for quality, hospital efficiency and similar incentive systems to align physician performance with health care facility quality and efficiency goals
  • Crafting effective, legally compliant physician compensation and incentive models that blend fee for service with quality and value payment initiatives
  • Strategy development and implementation that blends client goals with legal, financial and other imperatives including physician alignment, mergers, acquisitions, joint ventures, and other arrangements

Bruce excels at applying crosscutting legal requirements – including Stark self-referral, fraud and abuse, Medicare reimbursement, tax-exempt organization, antitrust, corporate and other laws – to health care business goals and transactions to promote client business objectives and legal compliance. He has served as the lead author of multiple books, including “Physician Compensation Plans: State of the Art Strategies” – a top selling publication on the topic. He has also authored more than 100 articles on health care legal and operational topics. Bruce’s dynamic presentation style coupled with his practical advice make him a highly sought after speaker at national educational and other programs on a variety of health care related topics, including integration and alignment strategies, physician compensation, and compliance, among others. Currently, Bruce is Adjunct Professor, University of Colorado School of Law, where he teaches Corporate Transactions in Health Care.

  • Assisted separate business units in developing legal, governance, and operating structure of separate Medicare ACOs and provided on-going advice on operational, clinical integration, and other matters.
  • Assisted in planning, decision-making, and implementation of clinically integrated network organization, including consideration of applicable antitrust, fraud and abuse, exempt organization, and other variables.
  • Assisted with design, regulatory analysis, and implementation of bundled services, hospital efficiency and shared savings arrangements for clinically integrated network.
  • On-going services in addressing clinical faculty compensation and incentive structures including board compensation committee and compliance-related assistance to major teaching hospital and affiliated faculty practice plan.
  • Represented health system in development and implementation of captive physician organization to promote alignment and other goals.
  • Assisted multispecialty medical group in strategy development, negotiation of structural, governance, compensation, and other details associated with sales transaction.
  • Assisted multiple primary care physician practices in group formation including accountable care payor contracting and growth strategy to promote on-going independence.
  • Assisted multispecialty group practice in analysis, development and decision-making relative to internal compensation model to promote alignment with emerging value-based and other external payment systems.
  • Represented orthopedic group practice in negotiation of co-management and related relationships with health system.
  • Assisted regional health system in factual and legal analysis related to compensation arrangements, including risk analysis and strategy development relative to self-reporting and/or repayment obligations.
  • Analysis and advice relative to non-ACO participation strategies for national health service provider, including consideration of fraud and abuse, reimbursement, and other regulatory issues. Assisted in implementation of participation strategy involving CMMI.
  • Regulatory and business analysis related to urology group formation, radiation oncology, diagnostic imaging, and pathology ancillary services, combined with center of excellence and ambulatory surgery center development.
  • Negotiation of practice sale, employment, and related arrangements for large cardiology group practice, including quality-based incentive compensation and related deal terms.
  • Represented health system in design and implementation of captive entity formation, acquisition, co-management, and related arrangements involving large cardiology group practice.
  • Assisted large multispecialty group in strategy assessment, decision-making, and assessment in light of changing reimbursement/payment systems, including internal governance, compensation, incentive, and other systems required in changing environment.
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