Participation Waiver

OSF Healthcare System (“ACO”) participates in Medicare Shared Savings Program (“MSSP”) Enhanced, which qualifies as an Advanced Alternative Payment Model (“Advanced APM”) under the Quality Payment Program established by the Medicare Access and CHIP Reauthorization Act (MACRA).

As a result, providers / suppliers participating in the ACO may qualify as Qualifying Advanced APM Participants which makes them eligible to receive incentive payments, although the incentive payments will be paid to ACO’s affiliated participants (“ACO Participants”) to whom the providers / suppliers have reassigned their billing rights.

Pursuant to an arrangement approved by ACO’s Governing Body on March 7, 2019, ACO will pay certain physician independent contractors who qualify as Advanced APM Participants an incentive payment, if applicable, as described in the participating clinician agreement.