Pinnacle Integrated Medicine, Inc. ACO

Pinnacle Integrated Medicine’s ACO/VCO is a Medicare Shared Savings Program Accountable Care Organization (ACO) and Value Care Organization (VCO). Pinnacle Integrated Medicine is one of the first registered B Corporations in the region. Pinnacle’s for-benefit cause is to reduce costs and improve quality across the continuum of care while allowing disparate healthcare organizations to maintain cultural and financial independence.

Pinnacle provides collaborative and accountable care system support to the ACO participant. The model involves health care initiative programs using the team approach with the patient at the center to provide resources for caregivers to offer enhanced and coordinated patient-centered medical home-directed care for patients. Our programs encompass prevention, standardization of evidence-based best practices, community-based care coordination, investments in health information technology, health information exchange, medication reconciliation, and reimbursement incentives for increasing the quality and efficiency of care for patient populations.

Click here to download our ACO Participant Agreement.

For general questions or additional information about Accountable Care Organizations, please visit or call 1-800 MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048.

ACO Name and Location
Pinnacle Integrated Medicine, Inc.
910 West Main Street Suite 230 Boise, Idaho 83702

ACO Primary Contact
Primary Contact Name: Jason Haugen
Primary Contact Phone Number: (844) 854-2164
Primary Contact Email Address:

ACO Governing Body

Co-ChairRuy CarrascoMDArete Provider Network
Co-Chair, Medicare patientThad WoodardMDMedicare beneficiary
MemberKeith DavisMDShoshone Family Medical Center
MemberWade EricksonMDCapstone Clinic
MemberCraig HinkleMDAlaska Women's Health, PC
MemberStacey LoganMDArete Pediatric Care - Anchorage
MemberStacey NiederMDArete Pediatric Care - Anchorage
MemberRay RobinsonMDArete Pediatric Care - Anchorage

ACO Quality Improvement and Support Team

Performance ImprovementCindy AlkireDirector, Regional Operations - AlaskaArete Provider Network
ComplianceWill BakerManaging Director, OperationsArete Provider Network
Medical Director (Corporate Dyad)Ruy Carrasco, MDManaging Director, Clinical OperationsArete Provider Network
Performance ImprovementChris HicksDirector, Practice OptimizationArete Provider Network
DataTodd LerouxDirector, Data ScienceArete Provider Network
Corporate DyadBrian MortonManaging PartnerArete Provider Network
TechnologyJennifer OliveraDirector, Technology ServicesArete Provider Network
Clinical ProgramsSam RiegaDirector, Clinical ProgramsArete Provider Network
OperationsLeigh Ann WoodardDirector, Practice TransformationArete Provider Network

Key ACO Clinical and Administrative Leadership

Ruy Carrasco, MD
(844) 854-2164
Medical Director

Will Baker
(844) 854-2164
Compliance Officer

Jason Haugen
(844) 854-2164
ACO Executive

Types of ACO participants, or combinations of participants, that formed the ACO include:

  • Physician-led primary care practices
  • Independent physician-owned clinics


  • When does the ACO begin?
  • CMS has delayed the application period for a 2021 start date due to COVID-19. This will likely result in the application period reopening no sooner than late summer or early fall of 2020. The start date will therefore also likely be affected accordingly, possibly pushing it back to July 2021 or later.
  • By when do I need to sign up for the ACO/VCO?
  • The application cycle for a 2021 start date has been delayed by CMS. As a result, participation agreements will likely not need to be signed in June 2020 as would originally be required for a 2021 cycle beginning in January 2021.  While CMS has not yet released information on when the next application cycle will open, having the ability for us to review participation agreements in advance will allow us to be better prepared at the time of opening.
  • If I want to change ACOs, what is the process?
  • At this time you don’t need to do anything.  With the delay in the application period for the 2021 cycle, you can continue in your existing ACO if you choose. When the next application cycle opens we will let you know and, if at that time you want to make a change, you’ll need to let your existing ACO know that you don’t want to participate in the next available cycle.
  • How are patients attributed to my practice?
  • For the ACO, these are Medicare patients but attribution does not include Medicare Advantage patients. For the VCO, these are state Medicaid patients.