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 www.medicare.gov/acos.html 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: firstname.lastname@example.org
ACO Governing Body
|Co-Chair||Ruy Carrasco||MD||Arete Provider Network|
|Co-Chair, Medicare patient||Thad Woodard||MD||Medicare beneficiary|
|Member||Keith Davis||MD||Shoshone Family Medical Center|
|Member||Wade Erickson||MD||Capstone Clinic|
|Member||Craig Hinkle||MD||Alaska Women's Health, PC|
|Member||Stacey Logan||MD||Arete Pediatric Care - Anchorage|
|Member||Stacey Nieder||MD||Arete Pediatric Care - Anchorage|
|Member||Ray Robinson||MD||Arete Pediatric Care - Anchorage|
ACO Quality Improvement and Support Team
|Performance Improvement||Cindy Alkire||Director, Regional Operations - Alaska||Arete Provider Network|
|Compliance||Will Baker||Managing Director, Operations||Arete Provider Network|
|Medical Director (Corporate Dyad)||Ruy Carrasco, MD||Managing Director, Clinical Operations||Arete Provider Network|
|Performance Improvement||Chris Hicks||Director, Practice Optimization||Arete Provider Network|
|Data||Todd Leroux||Director, Data Science||Arete Provider Network|
|Corporate Dyad||Brian Morton||Managing Partner||Arete Provider Network|
|Technology||Jennifer Olivera||Director, Technology Services||Arete Provider Network|
|Clinical Programs||Sam Riega||Director, Clinical Programs||Arete Provider Network|
|Operations||Leigh Ann Woodard||Director, Practice Transformation||Arete Provider Network|
Key ACO Clinical and Administrative Leadership
Ruy Carrasco, MD
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.