Pinnacle Health Solutions

About Pinnacle Health Solutions

Healthcare should work for the people who depend on it. At Pinnacle Health Solutions, we work hand-in-hand with employers to build self-funded health solutions that help teams stay healthier, manage costs, and get more from their coverage. For over 30 years, we’ve provided comprehensive self-funded plan solutions backed by the 100-year legacy of the non-profit Western Growers Association. Because we’re independently owned, we answer to our clients—not shareholders or private equity. That independence gives us the freedom to put people before policies, deliver 99% claims accuracy, and maintain a 98% client retention rate. We connect every moving part of self-funding under one roof: - Health Plan Administration: Complete, flexible management from enrollment to COBRA and Spousal Incentive HRA. - Pharmacy Benefits Management (OrionRx): Transparent, standalone PBM delivering 18–22% savings on specialty drugs through clinical care. - Care Management: Proactive wellness programs that support member health before issues turn into claims. - Employer & Member Experience: Dedicated account teams (averaging 10 years of tenure) providing white-glove, concierge-level support. - Analytics & Insights: Always-on reporting and predictive tools to help you identify cost drivers and plan ahead. - Legal & Compliance: In-house experts handling ERISA, ACA reporting, and plan documentation so you stay compliant. - Integrated Solutions: Custom-designed medical, dental, vision, HRA/FSA/HSA, and stop-loss strategies built around your goals. Whether you’re optimizing an existing plan or starting fresh, Pinnacle helps you make healthcare simpler, more personal, and more effective.