NEWS & EVENTS 
SPECIALTY CARE
2025
ANNUAL
REPORT
A Year of Collective Performance
CHAMPIONSHIP YEAR
2025 was a year of exceptional performance, innovation, and teamwork. We are so grateful to our amazing team of physician organizations, practices, care teams, and patients who make this work possible.
Head Coaches
Welcome to MCT2D's 4th Annual Report!
In 2025, the Michigan Collaborative for Type 2 Diabetes delivered results on its first statewide performance measure aimed at improving A1C control. Across 340 participating primary care practices, 558 patients newly achieved A1C control– lowering their risk of serious complications.
Building on this momentum, MCT2D expanded to include an additional performance measure for primary care physicians, as well as initial performance measures for endocrinologists and nephrologists. Primary care physicians and nephrologists are increasing uACR screening to support earlier detection of kidney disease, while endocrinology practices are implementing consistent interpretation of CGM data to ensure that patients prescribed CGM devices achieve optimal clinical outcomes and value. These guiding performance measures build on the foundation we've established as Michigan's first statewide diabetes quality improvement collaborative.
This year, MCT2D led new, innovative programs to drive collaborative quality improvement, including kicking off the development of our prediabetes initiative, launching the first-ever MCT2D low carb counseling workshop, and conducting our first set of site visits to eight practices across Michigan.
Finally, we shared many high-impact tools, including publishing our work on developing the MCT2D Coverage Checker in the Annals of Family Medicine.
This annual report is our 2025 season recap: performance measures launched, partnerships strengthened, and a statewide team proving that when we improve together, progress in type 2 diabetes care is measurable, shared, and built to last.
Lauren Oshman, MD, MPH
MCT2D Program Director
Heidi Diez, PharmD, BCACP, BC-ADM
MCT2D Co-Program Director,
Lead Clinical Pharmacist
Meet our Outstanding Collaborative
Our collaborative includes primary care and specialist practices across Michigan, one statewide team, moving in sync.
Practices
Practices
Practices
Global Reach of MCT2D
People across the globe are accessing MCT2D's website and resources.
Tracking the metrics that matter on our path to improving diabetes care for all.
As the collaborative's inaugural performance measure, MCT2D primary care practices achieved measurable improvements last year, with an absolute 2% improvement in Commercial patients achieving an HbA1c <8% and an absolute 1% improvement in Medicare patients achieving an HbA1c ≤9%.
Target rates for the A1C measure have now been updated to reflect 2026 HEDIS 90th percentile rates of 74.45% for commercial patients with an HbA1c <8% and 91% for Medicare patients with an HbA1c ≤9% (Performance measurement period: 7/1/2025 – 4/30/2026).
Collaborative Wide Performance on A1C
(91% goal rate)
Medicare patients meeting the HbA1c target
(74.45% goal rate)
Commercial patients meeting the HbA1c target
The collaborative helped over
550 patients
meet their A1C target and reduce their risk for serious complications.
Improved glycemic control can mean fewer medication adjustments, fewer emergency room visits, and greater confidence in self-managing diabetes.
These gains can translate into preserved vision, mobility, and independence, enabling patients to participate more fully in work, family, and community life.
PCP uACR
MCT2D expanded its primary care performance measures to include annual uACR screening, a critical component of early kidney disease detection and timely intervention.
14-month target measurement
(absolute improvement)
Nephology uACR
In alignment with primary care efforts, MCT2D nephrology practices are also working to increase uACR screening rates.
14-month target measurement
(absolute improvement)
Endocrinology CGM Interpretation
Continuous glucose monitors provide real-time glucose data that supports both clinical decision-making and patient self-management in type 2 diabetes. To ensure this data is used effectively, MCT2D endocrinology practices are focusing on the download, interpretation, and integration of CGM data into care plans for patients on a CGM.
14-month target measurement
(absolute improvement)
Each project represents months of dedication, planning, and expert execution by our championship team.
MCT2D Mobile App
Launched August 12, 2025
MCT2D is thrilled to announce the launch of the MCT2D Mobile App, now available on the Apple App Store and Google Play Store.
Prediabetes Initiative
Building Strength for Prevention
Like off-season conditioning that helps prevent injury and builds endurance, our Prediabetes Initiative will equip patients and providers with tools, education, and resources to prevent progression to diabetes.
Web platform and tools for patients and providers
coming Q1 2026!
Like elite performance tracking for athletes, our enhanced dashboard helps teams make faster, data-driven decisions that drive results.
MCT2D Database Patient Counts
Increasing the number of patients in the dashboard enhances clinical insight, strengthens population health management, improves statistical validity, and increases impact and credibility.
Data Enhancements
Designed for continuous improvement: updates that keep pace with practice needs!
New: Prepopulated Reports
Launched in Q3 2025 - Answering key questions about diabetes care and collaborative performance.
Our prepopulated reports provide instant access to the most critical metrics and insights and show improvement over time. Like having your run times and scores ready the moment you step off the course.
Available Reports
The Data Completeness Report shows the completeness of each practice's submitted data across five key type 2 diabetes measures, helping you interpret other dashboard reports with confidence.
The report allows you to:
- View the percentage of patients with submitted data for your PO and practices
- Track data reporting trends over time
- Compare current PO, practice, and collaborative rates in a summary table
The Measure Trends report complements the Summary Measures Overview by providing a longitudinal view of performance over time.
Key features include:
- Multi-year performance trends for most measures (up to three years)
- HbA1c trends shown from the start of the performance period
- Aggregated performance views by user role:
- PO users: View organization-level results and compare
- across practices
- Practice users: View practice-level results and drill down to
- physician-level performance
The MCT2D resource library isn't just a collection of PDFs; it is the equipment room, where every collaborative "athlete" can go to get the fuel and gear needed to stay at the top of their game.
Our equipment room got a major upgrade with new tools designed to improve diabetes care.
Navigating Medicare Coverage for Ozempic: A 2026 MCT2D Guide
For People Living with Type 2 Diabetes Urine Albumin-to-Creatinine Ratio (uACR) Test
For Clinicians Treating Type 2 Diabetes Urine Albumin-to-Creatinine Ratio (uACR) Test
Maintaining Your Muscle Health with Strength Training
Maintaining Your Muscle Health with Protein and Hydration
Prediabetes Screening Guide
Low Carb Protein Guide
CGM Ordering - Pharmacy or DME: A Coverage Guide Quick Reference
Medications and CGM Coverage Guide
"The medications and CGM coverage tool is well rounded, useful in streamlining care for our diabetic patients and finding pertinent coverage information in one place."
— Village Medical Livonia
Type 2 Diabetes Care: Medication Patient Assistance Programs
"[Helpful] having the information at time of visit"
— Western Wayne Physicians - Allen Park
7-Day Sample Low Carb Meal Plan (50 - 130g carbs per day)
"Meal plan ideas for different cultures and carb restriction - helpful as we care for patients of different backgrounds"
— MyMichigan Health Family Medicine - Bay City
The Benefits of New Diabetes Medications: GLP Drugs and SGLT2 Inhibitors
"Good handout for patients first starting or considering these meds. Answers many common questions."
— MyMichigan Health Family/Internal Medicine - Mt. Pleasant
Printed Tool Distribution
Print tools, including clinic posters, meal plans, and educational key chains, were shared at regional meetings and during in-person site visits. MCT2D participants highly value access to printed tools, noting that many patients are not comfortable with accessing resources online. Printed tools ensure all patients have access to education to address their health.
Low Carb Rainbow poster in Holland Hospital clinic
Tools Printed and Distributed to Members
Practices Reached
Participating MCT2D practices could place orders for specific printed resources. Additional resources were distributed at in-person events including the spring regional meeting, collaborative wide meeting, and during site visits.
Like watching recordings of your best performances, our video content helps educate and empower patients and the diabetes care community.
41,000+
views in 2025
YouTube Views Growth
118K Lifetime Views
2,800+
hours in 2025
Watch Time Growth
8.6K Lifetime Hours Watched
Victoza (liraglutide): Injectable GLP-1 RA Medication How-To Series
Victoza (liraglutide): Injectable GLP-1 RA Medication How-To Series
"Thank you so very much for this slow spoken, not rushed thorough step by step video! I was using a preloaded pen before, so this was an all new process for me. I didn't know about the priming, nor did I know the display would change after injecting. I appreciate your video and time making it."
— @Libragirlalways9
Like a lead throwing a curling stone depends on their sweepers, our success is built on seamless collaboration and shared goals of members and partners.
2025 Participating Clinic Site Visits
Dr. Oshman Presenting to Bronson IM Staff
Bronson Internal Medicine North visit
Site Visit Insights
In 2025, MCT2D conducted the first site visits to participating practices to deepen connections, understand real-world workflows, and support practices in addressing implementation challenges.
"Have all of your team members present. It was helpful to be able to get answers from each of your 'experts' in each area."
— Care Manager
of practices would recommend an MCT2D site visit
helpfulness rating, for getting a better understanding of what MCT2D is, its clinical leadership; sharing challenges, successes and concerns; understanding diabetes performance data; and getting specific guidance in diabetes QI work
Regional Meetings
Spring 2025
The spring 2025 regional meetings focused on sharing actionable clinical information that clinicians could take back and implement into their practice.
We were thrilled to welcome our endocrinology and nephrology colleagues alongside our primary care practices for a dynamic meeting filled with relevant updates, expert insights, and new opportunities for collaboration.
I loved the networking first and foremost; secondly, the valuable information learned from endocrinology and nephrology and ability to implement into my everyday practice.
Fall 2025
At the fall 2025 regional meetings, high-performing MCT2D practices shared their strategies for success and workflows for urine albumin-to-creatinine screening. MCT2D also shared plans for a prediabetes website for both patients and providers, to be launched in 2026. We also shared clinical updates and went through a detailed review of the learning community requirements.
I very much appreciate all the available handouts and informational tools to help better my patients.
Endocrinology and Primary Care Collaborative Poster Project
Our collaborative poster project brought together endocrinology and primary care teams to showcase their innovative partnerships in diabetes management and care coordination. These presentations highlight the power of interdisciplinary collaboration to improve clinical outcomes and share best practices across our network. Collaborations began in April 2024 and outcomes were shared at the Spring 2025 regional meetings.
Each endocrinology practice has created a poster (see sliding gallery below) to showcase the results of their work at each of the seven regional meetings across the state, allowing attendees to learn about these collaborations, including successes and lessons learned.
Additional Access - E-Consults to improve access to Endocrinology
Avoiding Lab Duplication
Care Coordination – Working Together – Achieving More
Early Referral to Endocrinology
Click to enlarge
Collaborative Wide Meeting
I very much appreciate all the available handouts and informational tools to help better my patients.
The primary focus of our collaborative wide meeting this year was supporting practices and physician organizations in achieving the MCT2D performance measures.
At the meeting we:
- Reviewed achievements and lessons learned from the first year of the A1C measure
- Heard presentations from participating POs on how they supported their practices in addressing A1C outcomes
- Introduced the new performance measure on uACR screening and hosted a panel on PO's current approaches to ensuring uACR screening occurs
- Discussed plans to incorporate race and ethnicity data into MCT2D reporting
MCT2D Patient Advisory Board
Voices from our Patient Advisory Board are shaping better care. We consult with the PAB like how you might bring in a veteran athlete to advise you on technique. When we design with patients instead of for them, we create tools that truly make a difference in daily life.
Our Patient Advisory Board brings the most important perspective to everything we do: the lived experience of the people we serve. Their insights drive innovation, improve our tools, and keep us focused on what truly matters.
PAB Member Spotlight
Ms. Felicia
Felicia is a beloved auntie, a hard rocker, and a person with multiple health conditions, including type 2 diabetes. Felicia kicked off our 2025 Collaborative Wide Meeting with an electric testimony on her health care experiences, navigating the challenges of self-advocacy and multifaceted identity. She brought necessary light to our collaborative wide discussion on health equity and data in quality improvement.
Ms. Lynda
Lynda is a former english teacher from Northern Michigan, proud grandparent, and person with multiple health conditions, including type 2 diabetes, chronic kidney disease, and heart issues. Ms. Lynda kicked off our Spring 2025 regional meetings, testifying to the importance of care coordination, self-advocacy, and her stellar relationship with her primary care physician.
Tools Co-Created With Patients
uACR Screening Handouts
PAB members gave feedback on our first draft and stressed the importance of using plain language explanations.
Diabetes Prevention Platform
PAB members have played a vital role in the conceptualization, patient-facing language, and design of our forthcoming patient education platform for prediabetes.
Like coaches developing elite athletes, we invest in knowledge sharing and skill development. Every event is designed to empower our community with the knowledge and skills needed to provide the most current, highly recommended care.
Low Carb Workshops
MCT2D hosted two weeklong educational workshops on low carbohydrate diets titled Elevate Your Care: Low Carb Counseling for Healthcare Professionals. This was developed in response to interest from the collaborative in receiving more extensive low carbohydrate education.
Each workshop is structured like a championship training regimen with intensive learning, hands-on practice, recovery breaks, and team collaboration. Participants engage with cutting-edge research, master meal planning strategies, and develop communication skills to effectively counsel patients on sustainable low-carb lifestyle modifications.
By the end of the workshops, participants were able to:
- Understand low carbohydrate eating patterns and recognize when it may be appropriate to recommend this intervention to a patient.
- Identify available resources relating to low carbohydrate eating patterns tailored to meet patients' needs.
- Learn practical counseling strategies and tips through hands-on practice.
left confident or very confident in providing dietary counseling to patients with type 2 diabetes.
were glad they participated.
"After participating in the [workshop], I have more knowledge behind me to have that discussion with a patient and more comfortability, feeling more comfortable talking about it for sure."
— RN Care Manager, Workshop Participant
LCD Training Program Overview
Food Logging
Participants used a digital app to track their food and beverage intake for 3 days to reinforce concepts and gain experience needed to teach patients.
Take-Home Activity: Complete pre-training survey.
MCT2D learning community events are monthly, hour-long virtual sessions led by experts in their field providing education on topics that the collaborative requests. Learning Community Events are open to everyone and are a great resource on T2D related topics.
CGM User Experience Program
Top athletes know to test their gear before competition. The CGM User Experience Program connects MCT2D clinicians with CGM devices, providing hands-on experience and valuable insights into how CGM can transform diabetes management. Like athletes testing new equipment before competition, participants explore CGM features, learn about the patient experience, and help shape future tool development based on real-world use.
What did participants have to say?
"It was so helpful to actually go through the process of applying and wearing the CGM and using the app, I had no idea exactly what patients were going through. I also learned a lot about how quickly my blood sugar goes up and down in response to certain foods, and how sugar crashes were impacting my mood/functional status as well!"
— Medical Doctor, Briarwood Family Medicine
Collaborative participants
Since its inception, over 250 collaborative members have participated, providing invaluable feedback that shapes CGM education and implementation strategies.
Communicating insights, updates, and achievements through publications and newsletters.
Like a post-race interview, our publications keep everyone informed and connected. Through newsletters and articles, we communicate our progress, share best practices, and celebrate our achievements. Our publications amplify voices, share knowledge, and keep our entire team aligned on our mission to deliver exceptional care.
Coverage Checker: A Web-Based Tool to Navigate Diabetes Coverage and Prior Authorization
Published in Annals of Family Medicine
In response to our members' requests for an "easy button," the Michigan Collaborative for Type 2 Diabetes (MCT2D) developed the MCT2D Coverage Checker. This web-based tool provides preferred coverage, step therapy, and PA guidelines for guideline-directed medical therapy (incretin mimetics and sodium-glucose cotransporter 2 [SGLT2] inhibitors) and continuous glucose monitoring (CGM) devices for type 2 diabetes (T2D) for specific plans with a few easy clicks.
Read the entire article
The paper's authors include: Noa Kim, MSI, Jonathan Gabison, MD, Lauren Oshman, MD, MPH, FAAFP, Jacquline Rau, MHSA, Jacob Reiss, MHSA, Larrea Young, MDes, Heidi L. Diez, PharmD, BCACP, of MCT2D and MCT2D clinical champion Shirley Cardinal, RN, BSN – CCM, of Covenant Health Partners.
2025 Published Posters
Members of the MCT2D leadership team presented poster presentations at the 2025 American Diabetes Association Scientific Sessions, which were held June 20-23, 2025, in Chicago, IL.
ADA 2025 Poster: Enhancing Care Coordination between Endocrinology and Primary Care for Type 2 Diabetes through a Statewide Quality Improvement Collaborative
ADA 2025 Poster: Trends in Insulin and CGM Use for Type 2 Diabetes in a Michigan Quality Improvement Collaborative
The MCT2D team also traveled to Anaheim, CA, from December 7-10, 2025, to present posters at the Institute for Healthcare Improvement Annual Conference.
IHI 2025 Poster: Developing a Novel Training Program on Low Carbohydrate Diet Counseling in Type 2 Diabetes Care
IHI 2025 Poster: Piloting an AI ChatBot Tool for Diabetes Nutrition Counseling
Top 3 News Posts of 2025
MCT2D keeps the collaborative updated on new tools, coverage changes, and key events through regular news posts.
Featured Citation
We are proud to share that MCT2D was cited in the 2026 Standards of Care in Diabetes, the American Diabetes Association's annual clinical guidelines. Recognition in this landmark publication underscores the credibility, relevance, and impact of our work within the diabetes care community.
View ADA Standards of Care 2026
The race continues! Our sights are set on even greater achievements in the year ahead.
Launch MCT2D Predibetes Initiative
Create the prediabetes web platform for patients and providers
Improving Member Experience with MCT2D
Redesign our MCT2D Admin Portal to better support users
Further Updates to the Patient Data Dashboard
Complete Dashboard 2.0 with patient lists and patient profile updates
Further Collaboration with Member Sites
Continue site specific support with site visits, low carbohydrate workshops, and CGM data integration
New Tools Impacting More Patients
Develop tools focused on insulin use in type 2 diabetes
Even More Measurable Performance Improvement
Launch additional performance measures
Dashboard 2.2 Launch
Redesigned user experience for optimal clinical performance
Dashboard 2.0 represents our most significant dashboard design upgrade. Starting with over 40 provider interviews, the team re-envisioned the MCT2D patient data dashboard, adding new user-driven features.
Updates to Date:
- New landing page
- New summary measures page
- Two prepopulated reports (Data Completeness & Trends)
Coming in 2026:
- Newly designed patient list page
- Updated patient profile page
- Prepopulated care lists
Redesigned Patient List
Streamlined workflow for managing multiple patients
Redesigned Patient Profile
Complete patient overview with enhanced data visualization
Ready to Break Records
With the momentum from 2025, we're positioned to achieve unprecedented success in 2026. The team is trained, the tools are tuned, and the goals are clear. Let's continue our winning record against type 2 diabetes together.
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ccteam@mct2d.org
Support for The Michigan Collaborative for Type 2 Diabetes (MCT2D) is provided by Blue Cross Blue Shield of Michigan as part of the BCBSM Value Partnerships program.
Although Blue Cross Blue Shield of Michigan and MCT2D work collaboratively, the opinions, beliefs and viewpoints expressed by the author do not necessarily reflect the opinions, beliefs and viewpoints of BCBSM or any of its employees.