SPECIALTY CARE 
ENGAGEMENT REQUIREMENTS
As a member of MCT2D you are required to complete certain activities to receive your value-based reimbursement (VBR)
LEARNING COMMUNITY REQUIREMENTS
(Engagement VBR)
PHYSICIAN LEVEL
PICK ONE: Every primary care physician participating in MCT2D must complete ONE of these activities by June 1, 2024.
1
Attend a learning community event or watch a recorded event and answer a brief quiz
2
Test (pilot) a Learning Community tool and give feedback on its use in a clinical setting.
PRACTICE LEVEL
PICK ONE: Each practice must complete ONE of these activities by June 1, 2024.(Can be completed by any member of a participating practice)
1
Gather feedback from a patient on a Learning Community tool.
2
Participate in a Practice-To-Practice (P2P) Best Practice discovery session.
3
Share a dotphrase to our MCT2D Dotphrase Library and participate in a 15-min lightning discussion about your phrases with our team.
PHYSICIANS ORGANIZATION LEVEL
PICK ONE: Each PO must complete ONE of these activities by June 1, 2024.(Can be completed by any member of a participating practice)
1
Contribute your expertise through an interview for a blog or video with our coordinating center team.
2
Share your expertise at a live event as a panelist.
3
Refer a patient to share a story, quote, or other feedback about their T2D care.
Activity: Provide a short, virtual interview for our collaborative blog or video series, like pharmacist and clinical champion Heidi Diez’s insights into Patient Assistance Programs for medications.
Impact: Sharing your expertise, big ideas, or lessons learned can have a ripple effect for the 800+ members of the Collaborative who are working on the shared goal of delivering the best available care to your patients and communities.
Time commitment: 1 hour, online
Upcoming Events
On-Demand Webinar Recordings
Helping People without Losing our Mind
September 25, 2023
A presentation and discussion led by obesity medicine specialist and family physician, Jonathan Gabison, MD dipl ABOM.
Goals of the recorded session:
1. Understand motivation and why we struggle
2. Identify and help patient who are ambivalent or not ready to change
3. Demonstrate motivational interviewing microskills
4. Help you as a healthcare professional feel better about your relationship with patients who are not going to change
Download Dr. Gabison's September 2023 Learning Community Slides (PDF)Multidisciplinary Teams and Utilizing Specialists
August 18, 2023
A panel discussion on how to create functional, thriving multidisciplinary teams in diabetes care. Panelists included:
- Frankie Daiek, MS, South Valley Medicine, Beaumont
- Heather Keifer, MS, RD, CDCES, Holland PHO
- Caitlin Peirce, MD, Michigan Medicine
- Jagdish Sachdeva, MD, Oakland Southfield Physicians
- Lindsey Loepp, RN, Michigan State University
- Moderated by Heidi Diez, PharmD, MCT2D Co-Director
Metabolic Surgery for Prevention and Treatment of Type 2 Diabetes
July 24, 2023
Presented by Oliver Varban, MD, FACS, FASMBS, Minimally Invasive Surgeon, Bariatric Surgery and Weight Management, Henry Ford Hospital, Detroit, MI and Associate Director of the Michigan Bariatric Surgery Collaborative (MBSC).
Download Dr. Varban's presentation slides (PDF)Implementing MCT2D Initiatives
June 9, 2023
A panel of MCT2D members discussed the successes and challenges they've experienced implementing SGLT2i and GLP-1 RA, continuous glucose monitoring (CGM), and low carb dietary counseling in their primary care clinic.
Thank you to our esteemed panelists!
- Mary Wilson, FNP-BC, ADM-BC, CDCES, University of Michigan West Cedar Springs, Metro Health Integrated Network
- Jessica Siewert, RD, CDE, Lifetime Family Care, County Creek Family Physicians, and Family Practice - Oakland, Medical Network One
- Jennifer Becker, NP, Blue Sky Health, LPO, LLC
- Arshad Aqil, MD, Arshad Aqil, MD PLLC, Primary Care Partners, Inc
- Tiffini Jones, RN, Dearborn Family Clinic PC, GMP Network
- Connie McDonald, RN, Care Manager, Bay City Family Physicians, Primary HealthCare, St. Mary’s PHO, LLC
Some of the questions they covered:
- What has been the biggest success that your practice has experienced either in increasing prescribing of SGLT2is/GLP-1 RAs, low carbohydrate diet, or continuous glucose monitors? How did you implement changes in your practice to achieve these goals?
- Has your physician organization supported you in making these changes? What did they do?
- Were there any unexpected obstacles that you encountered? How did you troubleshoot these challenges?
- How have you measured the impacts of the changes that your practice made?
- What advice do you have for other practices looking to improve their medication rates/CGM rates/low carb diet prescribing?
- What are you planning to work on next related to improving T2D care in your practice?
SGLT-2 Inhibitors and GLP-1 Receptor Agonists: A Cardiovascular Perspective
May 22, 2023
Presented by Devraj Sukul, MD MSc, Clinical Assistant Professor, Division of Cardiovascular Medicine and Director of Interventional Cardiology Quality and Outcomes, Michigan Medicine; Associate Director of BMC2-PCI
Download Cardiology and Type 2 Diabetes Slides (PDF)Operationalizing Low Carbohydrate Diets: Meal Planning, Recipes, and Meeting Patient Needs
March 23, 2023
Rina Hisamatsu, MPH RDN, a registered dietitian with Michigan Medicine and MCT2D reviews the foundational steps of meal planning on a low-carbohydrate diet, how to apply meal planning strategies to snacks, and individualizing meal plans to meet cultural and dietary needs.
Download Low Carb Meal Planning SlidesThe Basics of Team-Based Care Billing and Coding
March 3, 2023
In this joint presentation, Ashley Schwartz, LMSW, of the Michigan Institute for Care Management and Transformation, shares the foundations of team-based care billing, focusing on reimbursement for care management services for BCBSM and Priority Health. Ashley will walk viewers through examples of applying care management billing codes to clinical practice, point out opportunities to optimizing documentation and billing, and ground the discussion in building sustainability into team-based care. Ms. Schwartz's talk is modeled after MICMT's Foundational Care Management Codes & Billing Opportunities online course.
In the second half of the discussion, Lauren Oshman, MD, MPH, will share the codes you need to know for non-face-to-face type 2 diabetes care, with in-depth case examples, documentation requirements, and RVU in context.
Download March 2023 Learning Community SlidesManagement of CKD: A New Era of Therapeutics
February 13, 2023
In this presentation, Dr. Mike Heung begins by describing the initial evaluation of chronic kidney disease, including the origin of the new eGFR equation and importance of albuminuria testing. He goes on to describe recent advances in therapeutic options for patients with chronic kidney disease, including SGLT2is and MRAs.
Clinical Application of 2022 Updated T2D Guidelines from the ADA, EASD, and the AACE
November 2, 2022
In late September 2022, three key professional organizations published updated guidelines for type 2 diabetes. The American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) released a consensus report, "Management of Hyperglycemia in Type 2 Diabetes," and the American Association of Clinical Endocrinology published, "Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan—2022 Update."
In early November, we held a live webinar presentation to engage with the updated guidelines, with a featured presentation from Dr. Jonathan Gabison, MCT2D content expert, obesity specialist, and family physician.
CGM Operationalization Panel Discussion
September 1, 2022
We invited a live panel of MCT2D members with expertise in implementing continuous glucose monitors (CGMs) in their primary care practices.
The panel discussed the following topics:
- Identifying patients who may be right for a CGM.
- Workflows associated with receiving CGM data from patients.
- Workflows associated with how CGM data is uploaded to the EMR/reviewed prior to, or during patient appointments.
- Roles in the office related to CGM prescribing (e.g. introducing a CGM to patients, providing education, uploading the data to the EMG, reviewing the data, etc.).
- Strategies for integrating CGM prescribing into a practice.
- Navigating insurance coverage for patients with Type 2 Diabetes.
Panelists included
- Nadia Aneese, PharmD- Huron Valley Physicians Association
- Juan Reyes, PharmD- Olympia
- Jessica Prociv, PharmD- Bronson
- Susan Nason, Ambulatory Care Manager- Bronson
- Shirley Cardinal, RN Case Manager - Primary Care Partners
- Mary Wilson, FNP- Metro Health
Prior Authorization Expert Panel
July 18, 2022
An open question and answer session with clinicians who have taken on leadership roles in the prior authorization process, ranging from small two-provider practices to large multi-practice health systems. The goal of this session was to share tips and tricks, preferred software, workflows and key personnel, and answer each others' questions regarding prior authorization for SGLT2s and GLP-1s, CGMs, and more. Thank you to our fantastic panelists:
- Theresa Gallagher, RN, BSN, Care Manager - Great Lakes PO Bobby Dabicci, PharmD - Lakeland
- Tiffini Jones, RN, BSN, CDCES - GMP Network
- Renea Clark, Practice Coordinator/Quality Support Specialist - LPO, LLC
- Heather Keifer, MS, RD, CDCES - Holland
- Connie McDonald, RN, CCP, Care Manager from - St. Mary’s PHO
Update on Anti-Obesity Medications (AOM’s)
May 17, 2022
Lauren Oshman, MD, MPH, FAAFP, Diplomate, American Board of Obesity Medicine. Member, Motivational Interviewing Network of Trainers. MCT2D Program Co-Director.Objectives: Compare and contrast anti-obesity medications. Appreciate prior authorization criteria. Apply selection of a medication to a case.
Download Anti-Obesity Meds Coverage GuideContinuous Glucose Monitoring
With Rodica Busui, MD, PhD, Professor, Endocrinology and Internal Medicine
Lower Carbohydrate Diet with Dina Hafez Griauzde, MD, Assistant Professor, Internal Medicine
Novel Medications for Hyperglycemia with T2D
With Heidi Diez, PharmD, Clinical Assistant Professor in Pharmacy and Lauren Oshman, MD, MPH, Associate Professor, Family Medicine
Tying It All Together: CGM, Medications, and Lower Carb Lifestyle
With Caroline Richardson, MD, Professor, Family Medicine
Courses Include
Continuous Glucose Monitoring with Rodica Busui, MD, PhD, Professor, Endocrinology and Internal Medicine
Novel Medications for Hyperglycemia with T2D with Heidi Diez, PharmD, Clinical Assistant Professor in Pharmacy and Lauren Oshman, MD, MPH, Associate Professor, Family Medicine
Lower Carbohydrate Diet with Dina Hafez Griauzde, MD, Assistant Professor, Internal Medicine
Tying It All Together with Caroline Richardson, MD, Professor, Family Medicine
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ccteam@mct2d.org
Support for The Michigan Collaborative for Type 2 Diabetes (MCT2D) is provided by Blue Cross and 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.