MIBAC is a Collaborative Quality Initiative (CQI) supported by Blue Cross Blue Shield of Michigan.

Our focus is on better care for low back pain by “first-contact clinicians”, starting with primary care physicians and chiropractors. Our 2023 plan includes program involvement from emergency medicine, urgent care, and physical therapy.


Program Overview

Low back pain can be frustrating for both patients and clinicians. There is often no single cause for the pain that can be “fixed” with one simple approach to treatment. There can be unnecessary imaging studies and referrals, use of unproven therapies, over-use of opioids, and dissatisfied patients who never do get effective relief of pain.

Testimonials from our Participants

Sally Blossom, DC, and Daniel Blossom, DC

“Our family has been in chiropractic practice for over 95 years. We feel the MIBAC training reinforced current practices and protocols in our office. We also feel that it gave us additional training in management of acute low back pain cases. The aspect of opening up collaboration and referrals with other healthcare professionals is also a great plus. When individuals, groups, and offices work together for the good of the patient’s needs, favorable and cost-effective outcomes can certainly be achieved. We are proud to be a part of the MIBAC initiative.”


“The MIBAC collaboration has helped our clinic build relationships with local primary care physicians to help properly co-manage spine pain patients in an efficient manner in terms of triage, diagnosis, and appropriate treatment.”

Emmanuel Dizon, MD

“I went through the level 1 training and especially enjoyed the communication tips and the video for the back exam.  I have used these tools to help educate my patients, and my patients have been very receptive to my recommendations.”

More effective care patterns

        Better outcomes for patients

Greater satisfaction for clinicians and patients

Engaged Physician Organizations (POs)

Clinical Steering Committee delegates focusing on program initiatives

Chiropractors and PCPs contributing data to the MIBAC registry

Physician Organizations engaged in Quality Improvement

Contact Us

Click here to contact the MIBAC Coordinating Center with questions or to get additional information. You can also reach us at [email protected]