MIBAC QI participation 101:

understanding what it means to be a MIBAC participating chiropractor.

Benefits of participation

  • Have a seat at the table! As specialists in the care of low back pain, help shape the program’s future by sharing your clinical experience and insights.

  • Respect: MIBAC chiropractors set themselves apart by showing their commitment to evidence-based care. In MIBAC, chiropractors are subject-matter experts, informing every strategic decision made.

  • Visibility: We host a chiropractor directory on our website open to all participants. While this may seem like a small thing, this directory is shared with POs to pass on to their other healthcare providers to assist with making referrals to evidence-based chiropractors. View the chiropractor directory HERE.

  • Education: MIBAC is heavily invested in chiropractor education, including clinical vignettes (CE is available for purchase through the Michigan Association of Chiropractors following successful completion), keynote speakers on clinically relevant topics including treatment methods, nutrition, behavioral medicine.

  • Resources: The MIBAC clinical leadership team alongside our esteemed Executive Committee create and approve tools that are useful in practice, including exercise hand-outs, an after-visit summary, and an imaging algorithm. Currently, we are developing a tip-sheet for obtaining EHR access to view images and patient records. Click HERE to view some of our resources.

  • Value-Based Reimbursement (VBR): Eligible chiropractors can earn 2%, 3% or a total of 5% VBR, in addition to other VBR opportunities offered by BCBSM that are separate from MIBAC (see about: Michigan Data Collaborative for details).

Getting started as a prospective participating chiropractor

Enrolling to participate in QI

Once you submit your interest to participate, you will have a few agreements to complete. Between the months of June - October each year we process prospective participants and send them a participation agreement that outlines the participation targets and applicable incentives, and a Business Associate Agreement (BAA) that needs to be signed by the practice owner to allow you to share PHI with the Coordinating Center.

Onboarding and support

Once all of your paperwork is complete, we schedule a virtual, 30-minute onboarding session to go over the basic details of how to get started. We also offer individual meetings after training is complete to review any points of confusion. Our goal is to get you on the right track for successful participation.

Activities, requirements, and more for new and continuing chiropractors

Participation activities

Now you are all signed up and ready to start. What does that mean? New participants have slightly different requirements than continuing participants (since new participants have onboarding training and documents to complete, a few of the other requirements are withheld). Scorecards can be found HERE. This takes you to another page of this website, which can also be found under resources > QI participation. The scorecard outlines the activities you have agreed to complete to earn Value-Based Reimbursement (VBR).

If you are a new participant, you can earn 5% VBR (see eligibility requirements) for the first 12 months while working on your requirements for the following year. For example, if you start earning VBR in 2025 for the first time, you will be working on your requirements for 2026 VBR eligibility.

Flexible menu of options:

2026 VBR can be earned by meeting a range of targets that are assigned a point value. This provides flexibility to fit the requirements within your practice and interests. Activities include meeting attendance, obtaining patient survey responses (Patient-Reported Outcomes) that are entered into the patient registry (REDCap), risk stratification training and implementation, and QURE cases which are clinical vignette-style learning modules built by chiropractors specifically for chiropractors. You can earn 2%, 3%, or a total of 5% VBR depending on how many points you earn. This is all outlined in the scorecards.