Michigan's Collaborative for Type 2 Diabetes (MCT2D), a statewide population health collaborative quality initiative, analyzed nearly 1,000 physician-submitted patient case summaries and needs assessments, finding that physicians needed help managing the burden of prior authorization. The team first developed a PDF guide that was posted on their website in 2021. In 2024, they created an interactive web tool, Coverage Checker, co-designed with MCT2D clinicians. The tool shows care team members whether a patient's insurance covers guideline-directed medical therapy or continuous glucose monitors and the prior authorization steps each plan requires. Coverage Checker encompasses about 75% of Michigan's largest commercial, Medicare, and Medicaid insurance policies, autofills chart notes, and is reviewed quarterly. A mobile app is planned for release later in 2025.
Coverage Checker: A Web-Based Tool to Navigate Diabetes Coverage and Prior Authorization
Noa Kim, MSI, et al
Michigan Collaborative for Type 2 Diabetes, University of Michigan, Ann Arbor, Michigan
