Some of the primary care practices across Michigan are part of theCMS Multi-Payer Advanced Primary Care Practice Demonstration. These clinics are receiving additional money per patient per month to assist with the care of patients with chronic conditions like diabetes. And all have hired or will hire case managers. The case managers will handle a variety of chronic conditions. However, if you are doing diabetes management, you are already dealing with CVD, CHF, renal, dylipidemia and hypertension. And you are probably seeing those with arthritis and chronic pain too! I am interested in how diabetes educators or programs are taking on case management roles in clinic settings.