How were the PMAP/PGAMC/MA/GA revenue estimates that are used in the PMAP distribution derived?
In the 1998-2000 MERC applications, sponsoring institutions were asked to provide information on total MA/GA/PMAP/PGAMC revenue received by each clinical training site at which trainees were placed; the plan was to use these estimates to calculate the distribution of carved out funds. After examining the data that was submitted through MERC applications, however, it became clear that these self-reported estimates were not sufficiently reliable for use in calculating the distribution. There was a great deal of variation in how sites reported their public program volume, with many sites reporting revenue for a larger affiliated site or network, reporting charges rather than net revenue or including MNCare enrollees in their estimates. Additionally, many smaller sites lacked either the staff time or the accounting systems required to calculate reliable estimates, resulting in a high percentage of sites with no reported public program volume. Using the self-reported estimates, these sites
