PMAP/PGAMC Medical Education Fund
September, 2002 Distribution Summary
In response to ongoing concerns about the ability of Minnesota teaching hospitals and
ambulatory training sites to continue funding clinical training for health professionals in a more
competitive healthcare financing environment, the Minnesota Department of Health has
distributed over $100 million since 1998 to clinical training sites around the state through the
Medical Education and Research Costs (MERC) Fund. MERC funds are distributed annually
using a formula that calculates grants based on average clinical training costs at each eligible
site.
Beginning in the fall of 2000, medical education ‘add-on’ funds began to be removed from
capitated Prepaid Medical Assistance Program (PMAP) and Prepaid General Assistance Medical
Care (PGAMC) rates and transferred to MERC for distribution directly to training sites. These
add-on payments had historically been included in the capitated PMAP and PGAMC rates paid
to health plans, but began being carved out of rates in October 2000 due to concerns that the
funds, intended to offset higher costs at teaching facilities due to medical education, were not
being passed through by health plans. Unlike the general MERC Fund, this is not new money
but rather a transfer of existing funds which are distributed via a new mechanism. For more
information about the history of the PMAP carveout and the distribution formula that governs the
disbursement of these funds, please visit the MERC website at
http://www.health.state.mn.us/divs/hpsc/hep/merc/merc.htm.
The first PMAP Distribution took place in June 2001. At that time, $4,441,818 that had been
carved out between October and December, 2000 was distributed. Since that time, each
distribution from the PMAP fund has contained six months worth of carved-out dollars. The
September 2002 PMAP Distribution contained $15,417,746 that had been carved out between
January and June, 2002.
Nine provider types (listed at
% of
left) were eligible for PMAP
Trust
grants in September 2002. The
Provider Type
Programs Grant Amount Fund
formula that governs
Advanced Practice Nurses
11 $1,290,127.93 8.37%
distribution of PMAP funds is
Dental Residents
12
$295,725.42 1.92%
based in part on average
Dental Students
1
$267,547.52 1.74%
clinical training costs per FTE.
Chiropractic Students
1
$78,591.68 0.51%
As the highest-cost provider
Medical Residents
115 $12,079,626.06 78.35%
type, medical residents
Medical Students
5
$818,188.58 5.31%
received approximately 80% of
Pharm. D. Residents
5
$52,689.68 0.34%
Pharm. D. Students
1
$386,774.79 2.51%
the total PMAP pool, slightly
Physician Assistants
1
$148,473.95 0.96%
less than the percentage they
Total
152 $15,417,745.61 100.00%
receive from the MERC Fund.
Distribution of PMAP Funds Carved Out Between Jan-June 2002
PMAP Grant
$
439,917.32
$
148,473.95
$
83,044.21
$
384,630.86
$
363,231.66
$ 1,802,747.93
$ 3,804,360.74
$
84,923.81
$
77,417.06
$
14,192.44
$
35,585.29
$
78,591.68
$
618,317.06
$
270,949.47
$
265,549.13
$
15,956.57
$ 6,816,885.97
$
112,970.44
Percentage
of Pool
2.85%
0.96%
0.54%
2.49%
2.36%
11.69%
24.68%
0.55%
0.50%
0.09%
0.23%
0.51%
4.01%
1.76%
1.72%
0.10%
44.21%
0.73%
TOTAL: $ 15,417,745.61
100.00%
Sponsoring Institution
ABBOTT NORTHWESTERN HOSPITAL
AUGSBURG COLLEGE
COLLEGE OF ST. CATHERINE
COLLEGE OF ST. SCHOLASTICA
DULUTH GRADUATE MEDICAL EDUCATION COUNCIL
HENNEPIN COUNTY MEDICAL CENTER
MAYO FOUNDATION
MERCY HOSPITAL
METROPOLITAN STATE UNIVERSITY
MINNEAPOLIS SPORTS MEDICINE CENTER
MINNESOTA STATE UNIVERSITY, MANKATO
NORTHWESTERN HEALTH SCIENCES UNIVERSITY
REGIONS HOSPITAL
ST. MARY'S UNIVERSITY OF MINNESOTA
UNITED HOSPITAL
UNITED HOSPITAL AND CHILDREN'S HEALTHCARE
UNIVERSITY OF MN ACADEMIC HEALTH CENTER
WINONA STATE UNIVERSITY
Eighteen sponsoring institutions – organizations that are financially or organizationally
responsible for one or more training programs – were eligible for PMAP grants in September
2002. Upon receiving their grants, sponsoring institutions are required to pass funds through to
the clinical training sites at which their students complete their clinical training. Over 400
training sites ultimately received grants, ranging from a low of less than $100 to a high of almost
$2.6 million. Grants are based on a formula that equally weights relative teaching volume and
relative public program volume at each facility.
The table on the following pages shows the training sites that received grants of $10,000 or more
from the September 2002 PMAP distribution. These sites received approximately 95% of all
available funds. These figures represent the sum of all grants received by each site, many of
which provide clinical training for students or residents from multiple programs. The largest
recipient of PMAP funds was Hennepin County Medical Center (HCMC), followed by Fairview
University Medical Center, Saint Mary’s Hospital, the Mayo Clinic and Regions Hospital. These
five training sites alone accounted for more than half of the total distribution.
SITE NAME
HENNEPIN COUNTY MEDICAL CENTER
FAIRVIEW UNIVERSITY MEDICAL CENTER
SAINT MARY'S HOSPITAL
MAYO CLINIC
REGIONS HOSPITAL
ROCHESTER METHODIST HOSPITAL
ALLINA MEDICAL GROUP - ABBOTT NORTHWESTERN HOSPITAL
UNIVERSITY OF MN SCHOOL OF DENTISTRY
NORTH MEMORIAL MEDICAL CENTER
CHILDREN'S HOSPITALS AND CLINICS - MINNEAPOLIS
CHILDREN'S HOSPITALS AND CLINICS ST. PAUL
UNITED HOSPITAL INC
SAINT MARYS MEDICAL CENTER
HEALTHEAST ST JOSEPHS HOSPITAL
ST. CLOUD HOSPITAL
METHODIST HOSPITAL
ST. LUKE'S HOSPITAL
GILLETTE CHILDREN'S HOSPITAL
MERCY HOSPITAL
OMNICARE MINNESOTA PHARMACY
HEALTHEAST ST JOHNS HOSPITAL
MAYO PSYCHIATRY AND PSYCHOLOGY TREATMENT CENTER
AUGUSTANA HOME
UNITY HOSPITAL
AH GWAH CHING CENTER
FAIRVIEW SOUTHDALE HOSPITAL
HEALTHEAST BETHESDA HOSPITAL
RAMSEY NURSING HOME
IMMANUEL ST JOSEPHS HOSPITAL - MAYO HEALTH SYSTEM
FAIRVIEW UNIVERSITY CLINIC PHARMACY
UNIVERSITY MEDICAL CENTER - MESABI
DULUTH CLINIC
STAR CLINIC
RAMSEY FAMILY PHYSICIANS
HENNEPIN COUNTY MED CTR MENTAL HLTH
LAKESHORE LUTHERAN HOME
MILLER DWAN MEDICAL CENTER
ALBERT LEA GOOD SAMARITAN CENTER
PHS INDIAN HOSPITAL
AUSTIN MEDICAL CENTER MAYO HEALTH SYSTEM
LAKE REGION HOSPITAL
CAREVIEW HOME, INC
COMMUNITY UNIVERSITY HEALTHCARE CENTER
TOTAL GRANT
$2,554,287.10
$1,943,690.05
$1,484,002.03
$1,296,942.43
$1,238,630.58
$590,282.84
$452,306.48
$410,441.19
$320,678.61
$298,481.22
$237,717.19
$207,730.45
$194,312.86
$163,002.30
$161,298.60
$142,135.19
$121,861.65
$116,190.21
$113,495.31
$99,610.47
$97,850.16
$94,529.53
$86,970.03
$84,701.63
$83,596.25
$82,879.56
$72,573.45
$69,814.67
$62,533.77
$59,583.01
$55,041.76
$53,822.00
$50,710.50
$50,313.56
$49,366.17
$44,908.46
$44,624.57
$42,876.60
$42,611.08
$41,730.13
$40,141.98
$40,078.14
$38,588.67
% of
Fund
16.57%
12.61%
9.63%
8.41%
8.03%
3.83%
2.93%
2.66%
2.08%
1.94%
1.54%
1.35%
1.26%
1.06%
1.05%
0.92%
0.79%
0.75%
0.74%
0.65%
0.63%
0.61%
0.56%
0.55%
0.54%
0.54%
0.47%
0.45%
0.41%
0.39%
0.36%
0.35%
0.33%
0.33%
0.32%
0.29%
0.29%
0.28%
0.28%
0.27%
0.26%
0.26%
0.25%
SITE NAME
UAFP SMILEY'S CLINIC
GLENCOE AREA HEALTH CENTER
WEINER MEMORIAL MEDICAL CENTER
NAEVE HOSPITAL ASSOCIATION
UAFP NORTH MEMORIAL CLINIC
CAMBRIDGE MEMORIAL HOSPITAL
DULUTH FAMILY PRACTICE CENTER
VIRGINIA REGIONAL MEDICAL CENTER
PARK NICOLLET CLINIC ST. LOUIS PARK
WACONIA RIDGEVIEW MEDICAL CENTER
ALLINA HOSPICE AND PALLIATIVE CARE
UAFP PHALEN VILLAGE
MERITCARE CLINIC BEMIDJI
CENTRACARE CLINIC
PAYNESVILLE AREA HEALTH CARE SYSTEM
CREEKSIDE FAMILY PHYSICIANS
WINONA SENIOR SERVICES
UAFP BETHESDA CLINIC
HOSPICE OF THE TWIN CITIES
HEALTHPARTNERS BLOOMINGTON
MANKATO CLINIC, LTD
NORTHWESTERN COLLEGE OF CHIROPRACTIC CLINIC BLOOMINGTON
SAUER MEMORIAL HOME
WEST SIDE COMMUNITY HEALTH SERVICES
NORTHLAND REGIONAL HEALTHCARE
UNITED FAMILY HEALTH CENTER
ANOKA METRO REGIONAL TREATMENT CENTER
FAIRVIEW LAKES REGIONAL HEALTH CARE
WASECA MEDICAL CENTER-MAYO HEALTH
GOLDEN CREST HEALTH CARE CENTER
OLMSTED MEDICAL GROUP
ITASCA MEDICAL CENTER
BRAINERD MEDICAL CENTER PA
GREELEY HEALTHCARE CENTER
HEALTHPARTNERS RIVERSIDE
OWATONNA HOSPITAL
HEALTHPARTNERS ST PAUL
GREATER STAPLES HOSPITAL AND CARE CENTER
HP PHYSICIANS CLINIC
ST FRANCIS REGIONAL MEDICAL CTR
FOND DU LAC HUMAN SERVICES
GRAND RAPIDS MEDICAL ASSOCIATES PA
ST PAUL RADIOLOGY PA
BUFFALO HOSPITAL HEALTHSPAN
FERGUS FALLS MEDICAL GROUP
FAIRVIEW RIVERSIDE PHARMACY
MINNESOTA ONCOLOGY HEMATOLOGY P.A.
NEW ULM MEDICAL CENTER
LAKEVIEW MEMORIAL HOSPITAL
TOTAL
% of
GRANT
Fund
$37,778.23 0.25%
$36,824.52 0.24%
$35,777.28 0.23%
$32,711.56 0.21%
$31,712.43 0.21%
$31,620.84 0.21%
$31,497.26 0.20%
$31,081.98 0.20%
$30,847.67 0.20%
$30,301.59 0.20%
$28,933.71 0.19%
$28,251.90 0.18%
$28,218.47 0.18%
$27,045.21 0.18%
$26,876.16 0.17%
$26,489.95 0.17%
$26,093.35 0.17%
$26,059.58 0.17%
$25,448.61 0.17%
$25,337.31 0.16%
$24,794.15 0.16%
$24,051.23 0.16%
$21,827.72 0.14%
$20,202.56 0.13%
$19,800.05 0.13%
$19,595.54 0.13%
$19,287.64 0.13%
$19,040.23 0.12%
$18,007.02 0.12%
$17,657.17 0.11%
$17,311.42 0.11%
$17,236.70 0.11%
$16,408.12 0.11%
$16,345.79 0.11%
$16,139.10 0.10%
$15,573.56 0.10%
$15,043.17 0.10%
$14,946.78 0.10%
$14,701.07 0.10%
$14,483.53 0.09%
$14,060.71 0.09%
$13,804.19 0.09%
$13,493.44 0.09%
$13,050.55 0.08%
$12,749.49 0.08%
$12,072.68 0.08%
$11,935.91 0.08%
$11,421.67 0.07%
$10,499.31 0.07%