MARS afforded the opportunity to track reimbursement and AlC levels. As shown in figure 2, at the 8 DSMT hospital programs where revenue was captured, total charges in 6-month intervals increased from the beginning of the tracking period in January 2002 from $120846.00 to $241470.00 in June 2004. Total payment per 6 months increased from $37192.00 to $120572.00 over the same period. Interestingly, efficiency of collection increased from approximately 25% to 50%. most important, diabetes educator effort was covered by the third 6-month period. thus, at the initiation of this project, DSMT services were a loss leader. In contrast, by the conclusion, educators were more than self-supporting their efforts devoted to DSMT.