Blue Care Network Renews Commitment to MEDecision.

Business Editors/High-Tech Writers

WAYNE, Penn.--(BUSINESS WIRE)--April 28, 2003

HMO Expands Relationship to Integrated Medical Management Philosophy; Extends Contract for Advanced Medical Management; Rolls Out Analytics,

Web- and EDI-based Transactioning and Automated Authorizations

MEDecision Inc., a software and services leader in care management, today announced that Blue Care Network of Michigan has increased its commitment to MEDecision's Integrated Medical Management (IMM). A MEDecision client for the past six years, Blue Care Network has renewed its contract for Advanced Medical Management while expanding its IMM implementation to include Analytics as well as Web- and EDI-based Transactioning and Automated Authorizations. The new contract also includes MEDecision's highest level of support for the HMO.

"We are constantly striving to improve the care of our members," said Dr. Douglas R. Woll, senior vice president and chief medical officer at Blue Care Network of Michigan. "MEDecision has been a key partner of ours for several years, and Advanced Medical Management has been an important tool which helps facilitate this effort. The success of that system, and MEDecision's continuing support, enabled us to take the next step and streamline our analytics, authorizations, and transactions with IMM. This should also help us to maintain our leadership position in delivering innovative disease and case management services."

Added John H. Capobianco, executive vice president and chief marketing officer at MEDecision, "Blue Care Network's success with IMM exemplifies the future of care management where the integration of best-of-breed care management systems yields a solution far more valuable than the mere sum of its parts. By renewing and expanding their long-term commitment to MEDecision, Blue Care Network validates not only our IMM vision but our superior support and service in helping them deliver the highest quality of care possible."

About IMM

With Integrated Medical Management (IMM), MEDecision dramatically improves the relationship between providers, patients and managed care organizations to create the greatest impact on the quality and cost of care. IMM gives MCOs the tools to identify high-risk members, diseases and conditions and then implement the programs needed to improve patient care and optimize costs. Further, IMM automates healthcare transactions between MCOs and providers and drives a consistent clinical philosophy throughout the care management process.

IMM relies on three tightly coupled components to help MCOs identify areas of financial and clinical risk, implement programs to manage these risks, and continuously evaluate the effectiveness of these programs.

-- Analytics and Disease Management provides the predictive

capabilities, clinical picture, management tools, and data

analysis, enabling MCOs to create the right programs, target

the right members and provide the appropriate feedback to

providers.

-- Advanced Medical Management unites clinical staff with care

management processes through automated workflow and detection

tools. MCOs can thereby manage their population across the

continuum of care and assess the clinical and financial

outcomes of care management programs.

-- Transactioning and Automated Authorizations create the

necessary bridge to electronically link physicians, hospitals

and the MCOs, supporting the direct submission and processing

of healthcare transactions, including referrals,

authorizations and extensions.

Working together, these three components place all the data, both historical and current, in the hands of the care managers and provide comprehensive, automated tools that ensure the most efficient handling of information and consistent application of rules throughout the medical management decision-making process

With IMM, MEDecision takes a fundamentally different approach to traditional care management, treating the integration of individual IMM components as a core design element, rather than an afterthought. The result is a system that closely mirrors the way chief medical officers and MCO executives intuitively think about their business and their health care responsibility, where the interdependencies of care management, analytics, and transaction/authorization systems are recognized and leveraged.

About Blue Care Network

Blue Care Network is a leading HMO in Michigan with more than 500,000 members across the state and the largest HMO network of physicians and hospitals in the state, with more than 3,000 primary care physicians, 6,700 specialists and 120 hospitals. Blue Care Network is the HMO affiliate of Blue Cross Blue Shield of Michigan and is an independent licensee of the Blue Cross and Blue Shield Association. For further information, visit www.bcbsm.com/bcn.

About MEDecision

MEDecision is a leading software and services provider of integrated care management solutions. Founded in 1988, the firm specializes in linking patients, providers and payers in an information network to improve overall health outcomes and reduce costs. MEDecision customers include multiple Blue Cross and Blue Shield organizations, complex health management organizations, integrated delivery networks, Medicaid managed care organizations, major insurance carriers and specialty managed care firms.

MEDecision's software products are being used by 47 managed care organizations to improve the quality of healthcare and reduce both administrative and unnecessary clinical costs for over 33 million people -- approximately one in every seven Americans with health insurance. MEDecision's solutions include integrated case, disease and utilization management, high-risk patient identification, automated authorizations, provider profiling and quality analysis.

For more information about MEDecision and Integrated Medical Management, please call 610/254-0202, email [e-mail] or visit www.MEDecision.com.

Note to Editors: MEDecision is a trademark of MEDecision, Inc. The MEDecision logo and product names are also trademarks or registered trademarks of MEDecision, Inc. Other products and brand names are trademarks of their respective owners.