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State of Arkansas Department of Human Services, Division of Medical Services Selects U.S. Care Management for High-Risk Obstetrics Health Management Program
Date:11/20/2007

JACKSONVILLE, Fla., Nov. 20 /PRNewswire/ -- The State of Arkansas Department of Human Services, Division of Medical Services has selected U.S. Care Management (formally Specialty Disease Management) to provide obstetrical and infant health management services to assist in improving birth outcomes and reducing costs associated with complicated pregnancies, pre-term births and high-risk infants among Medicaid participants in Crittenden, Phillips and St. Francis Counties, Arkansas. The pilot program, called BirthWait(R), began in June 2007 and will continue for two years.

"High-risk pregnancies and pre-term deliveries often result in poor health outcomes for mother's and their infant's health, and additional costs to the family and our communities," said Roy Jeffus, director, Arkansas Department of Human Services, Division of Medical Services. "U.S. Care Management's intensive obstetrical and high risk infant health management services will contribute to efforts in Crittenden, Phillips and St. Francis counties to potentially reduce these costs and improve health outcomes."

U.S. Care Management, a wholly-owned subsidiary of U.S. Preventive Medicine, will utilize its unique community-based approach to identify persons who are likely to have a high-risk pregnancy and at-risk infants up to one year of age. Each person in the program will be assigned a community-based registered nurse who will provide care coordination, assessments, extensive education and monitoring. BirthWait(R) nurses utilize a case management database system, Casewatch(R) that includes guidelines and indicators for high risk pregnancy as well as other chronic conditions the mother may have including diabetes, hypertension, asthma and others. The system offers the same capabilities for at-risk infants. Nurses enter assessment information, develop individualized care plans, and document and report all contacts and interventions as well as the tracking of key indicators.

U.S. Care Management's nurses will conduct home visits and be supported by a 24-hour, seven-days-a-week nurse phone line including in and out-bound calls. The program will work closely with medical and community based providers, including the Antenatal and Neonatal Guidelines, Education and Learning System (ANGELS) at the University of Arkansas for Medical Sciences. Obstetrical evidence-based practice guidelines prepared by ANGELS will be used as the platform for care coordination, patient education and support.

"We recognize that high-risk pregnancies and pre-term deliveries are the result of multiple factors including medical, social and economic issues," said Fred Goldstein, president and CEO of U.S. Care Management. "We will contribute to interventions that may improve birth outcomes and reduce costs associated with complicated pregnancies and at-risk infants by focusing on the needs of the whole person. Our community-based program accomplishes this through care coordination, education, monitoring and proactively managing data to maximize early and meaningful coordination of prenatal care, especially in those individuals with co-morbid conditions like asthma, diabetes and hypertension that are frequently related to the cause of high-risk pregnancies, pre-term deliveries and subsequent medical problems in an infant's first year of life."

U.S. Care Management is based in Jacksonville, FL, and consistently demonstrates positive quality, cost, and satisfaction outcomes in the management of patients with complex chronic conditions. The company contracts with government and private payers of health services and operates in several states throughout the country.

For more information about U.S. Care Management please visit http://www.USCareManagement.com.

About U.S. Preventive Medicine:

U.S. Preventive Medicine(R), a privately owned company, is organizing and commercializing the market for proactive preventive health services in partnership with established hospitals and physician groups. The Company licenses its proprietary methodology, technology and branding assets to a health provider, which operates a local point-of-care -- The Center for Preventive Medicine(R) -- in a geographic territory on an exclusive basis. Individually, The Center for Preventive Medicine delivers a consistent suite of prevention services; collectively, Centers across the country form The U.S. Prevention Network.

http://www.USPreventiveMedicine.com

U.S. Preventive Medicine and/or The Center for Preventive Medicine do not themselves provide physician or professional services. All physician services are provided by independent practitioners exercising independent professional medical judgment. In addition, U.S. Preventive Medicine and/or The Center for Preventive Medicine do not interfere with or regulate the private physician- patient relationship. This document neither offers for sale nor solicits offers to purchase a franchise or investment unit in a Center for Preventive Medicine or any other security.

About U.S. Care Management:

U.S. Care Management delivers a unique client-based model of care coordination to improve the health of persons who suffer from chronic diseases. The company's core service, highly trained community based nurse care managers, has been developed to maximize the benefits of care coordination and to complement all aspects of disease management programs. This includes a commitment to physician-directed care, utilization of nationally recognized clinical guidelines, understanding of the social and lifestyle determinants of health and employing supportive information technology that drives measurable outcomes. U.S. Care Management's field-based program has been applied to persons with asthma, diabetes, heart failure, HIV/AIDS, COPD, high risk pregnancy, and for persons with schizophrenia and their associated medical co-morbidities.

U.S. Care Management, formerly known as Specialty Disease Management, was organized in 1997 by health professionals who recognized the value in coordinating care to serve people with chronic diseases. Based in Florida and contracted in six other states, U.S. Care Management's experience offers numerous assets that are recognized for their unique contribution to disease management programs.

http://www.USCareManagement.com

This news release contains forward-looking statements, which may not accurately reflect our actual results of operations. Some of the information in this news release contains forward-looking statements within the meaning of the federal securities laws. Forward-looking statements typically are identified by use of terms like "may," "will," "expect," "anticipate," "estimate," and similar words, although some forward-looking statements are expressed differently. The reader should be aware that our actual results could differ materially from those contained in the forward-looking statements due to a number of factors, including insufficient capital resources, inability to compete effectively, adverse economic conditions, unanticipated difficulties in product development and inability to gain market acceptance and market share


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SOURCE U.S. Care Management
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