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Updated at 11:58 a.m., Wednesday, May 23, 2007

HMSA licenses two key clinical guideline products

News Release

Hawaii's HMSA Health Plan Licenses Evidence-based Milliman Care Guidelines(R)

SEATTLE, May 23 /PRNewswire/ -- The Hawaii Medical Service Association (HMSA) of Honolulu has licensed two key from Milliman Care Guidelines LLC, A Milliman Company.

HMSA will access the annually updated Inpatient and Surgical Care and General Recovery Guidelines through Milliman's Web software, which enables streamlined navigation and gives users easy access to annotated bibliographies, references and footnotes.

"Milliman Care Guidelines facilitates HMSA's partnership with hospitals to improve appropriateness and quality of inpatient care for our members," said Dr. William Osheroff, HMSA Vice President and Medical Director.

"We're very pleased to add HMSA to the more than one thousand clients using the Milliman Care Guidelines," said Scott Harris, Milliman Care Guidelines Senior Vice President of Sales and Marketing. "HMSA provides health care coverage for a significant number of Hawaii's residents, and places quality care and patient safety as high priorities within their organization. We're proud to call them a client."

Milliman Care Guidelines produces annually updated, evidence-based clinical guidelines that cover all levels of care, including chronic care management. The Care Guidelines provide more than just authorization criteria. They drive high-quality healthcare through such tools as care pathway tables, flagged quality measures, and integrated medical evidence. The Care Guidelines are available in a variety of easy-to-use software options, from web-based applications, to interactive software with real-time management reports, to handheld versions.

About HMSA

HMSA is a nonprofit, mutual benefit association founded in Hawaii in 1938. It is governed by a community board of directors that serves without compensation and includes representatives from health care, business, labor, government, education, clergy, and the community at large. HMSA is a member of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield plans. Nationally, HMSA and 37 other Blue Cross and Blue Shield plans provide worldwide coverage to more than 94 million members. For more information, visit www.hmsa.com/.

About Milliman Care Guidelines

Milliman Care Guidelines LLC, A Milliman Company, is located in Seattle, and develops and produces evidence-based clinical guidelines that are used to support the care of one in three Americans. More than 1,000 healthcare organizations license the annually-updated, six-product Care Guidelines series. Covering the continuum of care, the independently developed Care Guidelines include Ambulatory Care, Inpatient and Surgical Care, General Recovery Guidelines, Recovery Facility Care, Home Care, and Chronic Care Guidelines. For further information, visit www.careguidelines.com/.

Milliman Care Guidelines is a wholly owned subsidiary of Milliman, which serves the full spectrum of business, financial, government, and union organizations. Founded in 1947 as Milliman & Robertson, the company has 47 offices in principal cities in the United States and worldwide. Milliman employs more than 2,000 people, including a professional staff of more than 900 qualified consultants and actuaries. The firm has consulting practices in employee benefits, healthcare, life insurance/financial services, and property and casualty insurance. It is a founding member of Milliman Global, an international organization of consulting firms serving insurance, employee benefits and healthcare clients around the globe. For further information, visit www.milliman.com/.