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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

Wednesday, November 21, 2007 General News J E 4
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JACKSONVILLE, Fla., Nov. 20 The State of ArkansasDepartment of Human Services, Division of Medical Services has selected U.S.Care Management (formally Specialty Disease Management) to provide obstetricaland infant health management services to assist in improving birth outcomesand reducing costs associated with complicated pregnancies, pre-term birthsand high-risk infants among Medicaid participants in Crittenden, Phillips andSt. Francis Counties, Arkansas. The pilot program, called BirthWait(R), beganin June 2007 and will continue for two years.

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

U.S. Care Management, a wholly-owned subsidiary of U.S. PreventiveMedicine, will utilize its unique community-based approach to identify personswho are likely to have a high-risk pregnancy and at-risk infants up to oneyear of age. Each person in the program will be assigned a community-basedregistered nurse who will provide care coordination, assessments, extensiveeducation and monitoring. BirthWait(R) nurses utilize a case managementdatabase system, Casewatch(R) that includes guidelines and indicators for highrisk pregnancy as well as other chronic conditions the mother may haveincluding diabetes, hypertension, asthma and others. The system offers thesame capabilities for at-risk infants. Nurses enter assessment information,develop individualized care plans, and document and report all contacts andinterventions as well as the tracking of key indicators.

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

"We recognize that high-risk pregnancies and pre-term deliveries are theresult of multiple factors including medical, social and economic issues,"said Fred Goldstein, president and CEO of U.S. Care Management. "We willcontribute to interventions that may improve birth outcomes and reduce costsassociated with complicated pregnancies and at-risk infants by focusing on theneeds of the whole person. Our community-based program accomplishes thisthrough care coordination, education, monitoring and proactively managing datato maximize early and meaningful coordination of prenatal care, especially inthose individuals with co-morbid conditions like asthma, diabetes andhypertension that are frequently related to the cause of high-riskpregnancies, pre-term deliveries and subsequent medical problems in aninfant's first year of life."

U.S. Care Management is based in Jacksonville, FL, and consistentlydemonstrates positive quality, cost, and satisfaction outcomes in themanagement of patients with complex chronic conditions. The company contractswith government and private payers of health services and operates in severalstates throughout the country.

For more information about U.S. Care Management please visitwww.USCareManagement.com.

About U.S. Preventive Medicine:

U.S. Preventive Medicine(R), a privately owned company, is organizing andcommercializing the market for proactive preventive health services inpartnershi
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