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Cayman Islands Government Selects CBCA to Improve Quality and Reduce Costs for Healthcare Services

CBCA Delivers Significant Results with Care Management, Network Contracting, and Administrative Services to the Cayman Islands National Insurance Company

Dallas, TX, June 21, 2004 — CBCA, a full-service Healthcare Benefit Management Company, today announced it has entered into a multi-year agreement with the Cayman Islands National Insurance Company (CINICO), to help manage the quality and cost of overseas care for all persons under the government-sponsored coverage.

Plagued by years of runaway costs, unmanaged healthcare activity overseas, and an ever-increasing number of persons excluded from private coverage, the Cayman Islands Government took two decisive steps. First, it established CINICO as a Government insurer under private management. Second, it selected, after careful due diligence, CBCA as its healthcare management partner.

“With so much riding on our choice of partner, we were very careful in our selection process,” said Gordon Rowell, CINICO President and CEO. “We were impressed with CBCA’s credentials in helping us to control and contain costs without limiting access to care as well as with their considerable network and claims processing expertise.”

CBCA provides care management, a nurseline, network contracting, claims processing and related reporting and analytical services to CINICO.

“We are honored at being selected to deploy our care management, network contracting, and processing expertise on behalf of CINICO and covered citizens seeking care overseas,” stated Steve Carpenter, President and Chief Operating Officer of CBCA. “We look forward to working in partnership with CINICO to achieve the goal of quality healthcare at affordable rates. In fact, since the program start date, we already are seeing significant savings from our contracting and care management efforts.”

In just four months, CBCA has already saved the Cayman Islands government more than $370,000 through network contracts and $520,000 through case management activity, well on the way to the $1.2 million goal set by the government. The integration between CBCA’s care management and claims processing activities has returned the front end management efforts as hard savings on the back end or payment side.

In addition to its Network and Care Management activity, CBCA has spearheaded the successful implementation of CINICO administrative procedures, built processes for billing, payment, and data collection, and brought stability to off-Island care activity.

“The Cayman Islands Government had a difficult task in providing broad health coverage to the people of the Islands not only from a cost standpoint but whilst also maintaining quality of care,” said Rowell. “In just a short time, CBCA, working closely with Government and its Providers, spearheaded a successful implementation of a new insurance company, provided significant case management savings and helped implement broad-reaching efficiencies in a number of areas of the Government. Thanks to the 110% efforts by the staff of CBCA, results have been beyond any expectations.”

About CBCA

CBCA Inc., one of America’s largest independent benefit management firms manages healthcare benefits plans on behalf of more than 400 clients throughout the United States — serving more than one million people in the U.S. and other countries, and handling over $1 billion in claims, annually. CBCA services — Care Management, Pharmacy Benefit Management, and Plan Administration — focus on closing critical gaps between patients, physicians, pharmacists, facility providers and healthcare management professionals. This results in superior communication, quality of care and cost savings at every point in the health benefits management lifecycle. CBCA offers single-source efficiency and national presence combined with local, highly personalized and flexible service.