Pegasystems and Milliman Care Guidelines Deliver Next-Generation Capabilities for Care Management

* Reuters is not responsible for the content in this press release.

Mon Apr 20, 2009 9:00am EDT

Technologically advanced care management solution improves the efficiency and
quality of patient services
MIAMI--(Business Wire)--
Pegasystems Inc., (NASDAQ: PEGA), the leader in Business Process Management
(BPM) software solutions, and Milliman Care Guidelines, the standard-bearer in
evidence-based clinical guidelines, today announced the availability of seamless
integration between the two companies` best-in-class offerings for the benefit
of healthcare organizations and their members. This integration enables
healthcare organizations to improve the efficiency and quality of patient
services through a single, integrated solution. 

"Most care management deployments that Gartner analyzed in 2008 experienced
significant challenges, because health insurers selected unproven products on
new technology platforms," said Joanne Galimi, Research Vice President at
Gartner. "A comprehensive and proven care management application solution that
combines standardized clinical strengths with a rules-based workflow solution is
a good addition to the care management market for healthcare insurers." 

Seamless packaged integration is now provided through Pegasystems` Care
Management Framework solution to Milliman CareWebQI®; software that provides
interactive access to evidence-based clinical content of the Milliman Care
Guidelines®. These annually updated guidelines including Ambulatory Care,
Inpatient and Surgical Care, General Recovery Guidelines, Recovery Facility
Care, Home Care, Chronic Care Guidelines and Behavioral Health Guidelines,
enable case workers to support appropriate clinical decisions with
evidence-based medicine across the continuum of care. Integration of the two
solutions allows healthcare organizations to utilize industry-leading clinical
care expertise with cutting-edge BPM technology and automated best-practice
healthcare workflow capabilities to deliver care management services to their
member populations. 

"Pegasystems` Care Management Framework provides the ideal balance of technology
and industry expertise, with proven solutions across the healthcare enterprise,"
said Scott Harris, Milliman Care Guidelines Senior Vice President of Sales and
Marketing. "Our relationship with them makes the Care Guidelines more actionable
to healthcare organizations across the continuum of care, and further extends
our commitment to ensure best-practices and standards of excellence in
healthcare." 

"Care Management has been underserved by technology for too long especially
since technology has been adding such value to other parts of the healthcare
enterprise," said Elizabeth Hart, Senior Director, Healthcare Solutions for
Pegasystems. "Our relationship with Milliman Care Guidelines addresses both the
technical and clinical needs of our customers. The integration of clinical
content through Pegasystems` rules-based BPM engine is an important step towards
fully automating processes, while ensuring the right care is given when and
where it is needed." 

Unveiled today at the Milliman Care Guidelines Client Forum, the integration
between Pegasystems and Milliman will be discussed and demonstrated at a
presentation delivered by Mary Tamir, Product Manager for Pegasystems. The
presentation, entitled "BPM for Next-Generation Care Management", is being held
from 4:00 - 5:15 pm at the Client Forum, taking place at the Doral Golf Resort
and Spa. 

About Pegasystems` Care Management Framework (CMF)

Built on Pegasystems` industry-leading SmartBPM® platform, CMF is a
patient-centric business process management solution that automates the creation
and on-going improvement of personalized care management programs. By unifying
disease management, case management, and utilization management across the
healthcare enterprise, CMF gives care professionals the ability to provide whole
person care and also collaborate in real-time with the entire patient-network.
CMF can also reduce overall care management complexity, cut utilization costs,
and reduce cost of care management program development by 40-60 percent. These
efficiencies are especially needed now as the healthcare system faces a tidal
wave of aging baby boomers, more likely to demand and respond well to proactive
care programs. 

Pegasystems` healthcare solutions are widely-used by major healthcare
organizations including three of the top five US health plans and more than 50
percent of the Blues network, representing over 100 million covered lives. To
find out more about Pegasystems` healthcare offerings visit
www.pega.com/industries/healthcare. 

About Milliman Care Guidelines

Milliman Care Guidelines is located in Seattle, and independently develops and
produces evidence-based clinical guidelines and a variety of software options
that are used by more than 1,000 clients, including seven of the country`s eight
largest health plans, to support the care of nearly two-thirds of US health plan
members. Covering the continuum of care, the seven-product Care Guidelines
series is updated annually by an experienced team of clinicians. For more
information, visit www.careguidelines.com. 

Milliman Care Guidelines LLC is a wholly owned subsidiary of Milliman, Inc.
Milliman is among the world`s largest independent actuarial and consulting
firms. Founded in Seattle in 1947 as Milliman & Robertson, the company currently
has 49 offices in key locations worldwide. Milliman employs over two thousand
people, with a professional staff of more than a thousand qualified consultants
and actuaries, including specialists ranging from clinicians to economists. The
firm has consulting practices in healthcare, employee benefits, property &
casualty insurance, life insurance and financial services. Milliman serves the
full spectrum of business, financial, government, union, education and nonprofit
organizations. For further information, visit www.milliman.com. 

About Pegasystems

Pegasystems, the leader in Business Process Management, provides software to
drive revenue growth, productivity and agility for the world's most
sophisticated organizations. Customers use our award-winning SmartBPM® suite to
improve customer service, reach new markets and boost operational effectiveness.


Our patented SmartBPM technology makes enterprise applications easy to build and
change by directly capturing business objectives and eliminating manual
programming. SmartBPM unifies business rules and processes into composite
applications that leverage existing systems -- empowering businesspeople and IT
staff to Build for Change®, deliver value quickly and outperform their
competitors. 

Pegasystems` suite is complemented by best-practice frameworks designed for
leaders in financial services, insurance, healthcare, government, life sciences,
communications, manufacturing and other industries. 

Headquartered in Cambridge, MA, Pegasystems has offices in North America, Europe
and Asia. Visit us at www.pega.com. 

All trademarks are the property of their respective owners.

The information contained in this press release is not a commitment, promise, or
legal obligation to deliver any material, code or functionality.The development,
release and timing of any features or functionality described remains at the
sole discretion of Pegasystems, Pegasystems specifically disclaims any liability
with respect to this information.





Pegasystems Inc.
Brian Callahan, 617-866-6364
brian.callahan@pega.com
or
PAN Communications
Kim Baker, 978-474-1900
kbaker@pancomm.com



Copyright Business Wire 2009

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