Top Blue Cross and Blue Shield-Branded Managed Care Organizations Lost More Than...

Top Blue Cross and Blue Shield-Branded Managed Care Organizations Lost More
Than One Million Members in the First Half of 2008

HealthLeaders-InterStudy's Managed Market Surveyor-Rx Evaluates How Medical
and Pharmacy Lives are Covered at National, State and MSA Levels

NASHVILLE, Tenn., May 11 /PRNewswire/ -- HealthLeaders-InterStudy, the leading
provider of managed care market intelligence, reports that the 15 largest Blue
Cross and Blue Shield-branded managed care organizations collectively lost
more than one million members between January 2008 and July 2008. According to
data available in Managed Market Surveyor-Rx, of the largest 15 managed care
organizations that carry the Blue brand, eight organizations reported a
decline in total medical enrollment. Blue Shield of California and Horizon
Blue Cross Blue Shield of New Jersey were among the Blue Shield-branded plans
posting a medical enrollment loss over the first half of 2008.

"Blue Cross and Blue Shield-branded plans typically dominate the markets in
which they operate, and have traditionally shown the most solid enrollment
growth compared to non-Blue plans. However, we're seeing that Blue plans have
been losing members to aggressive pricing from national insurers. In addition,
national insurers have worked to expand their provider networks, making them
more competitive," said Jane DuBose, director of Health Plan Analysis for
HealthLeaders-InterStudy. "In light of the recession, we anticipate enrollment
shifts will continue."

Enrollment data in Managed Market Surveyor-Rx describes plan and funding type
including commercial lives (HMO, PPO, consumer-driven), Medicaid/Medicare and
fully/self-insured.

Why Pharmaceutical Companies Need Managed Market Surveyor-Rx
Managed Market Surveyor-Rx delivers medical and pharmacy benefit enrollment
data by managed care organization and geography (national, state, MSA) to
better inform strategic planning and resource allocation. Relying on primary
research and HealthLeaders-InterStudy's proprietary validation methodology,
Managed Market Surveyor-Rx provides the most accurate managed care database
available.

About HealthLeaders-InterStudy
HealthLeaders-InterStudy, a Decision Resources, Inc. company, is the
authoritative source for managed care data, analysis and news. For more
information, please visit www.HL-ISY.com.

About Decision Resources, Inc.
Decision Resources, Inc. is a cohesive portfolio of companies that offers
best-in-class, high-value information and insights on important sectors of the
healthcare industry. Clients rely on this analysis and data to make informed
decisions. Please visit Decision Resources, Inc. at
www.DecisionResourcesInc.com.

All company, brand or product names contained in this document may be
trademarks or registered trademarks of their respective holders.

For more information, contact:

Lisa Osgood Elizabeth Marshall
HealthLeaders-InterStudy Decision Resources, Inc.
781-296-2606 781-296-2563
losgood@hl-isy.com emarshall@dresources.com

SOURCE HealthLeaders-InterStudy

Lisa Osgood of HealthLeaders-InterStudy, +1-781-296-2606, losgood@hl-isy.com;
or Elizabeth Marshall of Decision Resources, Inc., +1-781-296-2563,
emarshall@dresources.com