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PRESS RELEASES

Milliman and Paradigm Release New Study Establishing Industry Standards for Return to Work Results in Catastrophic Claims

CONCORD, CA – August 18, 2008 – In a first of its kind study performed by the nation’s foremost actuarial and consulting firm, Milliman, Inc. on behalf of Paradigm Management Services, LLC, the nation’s leading complex and catastrophic case management company, Paradigm outperformed comparable cases in Milliman’s database in getting patients released to return to work (5x better), returned to work (5x better), and returned to work in full-duty (13x better).

According to Nathan Cope, a leading physician of head and spinal cord injuries and the Chief Medical Officer of Paradigm Management Services, “Our cases are the most complicated, risky and complex cases that exist so having unbiased experts confirm our industry leading results is not only gratifying for our company but also confirms what the thousands of patients we have worked with and our clients have known for years…that what we do works.”

The study, conducted by Milliman consultants Robert Briscoe and Christine Fleming, selected a sample of 6% of completed Paradigm managed contracts from 1999-2006.  This sample was compared to a similar set of outcome results in the Milliman database consisting of over 60,000 workers compensation claims.  These cases included traumatic brain injuries (TBI), spinal-cord injuries (SCI), multiple traumas, amputations and burns,

Specific results show:

60% of the  Paradigm files had a release to return to work by the end of the Paradigm contract period, whereas only 13% of the comparable claims reviewed in the benchmark database had a release to return to work.
41% of the Paradigm files had actually returned to work by the end of the Paradigm contract period, whereas only 8% of the claims reviewed in the benchmark database had claimants who actually returned to work.
20% of the Paradigm files returned to work in full duty capacity compared to 1.5% of the benchmark claims.
Paradigm’s experience saving insurers money was also independently verified by Milliman.  They estimated that Paradigm had delivered a savings of 36% over the life of the claim relative to the industry benchmark.

According to CEO Robert Fahlman, “The most important thing for us is improving the health of those that have been critically injured.  We focus steadfastly on that and the rest follows.  Patients get healthier faster, many more return to work, insurance companies save money, and everybody wins.  He adds, “What this means for us is that we have a level of confidence in our results that allows us to put our fees on the line and guarantee our outcomes.  No one does that in the industry.  We have a unique model designed specifically to address the needs of those with highly complex and catastrophic injuries that yields much better results than traditional case management can offer these patients.”

About Paradigm Management Services, LLC

Paradigm Management Services provides acute and ongoing catastrophic and complex case management services for traumatic brain injuries, spinal cord injuries, amputations, burns, wounds and chronic pain. As the nation’s leading provider of complex and catastrophic medical management in the workers’ compensation industry, Paradigm achieves 5x better medical outcomes and lowers total costs by 36%. Paradigm accomplishes this by bringing together nationally recognized doctors and specialists, the best network of care facilities in the country, and nearly 20 years of clinical data to guide decisions. For more information, visit www.paradigmcorp.com.