D. Molina
Healthcare, Inc. It takes a tremendous emotional and financial toll on families as
premature babies fight to survive and may continue to face ongoing health
challenges throughout their lives.
Through this program, CIGNA seeks to appropriately reduce the length of stay
for infants in the NICU by resolving barriers to discharge, and facilitating
parental education and use of community resources.

opk microsort

, Molina Healthcare,
Inc.molinahealthcare.
June 2004. CIGNA is also
national sponsor of the March of Dimes Prematurity Campaign, a five-year
public education campaign to raise awareness of prematurity and reduce rates
of preterm birth, which have increased 29 percent since 1981.

preconception parenting

(1) The hospital charges for babies
with a primary diagnosis of low birth weight and premature delivery average
$75,000 per child, whereas the hospital charges for newborns without
complications average $1,300.

About Pfizer Health Solutions
Pfizer Health Solutions, the wholly-owned care management subsidiary of
Pfizer, partners with health care and community organizations to implement
patient-centered programs that focus on prevention , disease management and
care coordination to improve patient health and efficiency of healthcare
delivery. Issue Brief.
The emotional pain experienced by those who
experience infertility was highlighted earlier this month when Lisa
Montgomery attempted to bypass her fertility struggles by killing a
pregnant woman, Bobbie Jo Stinnet, and surgically retrieving her baby.

moms eclampsia

The PHS Pregnancy Program
provides Molina's care managers with 1) an evidence-based screening
questionnaire to identify women possessing indicators for a high-risk
pregnancy, 2) a system for monitoring women throughout the course of their
pregnancy, and 3) health information to support patient self-care and
monitoring , healthy behaviors, and preparation for childbirth.

To be diagnosed with infertility, a couple must first attempt to conceive
for 12 months without success.walkamerica.

hellp tubal

"By enhancing our program with
PHS' InformaCare(R) platform, we hope to improve pregnancy outcomes and
significantly reduce overall health care costs. Frustration often builds for those couples
as each month passes without a successful pregnancy.americanpregnancy.

CIGNA Works to Help Fight Prematurity

For more information on the annual March of Dimes
WalkAmerica, visit the Web site at http://www.org.S.

dads expectant

Pregnant women receiving Medicaid benefits may be more likely to receive
late or no prenatal care, smoke during the last 3 months of pregnancy, or
experience physical abuse during pregnancy -- all of which are factors leading
to preterm birth and low birth weight. MMWR 2002; 51(SS02);1-26. In addition to
the critical issues of the health and well-being of the infant, employers
should be aware of the emotional toll prematurity can have on the workforce as
well as the high health and productivity costs.
Beyond CIGNA's program offerings to help manage prematurity, CIGNA and its
employees are committed to the March of Dimes. For more information, visit the March of Dimes Web site at
http: //www.

pregnant moms

Collaborative partnership with Pfizer Health Solutions
to increase access to prenatal care and reduce overall costs

LONG BEACH, Calif. is a multi-state managed care organization that
arranges for the delivery of healthcare services to persons eligible for
Medicaid and other programs for low-income families and individuals. Telemedicine:
Cost-effective management of high-risk pregnancy.

Montgomery-Stinnet Case Highlights Extreme Case of Infertility Desperation

firsthand opk

(3)
Motherhood Matters(SM) attempts to increase healthy behaviors such as good
nutrition , smoking and alcohol use cessation, and safe physical activity and
exercise, and to teach women to identify early in their pregnancies the signs
of potential problems.
An estimated one in eight babies in the United States is born prematurely
every year.
Members who are considered to have high-risk pregnancies may take
advantage of case management services. Founded in 1938, the March of Dimes funds programs of research,
community services, education, and advocacy to save babies and in 2003
launched a five-year campaign to address the increasing rate of premature
birth.

moms reversal

marchofdimes .

dads firsthand

"Members in this
program have access to support and guidance in between their visits to the
doctor that can help them to make healthy choices for themselves and for their
babies.

(3) Morrison J, Beragauer N, Jacquest D, et al. Although the circumstances are different, the recommendations
from the American Pregnancy Association are similar:

-- Talk to your husband or partner about your feelings and concerns
-- Educate yourself on all available options to address your circumstance
-- Obtain a medical exam and assessment from your healthcare provider
-- Connect with a support group for emotional care and encouragement

For questions regarding infertility, unplanned pregnancy and reproductive
wellness, contact the American Pregnancy Association's toll-free education
and support line at 1-800-672-2296 or visit their website at
www.org.

ttc hellp

"
"Together, Pfizer Health Solutions and Molina Healthcare strive to show
that improving access to care for those who need it can benefit the entire
community," said John Sory, vice president of PHS. Since 1994, CIGNA and its employees have
contributed $16 million to the March of Dimes.

dads conceive

"The Motherhood Matters(SM) program establishes a partnership between
members and their physicians to help expectant mothers become more active and
responsible participants in their care," said William Bracciodieta, M. "Together we are trying to
complement physician care by helping to locate members with high-risk
pregnancies and providing them with care managers who can give them
information and support to engage in healthy behaviors.pfizerhealthsolutions., President of the American Pregnancy Association notes,
"The challenge is that only 1% of unplanned pregnancies result in adoption,
leaving over 20 couples waiting for every available infant adopted in the
United States. Members have access to
the CIGNA HealthCare Healthy Babies(R) program where they receive educational
materials from a recognized source of information on pregnancy and babies -
the March of Dimes. The High-Risk Maternity program proactively
identifies pregnant women who are at high risk for pregnancy-related
complications and prenatal hospitalizations because of co-morbid conditions,
such as hypertension or diabetes.

fluff opk

"Studies have shown that smoking among pregnant women on Medicaid is 2.com.D.

moms parenting

Molina Healthcare is now working in collaboration with Pfizer
Health Solutions (PHS) to enhance the Motherhood Matters(SM) health management
program by using PHS' care management technology, operational support, and
outcomes analytics. Prevalence of Selected
Maternal Behaviors and Experiences, Pregnancy Risk Assessment
Monitoring System (PRAMS), 1999.

It is a story that is hard to comprehend, but an extreme case that
highlights the anguish couples live with who face infertility.

While two million couples each year long for a family that seems out of
reach, a million women each year elect termination to escape the
desperation of an unplanned pregnancy. Serving millions of customers, clients and members in the
U.

dads pregnancies

com."

Regardless of the decision, facing the emotional struggles of infertility
or an unplanned pregnancy is best handled when women are surrounded by
support. Members also have round-the-clock access to the toll-free
CIGNA HealthCare 24-Hour Health Information Line(SM) and may talk to a
registered nurse about questions or concerns.

opk moms

5
times higher than is the case with pregnant women not on Medicaid ," said Betsy
Roberts, care manager for Molina Healthcare of California."
Through a partnership with PHS, Molina's dedicated care management staff
will use PHS' integrated care management tools and services to identify women
with high-risk pregnancies as early as possible. More information about Molina
Healthcare, Inc. The
American Pregnancy Association reports that approximately 2 million couples
struggle with infertility in any given year, and for most, it is a longing
that penetrates their greatest desires.com, or its Spanish Web site at
http://www.nacersano.

tubal moms

Molina Healthcare Enhances Motherhood Matters(SM) Health Management Program for Expectant Mothers

Motherhood Matters (SM) is designed to do this by
providing early identification of risk factors for potentially low birth
weight infants and by giving expectant mothers early access to consistent
prenatal care .8 billion, are related
to the 10% of total births which involve preterm infants.,
Chief Medical Officer of Molina Healthcare. By reducing the incidence of prematurity among an
employee population , families will be healthier and employers can avoid
significant direct and indirect costs.
"While the consequences of premature birth are most obvious on a baby and
its family, they also have a significant impact on employers. CIGNA supports the work of the
March of Dimes to reduce prematurity because we know healthy babies mean a
healthier future - for families, workplaces and the bottom line," said David
Cordani, President, Health Segments.
The March of Dimes is a national voluntary health agency whose mission is
to improve the health of babies by preventing birth defects and infant
mortality.
As a Business of Caring, CIGNA provides employers with benefits programs,
expertise and services that improve the health, well-being and productivity of
their employees.

reversal fluff

2 billion spent annually on
newborn care, 57% of these costs, or approximately $5. Both circumstances have options to
address their concerns. Women with unplanned pregnancies may elect to
parent, abort or place for adoption.

Brad Imler, Ph. New Data Show Costs of Prematurity Can Last a Lifetime and Employers are
Paying the Price

PHILADELPHIA, April 5, 2005 -- CIGNA (NYSE: CI)
today announced it will again be a national sponsor of the 2005 March of Dimes
WalkAmerica (R), the organization's largest annual fund-raising event, for the
eleventh consecutive year.

firsthand expectant

"

About Molina Healthcare
Molina Healthcare, Inc.

(1) Beck, LF , Morrow B, Lipscomb LE et al.
CIGNA offers several resources to help educate expectant members on having
healthy pregnancies and preventing premature births. If a baby is born prematurely, CIGNA members
may take advantage of the Neonatal Intensive Care Unit (NICU) Case Management.

parenting pregnancy

The program is designed to help reduce the incidence of
premature and low birth weight deliveries and the costly hospitalizations that
result from such deliveries.(2) Of the $10. currently operates health plans in California, Indiana,
Michigan, New Mexico, Utah, and Washington.
Manag Care 2001;10:42 -9.

parenting cesarean

reversal firsthand

With the extra level
of guidance and support during the pregnancy, we will see healthier mothers
and, as a result, healthier babies and families as well. Couples with infertility may elect
fertility treatments or adoption.org

hpt justmommies

(NYSE: MOH) today announced the implementation of an enhanced
collaborative version of its program for expectant mothers known as Motherhood
Matters(SM). The economic cost of prematurity is
significant for families and for employers who sponsor medical insurance for
their families. In addition to the larger health care
costs, the extra care a premature baby needs can also impact productivity in
the workplace in terms of more time away from work for the parents as well as
possible presenteeism. and around the globe, CIGNA's operating subsidiaries offer a full
portfolio of medical, dental, behavioral health, pharmacy and vision care
benefits; group life , accident and disability insurance, and health care
coverages for expatriate employees.

ligation trying

can be obtained at http://www. To learn more, visit http://www.

The cost of fertility
treatments, combined with additional failed attempts often leave couples in
a state of desperation. According to recently released data from the March of Dimes,
employers pay nearly 15 times more in medical expenses for babies born
prematurely in their first year of life than they do for healthy, full-term
babies . The case manager is a registered nurse
who provides information about their risk factors and helps them coordinate
health care services and benefits. Every year, CIGNA mobilizes
thousands of employees and their families to participate in WalkAmerica events
held throughout the country from late March through early May.

microsort conceive

(2) NGA Center for Best Practices, Health Division.
CIGNA works with employer-clients to manage their rising health care costs
by helping ensure their employees get the care they need to prevent, manage or
overcome health issues.