Elsevier / MEDai and dbMotion Partner to Deliver Powerful Health Analytics Solutions to Payers and Providers

New Alliance Leverages Semantically Harmonized Health Data to Optimize Business and Clinical Intelligence Derived From Predictive Modeling and Analytics

ORLANDO, Florida, February 21, 2011 - Elsevier / MEDai (www.medai.com/), a leading health information
company with award-winning solutions for the improvement of care delivery,
and dbMotion (www.dbmotion.com/), an innovative provider of connected
healthcare solutions, today announced they have formed a partnership to
deliver robust health analytics solutions to both the health care payer and
provider markets.

The alliance combines the power of Elsevier / MEDai's proven analytics
solutions for payers (www.medai.com/payers.html), ambulatory centers,
physicians and hospitals (www.medai.com/providers.html), with the
dbMotion semantic interoperability platform, which aggregates and organizes
health information from disparate IT and clinical systems. Users will have
access to sophisticated reporting and modeling tools, as well as a
comprehensive clinical dataset, to ensure analytics are more accurate and
resultant actions are more effective across the continuum of care.

Sharp HealthCare, San Diego's health care leader, saw the power of the
Elsevier / MEDai and dbMotion solutions independent of the partnership. Now,
the two are offering semantically harmonized health information and analytics
to Sharp as well as other payer and care-giving organizations.

"We are genuinely excited about this partnership because it leverages
both companies' unique solutions to create a total view of patient
information. With dbMotion's interoperability platform, combined with the
analytics that Elsevier / MEDai provides across the continuum of care, we'll
pull more and more value from our health information systems," said Nancy
Pratt, Senior Vice President of Clinical Effectiveness at Sharp. "The added
value that the dbMotion-Elsevier / MEDai combination brings will help put
Sharp further on the path to delivering value to our patients and achieving
accountable care goals."

With the rise of health information technology, there is no shortage of
data being collected across a wide range of clinical and administrative
systems. But to demonstrate true value, these data must be made accessible
and rendered meaningful - a requirement that has become increasingly apparent
with the emergence of the Accountable Care Organization (ACO), which
necessitates collaboration and information exchange between providers and
payers. Health analytics based upon both clinical and claims data no doubt
will be a powerful tool to advance ACO goals.

"Because it harmonizes data from such a wide range of clinical systems
and applications, the dbMotion(TM) Solution grants us access and visibility
into a wealth of information previously unavailable," said Swati Abbott,
President, Elsevier / MEDai. "This robust dataset will enhance the accuracy
and efficacy of predictive modeling and other analytic activities. More
importantly, it will deliver sophisticated business intelligence to support
quality care for members, enhance disease and wellness management, and
empower providers with timely, accurate, and actionable information to
improve operational efficiencies-and ultimately, patient care."

"Integration between payers and providers is increasingly important and
now this partnership will deliver analytics that will support this
evolution," notes Peter McClennen, President of dbMotion North America.
"Healthcare organizations will now have access to robust reporting, modeling
and analytic tools, allowing them to leverage the extensive information
collected through a multitude of HIT and clinical systems. The resultant
insight and intelligence can be used to support effective services, identify
less-successful efforts and employ best practices through the organization."

About dbMotion

dbMotion is an innovative provider of connected healthcare solutions. It
develops and markets the dbMotion(TM) Solution, a proven SOA-based platform
that enables healthcare organizations and health information exchanges (HIEs)
to meaningfully integrate and leverage their information assets, driving
improvements in the quality, safety and efficiency of patient care. dbMotion
transforms care through the creation of a virtual patient record that
logically connects patient information in existing systems without requiring
their replacement. By providing access to integrated patient information, the
solution connects care settings, bridging gaps that often exist between
inpatient/acute care and community care, and demonstrates a compelling return
on investment (ROI). This robust solution is field-proven, having been
implemented in some of the world's most demanding healthcare IT environments
since 2001. For more information about dbMotion,
visit www.dbmotion.com or write to info@dbmotion.com.

About Elsevier / MEDai

Elsevier / MEDai, Inc. is a leading health information company offering
award-winning solutions for the improvement of healthcare delivery. Utilizing
cutting-edge technology, payers and care management organizations are able to
predict patients at risk, identify cost drivers for their high-risk
population, forecast future health plan costs, evaluate patient patterns over
time, and improve outcomes. For more information on Elsevier / MEDai, visit
www.medai.com. Its parent company, Elsevier (www.elsevier.com),
is a world-leading publisher of scientific, technical and medical information
products and services, with more than 7,000 employees in over 70 offices
across 24 countries.

About Elsevier

Elsevier is a world-leading publisher of scientific, technical
and medical information products and services. The company works in
partnership with the global science and health communities to publish more
than 2,000 journals, including The Lancet (www.thelancet.com/) and
Cell (www.cell.com/), and close to 20,000 book titles, including major
reference works from Mosby and Saunders. Elsevier's online solutions include
SciVerse ScienceDirect (www.sciencedirect.com/), SciVerse Scopus
(www.scopus.com/), Reaxys (www.reaxys.com/), MD Consult
(www.mdconsult.com/) and Nursing Consult (
www.nursingconsult.com/), which enhance the productivity of science
and health professionals, and the SciVal suite (www.scival.com/) and
MEDai's Pinpoint Review (www.medai.com/), which help research and
health care institutions deliver better outcomes more cost-effectively.

A global business headquartered in Amsterdam, Elsevier
(www.elsevier.com/), employs 7,000 people worldwide. The company is
part of Reed Elsevier Group PLC (www.reedelsevier.com/), a
world-leading publisher and information provider, which is jointly owned by
Reed Elsevier PLC and Reed Elsevier NV. The ticker symbols are REN (Euronext
Amsterdam), REL (London Stock Exchange), RUK and ENL (New York Stock
Exchange).

    Media Contacts
    Marty McKenna
    Vice President, Marketing
    +1-412-802-2244
    Marty.McKenna@dbMotion.com

    Tom Reller
    Vice President of Global Relations, Elsevier
    +1-215-239-3508
    T.Reller@Elsevier.com

Media Contacts: Marty McKenna, Vice President, Marketing, +1-412-802-2244, Marty.McKenna at dbMotion.com; Tom Reller, Vice President of Global Relations, Elsevier, +1-215-239-3508, T.Reller at Elsevier.com