FOR IMMEDIATE RELEASE FOR MORE INFORMATION:
Wednesday, May, 10, 2000 Diane Landry King (301) 838-5636

FIRST QUARTER REVENUE, INCOME AND EPS EARNINGS UP SHARPLY

Rockville, MD Mid Atlantic Medical Services, Inc. (MAMSI), one of the mid-Atlantic region's largest managed care companies, today announced strong earnings for the first quarter of 2000. Earnings per share, revenue and net income all show significant increases over the previous year.

"This is continuing good news for our shareholders and customers," remarked MAMSI's Chairman Mark D. Groban, M.D. "Our earnings are consistently growing because of what we bring to the market - fairly priced products and a commitment to excellent service built upon a strong financial foundation."

Diluted earnings per share (EPS) on net income for the first quarter of 2000 was $0.22 on 39,138,294 shares outstanding, compared with $0.14 per share on 42,544,686 shares outstanding for the first quarter of 1999, an increase of 57 percent.

Revenue for the first quarter of 2000 was $360.1 million, compared to $313.2 million for the same quarter in 1999, an increase of $46.9 million or 15 percent. Net income for the quarter was $8.6 million compared with $5.9 million for the same period in 1999, an increase of 46 percent or $2.7 million. Medical and home health patient services expenses for the first quarter of 2000 were $303.7 million, compared with $266.4 million for the first quarter of 1999, an increase of $37.3 million. Administrative expenses were $42.6 million for the first quarter of 2000 and $36.8 million for the same quarter in 1999.

"The first quarter results are an excellent start for the year 2000," said Thomas P. Barbera, President and CEO of MAMSI. "We will stay the course by continuing to emphasize disciplined pricing and service improvements as we move to increase shareholder value."

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Note 1: Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: All forward-looking information or statements contained in this release are based on management's current knowledge of factors, all with inherent risks and uncertainties, affecting MAMSI's business. MAMSI's actual results may differ materially if these assumptions prove invalid. Significant risk factors, while not all-inclusive, are: the possibility of increasing price competition in the Company's marketplace; the possibility that the Company is not able to increase its market share at the anticipated premium rate; the possibility of increased litigation, legislation or regulation that might increase regulatory oversight which, in turn, would have the potential for increased costs; the possibility of increased medical expenses due to increased utilization, inflation or legislative mandates; and the possibility that the Company is not able to negotiate new or renewal contracts with appropriate physicians and health care practitioners. Investors should review other risks and uncertainties contained in Company documents filed with the Securities and Exchange Commission.

Note 2: MAMSI is a regional holding company for health care organizations that provides comprehensive health insurance products and services including: MD-Individual Practice Association, Inc. (M.D. IPA), a federally qualified HMO; Optimum Choice, Inc.® (OCI) , a non-federally qualified HMO; Optimum Choice of the Carolinas, Inc. (OCCI); Alliance PPO, LLC, a preferred provider organization; Mid Atlantic Psychiatric Services, Inc., a preferred provider organization offering managed psychiatric health care services; MAMSI Life and Health Insurance Company (MLH), a life and health insurance company; HomeCall, Inc. and FirstCall, Inc., home health care companies; and HomeCall Pharmaceutical Services, Inc., a pharmacy and home infusion services company.

Note 3:Mid Atlantic Medical Services, Inc. common stock is traded on the New York Stock Exchange (NYSE-MME)

Membership in all products totaled 1,797,000 covered lives as of March 31, 2000 as shown in the table below:

Product 3-31-00 Membership 3-31-99 Membership Increase/ (Decrease) % Change
Commercial *
754,000
706,400
47,600
6.7 %
HMO/Medicaid
13,000
30,400
(17,400)
(57.2 %)
ASO
11,000
11,000
0
0
Subtotal
778,000
747,800
30,200
4.0 %
Alliance PPO (non-risk)
1,019,000
1,065,000
(46,000)
(4.3 %)
TOTAL
1,797,000
1,812,800
(15,800)
(0.9 %)

* Includes HMO and indemnity members.

The network of health care professionals participating with MAMSI's subsidiaries numbered 40,251 physicians, specialists and affiliates; 343 hospitals; and 21,002 pharmacies as of March 31, 2000.

The Company also announced:

Selected Income Statement Information
(In thousands except share amounts)
(Unaudited)

  1Q 2000 1Q1999
Revenue
$360,113
$313,198
Expenses
$347,050
$304,127
Income Before Taxes
$ 13,063
$ 9,071
Net Income
$ 8,602
$ 5,871
Diluted Income per Common Share
$ 0.22
$ 0.14
Weighted Average Shares Outstanding
39,138,294
42,544,686

###

MID ATLANTIC MEDICAL SERVICES, INC.
IN 000'S EXCEPT PMPM AND PER SHARE
(UNAUDITED)

   QUARTER
ENDED
  QUARTER
ENDED
 
QUARTER
ENDED
 
  3/31/00   3/31/99
12/31/99
MEMBER MONTHS
2,287,611
 
2,192,104
 
2,242,121
  
MEMBER MONTHS - ASO
30,264
 
33,180
 
34,121
 
 
 
 
 
 
 
 
HEALTH PREMIUM
$344,362
 
$298,661
 
$327,728
 
PMPM
 
$150.53
 
$136.24
 
$146.17
FEE AND OTHER
5,218
 
5,464
 
5,289
 
LIFE AND SHORT-TERM DISABILITY
1,967
 
1,949
 
2,132
 
HOME HEALTH SERVICES
5,639
 
4,909
 
6,351
 
INVESTMENT
2,927
 
2,215
 
3,838
 
 
 
 
 
 
 
 
TOTAL REVENUE
360,113
 
313,198
 
345,338
 
 
 
 
 
 
 
 
MEDICAL EXPENSE
298,685
 
262,489
 
283,323
 
PMPM
 
$130.57
 
$119.74
 
$126.36
MEDICAL CARE RATIO
 
86.7%
   
87.9%
 
86.5%
LIFE AND SHORT-TERM DISABILITY
823
 
887
  
1,184
 
HOME HEALTH COSTS
4,987
 
3,953
  
5,295
 
ADMINISTRATIVE
42,555
 
36,798
 
42,308
 
ADMIN EXPENSE RATIO
 
11.8%
 
11.7%
 
12.3%
 
 
 
 
 
 
 
INCOME BEFORE TAX
13,063
 
9,071
 
13,228
 
TAX PROVISION
4,461
 
3,200
 
4,403
 
EFFECTIVE TAX RATE
 
34.1%
 
35.3%
 
33.3%
 
 
 
 
 
 
 
NET INCOME
$8,602
 
$5,871
 
$8,825
 
 
 
 
 
 
 
 
DILUTED EPS
$0.22
 
$0.14
 
$0.22
 
 
 
 
 
 
 
 
WEIGHTED AVERAGE SHARES
39,138
 
42,545
 
39,660
 
 
 
 
 
 
 
 
NET MARGIN
2.4%
 
1.9%
 
2.6%
 
 
 
 
 
 
 
 
MEDICAL CLAIMS PAYABLE AT END OF PERIOD
$167,611
 
$138,104
 
$154,403
 
 
 
 
 
 
 
 
ADDITIONAL INFORMATION:
 
 
 
 
 
 
 
 
 
 
 
 
 
MEDICAID PROGRAM:
 
 
 
 
 
 
 
  
 
 
 
  
 
PREMIUM
$7,499
 
$10,760
 
$8,599
 
PMPM
  
$192.14
 
$116.93
  
$162.42
 
  
 
 
 
  
 
MEDICAL EXPENSE
6,660
 
9,759
 
7,979
 
PMPM
   
$170.62
 
$106.05
  
$150.71
MEDICAL CARE RATIO
 
88.8%
 
90.7%
  
92.8%