FOR IMMEDIATE RELEASE FOR MORE INFORMATION:
Wednesday, August 9, 2000

Diane Landry King (301) 838-5636

MAMSI ANNOUNCES EARNINGS:
Best Second Quarter in Five Years, Net Income up 62%

Rockville, Md. -- Mid Atlantic Medical Services, Inc. (MAMSI), (MME-NYSE), one of the mid-Atlantic region's largest managed care companies today reported earnings per share of $0.19 for the second quarter of 2000.

Diluted earnings per share for the second quarter of 2000 was $0.19 on 38,442,688 shares outstanding, compared with $0.11 on 41,933,811 shares outstanding for the same period in 1999.

Revenue for the second quarter of 2000 was $368.3 million, compared to $323.5 million for the same quarter in 1999, an increase of $44.8 million or 13.8%. Net income for the quarter was $7.3 million, compared with $4.5 million for the same period in 1999, an increase of $2.8 million or 62.2%. Medical and home health patient services expenses for the second quarter of 2000 were $313.2 million, compared with $279.0 million for the same period in 1999. Second quarter 2000 administrative expenses were $43.1 million, compared with $36.5 million for the same period in 1999.

"This is a solid second quarter for MAMSI," stated Mark D. Groban, M.D., MAMSI's Chairman of the Board. "Our focus on bottom line growth, disciplined pricing, careful administrative and medical cost management and excellent service to our customers is producing good results. We are well-positioned to sustain this trend of consistent earnings growth, margin expansion and increased shareholder value. We anticipate that 2000 will be our best year in a long time and are establishing an excellent foundation for 2001 and beyond."

Diluted earnings per share for the first six months of 2000 was $.41 on 38,790,491 shares outstanding, compared with $0.25 on 42,239,249 shares outstanding for the first half of 1999.

Revenue for the first six months of 2000 was $728.5 million, compared with $636.7 million for the same period in 1999, an increase of $91.8 million or 14.4%. Net income for the first half of 2000 was $15.9 million, compared with $10.4 million for the first half of 1999, an increase of $5.5 million or 52.9%. Medical and home health patient services costs for the six months ended June 30, 2000 were $616.8 million, compared with $545.4 million for the same period in 1999. Administrative expenses for the first half of 2000 were $85.6 million, compared with $73.3 million for the same period in 1999.

"We're successfully growing key elements of the Company," said Thomas P. Barbera, CEO and President. "Many of our new initiatives are contributing to our ongoing positive results. We will continue to focus on our physician and customer service infrastructure, as well as proceeding with the development of our practical, user-friendly Internet applications, such as the on-line eligibility program we added this quarter."

The Company's practitioner network numbered 40,399 physicians, specialists, and affiliates; 344 hospitals; and 21,288 pharmacies as of June 30, 2000.

Membership in MAMSI's subsidiaries totaled 1,806,200 covered lives as of June 30, 2000. Of the 2000 total, 1,036,400 are PPO members and 769,800 are HMO, indemnity and ASO members. Membership by product follows:

Product 6-30-00 6-30-99 Increase/(Decrease) % Change
HMO/Commercial *
758,800
714,200
44,600
6.2%
HMO Medicaid
0
35,100
(35,100)
N/A
ASO
11,000
11,000
0
0
Subtotal
769,800
760,300
9,500
1.3%
PPO
1,036,400
1,065,000
(28,600)
(2.7)%
TOTAL
1,806,200
1,825,300
(19,100)
(1.0)%

* Includes indemnity members.

MAMSI also announced:

MAMSI's subsidiaries operate in Maryland, Virginia, North Carolina, Pennsylvania, West Virginia, Delaware and Washington, D.C. Its website is located at www.mamsi.com.

Selected Income Statement Information
(In thousands except share amounts, unaudited)

  2Q 2000 2Q 1999 1st Half
2000
1st Half
1999
Revenue
$368,339
$323,530
$728,452
$636,728
Expenses
$357,169
$316,560
$704,219
$620,687
Income Before Taxes
$11,170
$6,970
$24,233
$16,041
Net Income
$7,313
$4,506
$15,915
$10,377
Basic Earnings per Common Share
$0.19
$0.11
$0.42
$0.25
Weighted Average Shares Outstanding
37,706,287
41,871,216
38,345,477
42,178,123
Diluted Earnings per Common Share
$0.19
$0 .11
$0.41
$0.25
Weighted Average Shares Outstanding
38,442,688
41,933,811
38,790,491
42,239,249

Note 1: Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995: All forward-looking information or statements contained in this release, including expectations regarding future or continued performance, 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).

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

   

QUARTER ENDED
6/30/00

 

QUARTER ENDED
6/30/99

 

QUARTER ENDED
3/31/00

 
               

MEMBER MONTHS

 

2,275,074

 

2,211,884

 

2,287,611

 

MEMBER MONTHS - ASO

 

28,943

 

33,012

 

30,264

 
               

HEALTH PREMIUM

 

$351,809

 

$307,880

 

$344,362

 

PMPM

   

$154.64

 

$139.19

 

$150.53

FEE AND OTHER

 

5,308

 

5,375

 

5,218

 

LIFE AND SHORT-TERM

             

DISABILITY

 

1,983

 

2,005

 

1,967

 

HOME HEALTH SERVICES

 

6,026

 

5,839

 

5,639

 

INVESTMENT

 

3,213

 

2,431

 

2,927

 
               

TOTAL REVENUE

 

368,339

 

323,530

 

360,113

 
               

MEDICAL EXPENSE

 

308,147

 

274,096

 

298,685

 

PMPM

   

$135.44

 

$123.92

 

$130.57

MED CARE RATIO

   

87.6%

 

89.0%

 

86.7%

LIFE AND SHORT-TERM

             

DISABILITY

 

957

 

1,028

 

823

 

HOME HEALTH COSTS

 

5,006

 

4,900

 

4,987

 

ADMINISTRATIVE

 

43,059

 

36,536

 

42,555

 

ADMIN EXPENSE RATIO

   

11.7%

 

11.3%

 

11.8%

               

INCOME BEFORE TAX

 

11,170

 

6,970

 

13,063

 

TAX PROVISION

 

3,857

 

2,464

 

4,461

 

EFFECTIVE TAX RATE

   

34.5%

 

35.4%

 

34.1%

               

NET INCOME

 

$7,313

 

$4,506

 

$8,602

 
               

BASIC EPS

 

$0.19

 

$0.11

 

$0.22

 

WEIGHTED AVERAGE SHARES

 

37,706

 

41,871

 

38,985

 
               

DILUTED EPS

 

$0.19

 

$0.11

 

$0.22

 

WEIGHTED AVERAGE SHARES

 

38,443

 

41,934

 

39,138

 
               

NET MARGIN

 

2.0%

 

1.4%

 

2.4%

 
               

MEDICAL CLAIMS PAYABLE

             

AT END OF PERIOD

 

$167,062

 

$144,970

 

$167,611

 
               

ADDITIONAL INFORMATION:

             
               

MEDICAID PROGRAM:

             
               

PREMIUM

 

$2,437

 

$12,667

 

$7,499

 

PMPM

   

$190.05

 

$124.49

 

$192.14

               

MEDICAL EXPENSE

 

2,333

 

11,807

 

6,660

 

PMPM

   

$181.91

 

$116.04

 

$170.62

MED CARE RATIO

   

95.7%

 

93.2%

 

88.8%

               

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

     

SIX MONTHS ENDED

 

SIX MONTHS ENDED

 
     

6/30/00

 

6/30/99

 
             

MEMBER MONTHS

   

4,562,685

 

4,403,988

 

MEMBER MONTHS - ASO

   

59,207

 

66,192

 
             

HEALTH PREMIUM

   

$696,171

 

$606,541

 

PMPM

     

$152.58

 

$137.73

FEE AND OTHER

   

10,526

 

10,839

 

LIFE AND SHORT-TERM

           

DISABILITY

   

3,950

 

3,954

 

HOME HEALTH SERVICES

   

11,665

 

10,748

 

INVESTMENT

   

6,140

 

4,646

 
             

TOTAL REVENUE

   

728,452

 

636,728

 
             

MEDICAL EXPENSE

   

606,832

 

536,585

 

PMPM

     

$133.00

 

$121.84

MED CARE RATIO

     

87.2%

 

88.5%

LIFE AND SHORT-TERM

           

DISABILITY

   

1,780

 

1,915

 

HOME HEALTH COSTS

   

9,993

 

8,853

 

ADMINISTRATIVE

   

85,614

 

73,334

 

ADMIN EXPENSE RATIO

     

11.8%

 

11.5%

             

INCOME BEFORE TAX

   

24,233

 

16,041

 

TAX PROVISION

   

8,318

 

5,664

 

EFFECTIVE TAX RATE

     

34.3%

 

35.3%

             

NET INCOME

   

$15,915

 

$10,377

 
             
             

BASIC EPS

   

$0.42

 

$0.25

 

WEIGHTED AVERAGE SHARES

   

38,345

 

42,178

 
             

DILUTED EPS

   

$0.41

 

$0.25

 

WEIGHTED AVERAGE SHARES

   

38,790

 

42,239

 
             

NET MARGIN

   

2.2%

 

1.6%

 
             

MEDICAL CLAIMS PAYABLE

           

AT END OF PERIOD

   

$167,062

 

$144,970

 
             

ADDITIONAL INFORMATION:

           
             

MEDICAID PROGRAM:

           
             

PREMIUM

   

$9,937

 

$23,427

 

PMPM

     

$191.62

 

$120.90

             

MEDICAL EXPENSE

   

8,993

 

21,566

 

PMPM

     

$173.41

 

$111.30

MED CARE RATIO

     

90.5%

 

92.1%