Health Management Associates and Florida Blue Announce Formation of Accountable Care Arrangement

  Health Management Associates and Florida Blue Announce Formation of
  Accountable Care Arrangement

 Partnership to Be a Platform for New Care Delivery and Payment Arrangements
                           Modeled on Health Reform

Business Wire

NAPLES & JACKSONVILLE, Fla. -- May 1, 2013

Health Management Associates, Inc. (NYSE: HMA) and Florida Blue, Florida’s
Blue Cross and Blue Shield company, announced today the formation of an
accountable care model to serve patients in Brevard County, Fla.

Health Management’s physicians, as well as its two hospitals in Brevard County
(Wuesthoff Medical Center – Melbourne and Wuesthoff Medical Center –
Rockledge) will be the provider cornerstones of this new partnership.

“This partnership with Florida Blue is designed to ensure that employers and
individuals receive value through improved health and lower costs,” said Alan
Levine, Senior Vice President of Health Management and President of its
Florida Group of 23 hospitals. “According to the state of Florida, Wuesthoff
Hospitals are the lowest cost hospitals in Brevard County. In our partnership
with Florida Blue, we now seek to translate those lower costs to savings for
employers and better value for consumers of health care. We are proud of the
highly skilled doctors, hospitals and professionals in our network, and we
welcome others who are committed to high quality, affordability and to
partnerships for the improvement of health.”

“Health Management’s operational expertise and its experience as a good
partner with other Florida organizations makes this collaboration an ideal
relationship for Florida Blue members,” said Pat Geraghty, Chairman and Chief
Executive Officer of Florida Blue. “Accountable care models like this reduce
the fragmentation of care and provide incentives to increase care
coordination, to improve patient outcomes, and to lower cost.”

The new relationship is a platform for expanded cooperation between Florida
Blue and Health Management, including the potential to build a clinically
integrated network among participating providers and expand insurance products
offered in Brevard County, such as Medicare Advantage and self-funded and
“narrow network” commercial insurance plans.

About Blue Cross and Blue Shield of Florida, Inc.

Florida Blue, Florida’s Blue Cross and Blue Shield company, is a leader in
Florida’s health care industry. Our mission is to help people and communities
achieve better health. Florida Blue has approximately 4 million health care
members and serves 15.5 million people in 16 states through its affiliated
companies. Florida Blue is a not-for- profit, policyholder-owned, tax-paying
mutual company. Headquartered in Jacksonville, Fla., it is an independent
licensee of the Blue Cross and Blue Shield Association, an association of
independent Blue Cross and Blue Shield companies. For more information, visit

About Health Management Associates, Inc.

Health Managementenables America’s best local health care by providing the
people, processes, capital and expertise necessary for its hospital and
physician partners to fulfill their local missions of delivering superior
health care services. Health Management, through its subsidiaries, operates 71
hospitals with approximately 11,100 licensed beds in non-urban communities
located throughouttheUnited States.

All references to “Health Management,” “HMA” or the “Company” used in this
release refer toHealth Management Associates, Inc.and its affiliates.

Forward-Looking Statements

This press release contains forward-looking statements within the meaning of
Section 27A of the Securities Act of 1933, as amended, and Section 21E of the
Securities Exchange Act of 1934, as amended. Forward-looking statements are
subject to risks, uncertainties and assumptions and are identified by words
such as “expects,” “estimates,” “projects,” “anticipates,” “believes,”
“intends,” “plans,” “may,” “pending,” “continues,” “should,” “could” and other
similar words. All statements addressing operating performance, events or
developments thatHealth Management Associates, Inc. expects or anticipates
will occur in the future, including but not limited to projections of revenue,
provisions for doubtful accounts, income or loss, capital expenditures, debt
structure, principal payments on debt, capital structure, the amount and
timing of funds under the meaningful use measurement standard of various
Healthcare Information Technology incentive programs, other financial items
and operating statistics, statements regarding our plans and objectives for
future operations, the impact of changes in observation stays, our ability to
achieve process efficiencies, factors we believe may have an impact on our
deductibles and co-pays, acquisitions, acquisition financing, divestitures,
joint ventures, market service development and other transactions, statements
of future economic performance, statements regarding our legal proceedings and
other loss contingencies (including, but not limited to, the timing and
estimated costs of such matters), statements regarding market risk exposures,
statements regarding the effects and/or interpretations of recently enacted or
future health care laws and regulations, statements regarding the potential
impact of health care exchanges, statements of the beliefs or assumptions
underlying or relating to any of the foregoing statements, and statements that
are other than statements of historical fact, are considered to be
“forward-looking statements.”

Because they are forward-looking, such statements should be evaluated in light
of important risk factors and uncertainties. These risk factors and
uncertainties are more fully described inHealth Management Associates, Inc.’s
most recent Annual Report on Form 10-K, including under the heading entitled
“Risk Factors.” Should one or more of these risks or uncertainties
materialize, or should any ofHealth Management Associates, Inc.’s underlying
beliefs or assumptions prove incorrect, actual results could vary materially
from those currently anticipated. In addition, undue reliance should not be
placed onHealth Management Associates, Inc.’s forward-looking statements.
Except as required by law,Health Management Associates, Inc.disclaims any
obligation to update its risk factors or to publicly announce updates to the
forward-looking statements contained in this press release to reflect new
information, future events or other developments.

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Health Management Associates, Inc.
MaryAnn Hodge, 239-598-3131
Florida Blue
Paul Kluding, 904-905-3404
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