BURLINGTON, Mass. October 29, 2007 – Nuance Communications, Inc. (NASDAQ: NUAN), a leading supplier of speech solutions, today announced that Lifetime Health Medical Group, a non-profit primary care delivery system based in Buffalo and Rochester, New York, has integrated Dragon® NaturallySpeaking® Medical 9 with its Electronic Medical Records (EMR) system. Indicative of a larger industry trend, Lifetime Health physicians are embracing speech recognition technology to describe the patient encounter in their own words directly into the EMR through free-form dictation. In addition to heightened and streamlined use of the EMR, Lifetime Health has virtually eliminated physician reliance on data entry via the keyboard, attained increased report accuracy and achieved substantial cost savings.

The Buffalo implementation of Dragon NaturallySpeaking Medical was completed in only three months across a provider population of 69 individuals, spanning six health centers. By leveraging speech recognition technology to drive EMR data entry, Lifetime Health has decreased physician time spent on patient documentation and has achieved significant momentum in driving physician adoption and utilization of electronic health records. Lifetime Health has realized the following key benefits in Buffalo:

Reduced Operating Costs

$415,000 in savings during first year of use
A return on investment within only 90 days of system deployment
Significant cutbacks in transcription expense, projected annually to reach $680,000 in year two of integration and beyond

Increased Productivity

Decreased physician time-on-documentation – freeing the physician to spend more time with patients
Speech recognition accuracy rates of over 98 percent - drastically reducing time spent on report editing and correction
Reduced turnaround time from as much as three weeks to only one-to-two days - streamlining reimbursement and patient care

“Our doctors can create and edit patient reports in one sitting. The once-and-done clinical documentation environment Dragon Medical creates is driving down transcription expenses across our entire group,” said Dr. Douglas Golding, medical director and associate chief of healthcare informatics. “As a Dragon Medical user, I am consistently impressed with the rich functionality embedded in the solution and the degree of accuracy Dragon Medical provides. By coupling speech recognition technology with our NextGen® EMR we are giving our team the tools they need to embrace electronic medical records without high impact on their workflow.”

Today Dragon NaturallySpeaking Medical is used by more than 50,000 physicians in North America alone, including at such institutions as Massachusetts General Hospital, Lifetime Health Medical Group, The George Washington University Medical Faculty Associates and many others. An overview on speech recognition for the acceleration of EMRs has been documented in a whitepaper, available on the Nuance website at: http://www.nuance.com/dictaphone/naturallyspeaking/whitepapers/.

“Dragon NaturallySpeaking Medical allows healthcare provider organizations and patients to enjoy the enhancements in care associated with electronic medical records while providing physicians a comfortable and natural way to operate EMR systems,” said Peter Durlach, senior vice president, healthcare marketing and product strategy for Nuance. “In addition to EMR adoption benefits, hospitals and medical groups like Lifetime Health are realizing financial gain from faster report completion, as well as a shorter time for reimbursement. As any physician user will attest, Dragon Medical not only makes EMR systems faster and easier to use, but it also captures physician narrative to give patient records real context which directly results in improved patient care.”

Leading EMR and Healthcare Information Technology (HCIT) vendors that directly support Dragon NaturallySpeaking Medical to control their products include: Allscripts, Athena Health, Cerner, ChartLogic, eClinicalWorks, Eclipsys, Epic Systems, GE Healthcare, McKesson, Meditech, Misys Healthcare and Practice Partners. More information on Dragon NaturallySpeaking Medical can be found at: http://www.nuance.com/dictaphone/naturallyspeaking/.

About Lifetime Health Medical Group

Lifetime Health Medical Group provides primary health care for more than 100,000 patients in Buffalo and Rochester, New York. Lifetime Health operates six full-service health centers in Buffalo and four in Rochester. Several community-based physician offices are also part of the group. A variety of services are offered at each health center and most sites include pharmacy, laboratory, radiology, internal medicine, pediatrics, family practice and specialty care.

Dictaphone Healthcare Solutions Division

Dictaphone Healthcare Solutions is a division of Nuance Communications, the world’s leading provider of speech and imaging solutions. Dictaphone provides the most comprehensive family of speech-driven clinical documentation and communications solutions available anywhere. Dictaphone solutions support all types of physician documentation workflow, powering state-of-the-art solutions that dramatically drive down transcription expense, improve patient care via complete documentation and faster results delivery, and raise clinician satisfaction by making EMR systems easier to use. Dictaphone’s solutions accelerate the adoption of clinical information systems, helping provider organizations maximize the return from their clinical IT investments. For more information, please visit http://www.nuance.com/dictaphone/..

Nuance Communications, Inc.

Nuance (NASDAQ: NUAN) is a leading provider of speech and imaging solutions for businesses and consumers around the world. Its technologies, applications and services make the user experience more compelling by transforming the way people interact with information and how they create, share and use documents. Every day, millions of users and thousands of businesses experience Nuance’s proven applications and professional services. For more information, please visit www.nuance.com..

Nuance, the Nuance logo, Dictaphone, Dragon, and NaturallySpeaking are trademarks or registered trademarks of Nuance Communications, Inc. or its affiliates in the United States and/or other countries. All other company names or product names may be the trademarks of their respective owners.