MERITIVE

Health care management services, namely, cost management for benefits plans of others and health care facilities of others; business services provided to the healthcare industry, namely, collection and analysis of data for business purposes undertaken by the managed care organization in order to evaluate network provider performance with respect to predetermined criteria for the purpose of making incentive compensation determinations; providing information related to the business management of the managed care organization in matters related to the quality of care and services furnished by its network providers; health managed care services, namely, utilization review and pre-certification services; health managed care program-related services, namely, utilization reporting, preparing financial reports for others; health provider network management in the nature of contracting for in-patient and out-patient mental health and substance abuse services with third parties; business management and consulting services for the health care industry in the nature of customer service for members/enrollees, and quality improvement in the nature of conducting quality assurance surveys in hospitals to determine service quality

Consultation services in the nature of financial management of managed care healthcare provider network compensation models, namely, incentive compensation based models on shared savings derived from achievement of targets for specific performance indicators, using administrative data and incorporating a risk-adjustment methodology; and providing information related to the financial management of the managed care organization in matters related to the quality of care and services furnished by its network providers; health managed care program-related services, namely, processing of insurance claims payments; health care insurance underwriting services, and the administration of prepaid benefits plans concerning insurance and underwriting; health insurance services, namely, underwriting, issuance and administration of health insurance; insurance consulting in the field of health insurance; claims administration services in the field of health insurance

Educational services, namely, providing workshops, and incentive programs to educate children and their parents about asthma, diseases, and other health problems and about disease management featuring emphasis on how to change behaviors; organizing and conducting basketball clinics to educate children and their parents about asthma, other health problems, diseases, and disease management

Health care services, namely, disease management programs in the nature of medical intensive care management programs and behavioral health coordination programs; medical counseling for children and their parents in the fields of asthma, diseases, and other health problems and about disease management featuring emphasis on how to change behaviors; managed health care services