AMERICAN HEALTHWAYS

HEALTH CARE MANAGEMENT SERVICES, NAMELY, MANAGING COST AND PATIENT OUTCOMES FOR HOSPITALS AND HEALTH PLANS THROUGH DISEASE MANAGEMENT PROGRAMS DESIGNED TO BE ADMINISTERED (1) BY HOSPITAL STAFFS FOR THEIR PATIENTS WITH CERTAIN IDENTIFIED DISEASES, AND (2) FOR MEMBERS OF HEALTH PLANS WHO HAVE BEEN DIAGNOSED WITH CERTAIN IDENTIFIED DISEASES, WHICH PROGRAMS ARE DESIGNED TO GENERATE SHORT AND LONG TERM SAVINGS OF HEALTH CARE COSTS AS WELL AS IMPROVED PATIENT OUTCOMES