MANAGED CARE SOLUTIONS INC
SC 13G, 1997-02-14
MANAGEMENT SERVICES
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<PAGE>

                                UNITED STATES
                     SECURITIES AND EXCHANGE COMMISSION
                          Washington, D.C. 20549

                                SCHEDULE 13G

                 Under the Securities Exchange Act of 1934
                          (Amendment No.       )*
                                        ------



                        Managed Care Solutions, Inc.
                     ----------------------------------
                              (Name of Issuer)



                    Common Stock, par value $.01 per share
                    --------------------------------------
                       (Title of Class of Securities)


                                561906 10 8
                     ----------------------------------
                              (CUSIP Number)

   Check the  following box if a fee is being paid with this statement / /.  
(A fee is not required only if the filing person:  (1) has a previous statement
on file reporting  beneficial  ownership of more than five percent of the class
of securities  described in Item 1; and (2) has filed no amendment subsequent
thereto reporting  beneficial ownership of five percent or less of such class.)
(See Rule 13d-7.)

   *The remainder of  this cover  page  shall  be  filled  out  for a reporting
person's  initial  filing on this  form with  respect to the  subject  class of
securities,  and for any  subsequent  amendment  containing  information  which
would alter the disclosures provided in a prior page.

   The information  required in the  remainder of this  cover page shall not be
deemed to be "filed"  for the purpose of  Section 18 of the Securities Exchange
Act of 1934  ("Act") or otherwise subject to the liabilities of that section of
the Act but shall be subject to all other  provisions of the Act  (however, see
the Notes).


<PAGE>

                                  SCHEDULE 13G

CUSIP No. 561906 10 8
          ------------

- -------------------------------------------------------------------------------
 (1) Names of Reporting Persons.
     S.S. or I.R.S. Identification Nos. of Above Persons

     Blue Cross and Blue Shield of Texas, Inc.
- -------------------------------------------------------------------------------
 (2) Check the Appropriate Box if a Member     (a)  / /
     of a Group*                               (b)  / /
- -------------------------------------------------------------------------------
 (3) SEC Use Only

- -------------------------------------------------------------------------------
 (4) Citizenship or Place of Organization

     Texas
- -------------------------------------------------------------------------------
Number of Shares              (5) Sole Voting Power
 Beneficially                     889,221
 Owned by                    --------------------------------------------------
 Each Reporting               (6) Shared Voting Power
 Person With                      0
                             --------------------------------------------------
                              (7) Sole Dispositive Power
                                  889,221
                             --------------------------------------------------
                              (8) Shared Dispositive Power
                                  0
- -------------------------------------------------------------------------------
 (9) Aggregate Amount Beneficially Owned by Each Reporting Person

     889,221
- -------------------------------------------------------------------------------
(10) Check Box if the Aggregate Amount in Row (9) Excludes Certain Shares*

     / /
- -------------------------------------------------------------------------------
(11) Percent of Class Represented by Amount in Row (9)

     16.9%
- -------------------------------------------------------------------------------
(12) Type of Reporting Person*

     IC
- -------------------------------------------------------------------------------
                    *SEE INSTRUCTION BEFORE FILLING OUT!


                                      -2-

<PAGE>

ITEM 1(a).  NAME OF ISSUER

            Managed Care Solutions, Inc.
- -------------------------------------------------------------------------------
ITEM 1(b).  ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES

            7600 North 16th Street, Suite 150
            Phoenix, Arizona 85020
- -------------------------------------------------------------------------------
ITEM 2(a).  NAME OF PERSON(S) FILING

            Blue Cross and Blue Shield of Texas, Inc.
- -------------------------------------------------------------------------------
ITEM 2(b).  ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE, RESIDENCE

            901 South Central Expressway
            Richardson, Texas 75080
- -------------------------------------------------------------------------------
ITEM 2(c).  CITIZENSHIP

            Texas
- -------------------------------------------------------------------------------
ITEM 2(d).  TITLE OF CLASS OF SECURITIES

            Common Stock, $.01 par value per share
- -------------------------------------------------------------------------------
ITEM 2(e).  CUSIP NUMBER

            561906 10 8
- -------------------------------------------------------------------------------
ITEM 3.  IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b), OR 13d-2(b),
         CHECK WHETHER THE PERSON FILING IS A

    (a) / / Broker or Dealer registered under Section 15 of the Act

    (b) / / Bank as defined in section 3(a)(6) of the Act

    (c) /X/ Insurance Company as defined in section 3(a)(19) of the Act

    (d) / / Investment Company registered under section 8 of the Investment
            Company Act

    (e) / / Investment Adviser registered under section 203 of the Investment
            Advisers Act of 1940

    (f) / / Employee Benefit Plan, Pension Fund which is subject to the
            provisions of the Employee Retirement Income Security Act of 1974
            or Endowment Fund; see Rule 13d-1(b)(1)(ii)(F)

    (g) / / Parent Holding Company, in accordance with Rule 13d-1(b)(ii)(G)
            (Note: See Item 7)

    (h) / / Group, in accordance with Rule 13d-1(b)(1)(ii)(H)


                                    -3-

<PAGE>

ITEM 4.  OWNERSHIP

    (a) Amount Beneficially Owned:
        889,221 shares of Common Stock. Of such shares, 779,221 were issuable 
        as of December 31, 1996 pursuant to a convertible note and 100,000 
        shares were issuable as of December 31, 1996 pursuant to a Common 
        Stock purchase warrant.
    ---------------------------------------------------------------------------
    (b) Percent of Class:
        16.9%
    ---------------------------------------------------------------------------
    (c) Number of shares as to which such person has:

          (i) sole power to vote or to direct the vote:
              889,221
              -----------------------------------------------------------------
         (ii) shared power to vote or to direct the vote:
              none.
              -----------------------------------------------------------------
        (iii) sole power to dispose or to direct the disposition of:
              889,221
              -----------------------------------------------------------------
         (iv) shared power to dispose or to direct the disposition of:
              none.
              -----------------------------------------------------------------

ITEM 5.  OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS

         Not applicable.
- -------------------------------------------------------------------------------
ITEM 6.  OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER PERSON

         Not applicable.
- -------------------------------------------------------------------------------
ITEM 7.  IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH ACQUIRED
         THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING COMPANY

         Not applicable.
- -------------------------------------------------------------------------------
ITEM 8.  IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE GROUP

         Not applicable.
- -------------------------------------------------------------------------------
ITEM 9.  NOTICE OF DISSOLUTION OF GROUP

         Not applicable.



                                     -4-

<PAGE>

- -------------------------------------------------------------------------------
ITEM 10. CERTIFICATION

    By signing below I certify  that,  to the best of my  knowledge and belief,
the  securities  referred to above  were  acquired in the  ordinary  course  of
business and were not acquired for the purpose of and do not have the effect of
changing or  influencing the  control of the issuer of such securities and were
not acquired in  connection with or as a participant in any  transaction having
such purposes or effect.

                                   --------







                                     -5-

<PAGE>

                                  SIGNATURE

    After  reasonable  inquiry and to the  best of my  knowledge and  belief, I
certify that the  information set forth in this statement is true, complete and
correct.

Date: February 13, 1997


                                           BLUE CROSS AND BLUE SHIELD 
                                           OF TEXAS, INC.



                                           By:  /s/ Vernon Walker
                                                -----------------------------
                                                Name:  Vernon Walker
                                                      -----------------------
                                                Title: CFO and Treasurer
                                                      -----------------------







                                      -6-



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