MANAGED CARE SOLUTIONS INC
DEF 14A, 1997-09-02
MANAGEMENT SERVICES
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                                  SCHEDULE 14A

Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
                            (Amendment No. _____)

Filed by the Registrant [ X ] Filed by a Party other than the Registrant [   ]

[   ]  Preliminary Proxy Statement      [   ]  Confidential, for   Use  of   the
[ X ]  Definitive  Proxy  Statement            Commission Only (as  permitted by
[   ]  Definitive Additional Materials         Rule  14a-6(e)(2)
[   ]  Soliciting Material Pursuant to 
       ss.240.14a-11(c)or ss.240.14a-12

                         Managed Care Solutions, Inc.
- --------------------------------------------------------------------------------
               (Name of Registrant as Specified In Its Charter)

                         Managed Care Solutions, Inc.
- --------------------------------------------------------------------------------
     (Name of Person(s) Filing Proxy Statement, if other than Registrant)

Payment of Filing Fee (Check the appropriate box):

[ X ]  No fee required
[   ]  $125 per Exchange Act Rule 0-11(c)(1)(ii), 14a-6(i)(1), or 14a-6(j)(2) or
       item 22(a)(2) of Schedule 14A.
[   ]  $500 per each party to the  controversy  pursuant to  Exchange  Act Rule
       14a-6(i)(3).
[   ]  Fee computed on table below per Exchange Act Rules 14a-6(i)(4) and 0-11.

       1) Title of each class of securities to which transaction applies:

          ----------------------------------------------------------------------

       2) Aggregate number of securities to which transaction applies:

          ----------------------------------------------------------------------

       3) Per unit price or  other  underlying  value  of  transaction  computed
          pursuant to Rule 0-11 (Set forth the amount on which the filing fee is
          calculated and state how it was determined):

          ----------------------------------------------------------------------

       4) Proposed maximum aggregate value of transaction:

          ----------------------------------------------------------------------

       5) Total fee paid:

          ----------------------------------------------------------------------

[   ]  Fee paid previously with preliminary materials.

[   ]  Check box  if any part of the fee is offset as provided  by Exchange  Act
       Rule 0-11(a)(2)  and identify the filing for which the offsetting fee was
       paid previously.  Identify the previous filing by registration  statement
       number, or the Form or Schedule and the date of its filing.

       1) Amount Previously Paid:

          ----------------------------------------------------------------------

       2) Form, Schedule or Registration Statement No.:

          ----------------------------------------------------------------------

       3) Filing Party:

          ----------------------------------------------------------------------

       4) Date Filed:

          ----------------------------------------------------------------------


<PAGE>
                         MANAGED CARE SOLUTIONS, INC.

                           NOTICE OF ANNUAL MEETING

                               OF STOCKHOLDERS

                               October 10, 1997

      You are cordially  invited to attend the Annual Meeting of Stockholders of
Managed Care Solutions, Inc. (the "Company") which will be held at the executive
offices of the  Company located  at 7600 North 16th Street, Phoenix, Arizona, on
Friday,  October  10, 1997,  at  8:00 a.m.,  Mountain Time,  for  the  following
purposes:

      1.    To elect directors; and

      2.    To  transact  such other  business as may  properly  come before the
            meeting.

      Only  stockholders  of record at the close of  business on August 25, 1997
are entitled to vote at the Annual Meeting or any adjournment thereof.

      A Proxy Statement and a proxy card solicited by the Board of Directors are
enclosed herewith. The Proxy Statement should be read carefully. It is important
that your shares be represented at the Annual Meeting  regardless of the size of
your holdings. Whether or not you intend to be present at the meeting in person,
we urge you to please mark,  date and sign the enclosed proxy card and return it
in the envelope  provided for that  purpose,  which does not require  postage if
mailed in the United  States.  If you attend the meeting,  you may, if you wish,
withdraw your proxy and vote in person.



                                       /s/ William G. Brown
                                       ----------------------------
                                       William G. Brown
                                       Secretary
Phoenix, Arizona
September 5, 1997





<PAGE>
                         MANAGED CARE SOLUTIONS, INC.

                               PROXY STATEMENT

                        ANNUAL MEETING OF STOCKHOLDERS

                               October 10, 1997

      This Proxy Statement is furnished in connection  with the  solicitation by
the Board of  Directors of Managed  Care  Solutions,  Inc.  (the  "Company")  of
proxies for use at the Annual Meeting of  Stockholders of the Company to be held
at the executive offices of the Company  located  at  7600  North  16th  Street,
Phoenix,  Arizona,  8:00 a.m.,  Mountain  Time,  on Friday,  October  10,  1997,
and at any  adjournment thereof.

      Proxies properly executed and returned in a timely manner will be voted at
the Annual Meeting in accordance with the directions  specified  therein.  If no
direction  is  indicated,  they will be voted for the  election of the  nominees
named herein as directors,  and on other matters properly  presented for a vote,
in  accordance  with the judgment of the persons  acting under the proxies.  Any
stockholder  giving a proxy has the  power to  revoke  it any time  before it is
voted,  either in person at the meeting,  by written  notice to the Secretary of
the Company, or by delivery of a later-dated proxy.

      The  Company's  executive  offices are located at 7600 North 16th  Street,
Suite 150,  Phoenix,  Arizona  85020 and its telephone  number is  602-331-5100.
Proxy  materials  are  being  mailed  to  stockholders  beginning  on  or  about
September 5, 1997.

                     SHARES OUTSTANDING AND VOTING RIGHTS

      Only  stockholders  of record at the close of business on August 25, 1997,
are entitled to vote at the Annual Meeting. The only voting stock of the Company
outstanding is its Common Stock, of which 4,389,855  shares were  outstanding at
the close of business on August 25, 1997, and its Voting Preferred Stock, $1,000
par value per  share,  of which 6.85  shares  (representing  100,667  votes) are
outstanding  (all of which are owned by  Richard  C.  Jelinek,  Chairman  of the
Company).  Each share of Common Stock issued and  outstanding is entitled to one
vote. Votes will be tabulated,  using an automated scanner, by the inspectors of
election appointed by the Company.

                                   HISTORY

      The  Company  as it  presently  exists  is the  result  of a  spinoff  and
subsequent merger  transactions  which  occurred  on  March 1, 1996.   Prior  to
March 1, 1996   the  Company  was   named   Medicus   Systems  Corporation  (the
"Predecessor Corporation").  On  March  1,  1996,  all  of  the  assets  of  the
Predecessor Corporation, other than those related to its managed care  business,
were transferred to a wholly owned subsidiary  of  the Predecessor  Corporation,
and  all  of   the  shares  of   that  company,   then  named   Medicus  Systems
Corporation   ("Medicus"),   were   distributed   (the   "Distribution")  on   a
share-for-share   basis  to  stockholders   of   the  Predecessor   Corporation.
Immediately after the Distribution, the  Company, which then  consisted  only of
the   managed  care  business  of  the   Predecessor   Corporation,  effected  a
one-for-three reverse stock split. Also on March 1, 1996, immediately  after the
reverse stock split, the Company acquired three Arizona corporations  engaged in
the managed  care business through  merger transactions (the "Mergers") pursuant
to which each of  the  Arizona  corporations (Managed Care Solutions,  Inc., now
named Managed Care Solutions of Arizona, Inc. ("MCSAZ"), Ventana Health Systems,
Inc. ("Ventana") and Arizona Health Concepts, Inc. ("AHC") became a wholly owned
subsidiary of the Company,  and the Company's  name  was changed to Managed Care
Solutions, Inc.
 <PAGE>

                     COMMON STOCK OWNERSHIP BY MANAGEMENT

      The following  table sets forth, as of May 31, 1997,  certain  information
regarding  the  beneficial  ownership of Common  Stock by each of the  Company's
directors and executive officers named in the Summary  Compensation Table and by
all  directors  and  executive  officers of the Company as a group,  and by each
person known by the Company to be the  beneficial  owner of 5 percent or more of
the outstanding Common Stock.
<TABLE>
<CAPTION>

                                                        Shares            Percent of
            Name(1)                               Beneficially Owned     Common Stock
            -------                               ------------------     ------------
<S>                                               <C>                    <C>

      James A. Burns...........................     243,500  (2)             5.5%
      Henry Kaldenbaugh........................     568,614                 13.0%
      John Lingenfelter........................     599,579                 13.7%
      Richard C. Jelinek.......................     752,822  (3) (4)        16.8%
      William G. Brown.........................     131,682  (2) (4)         2.9%
      Risa Lavizzo-Mourey......................       6,615  (2)             *
      Walter J. McNerney.......................      49,376  (2)             1.1%
      Michael J. Kennedy.......................      31,455  (2)             *
      Hollybank Investments, LP................     535,747  (5)            12.2%
      Blue Cross and Blue Shield of Texas, Inc.     879,221  (6)            16.7%
      Geralde Curtis...........................     362,053  (7)             8.2%

      All directors and executive officers
      as a group (8 persons)(2) (4)............   2,295,721                 50.3%

      *Represents less than 1% of Common Stock beneficially owned.
</TABLE>

(1)   The  address  of all of the  persons  named or  identified  above,  except
      Hollybank  Investments,  LP, Blue Cross and Blue Shield of Texas, Inc. and
      Geralde  Curtis,  is c/o Managed  Care  Solutions,  Inc.,  7600 North 16th
      Street, Suite 150, Phoenix, Arizona 85020.

(2)   Includes 37,500,  15,000,  5,000, 12,500, 21,750 and 91,750 shares covered
      by   options   and/or   warrants   held   by   Mr.   Burns,    Mr.  Brown,
      Dr.  Lavizzo-Mourey,   Mr. McNerney, Mr. Kennedy, and  all  directors  and
      officers as a group, respectively,  which  were  exercisable within  sixty
      days of May 31, 1997 and  such  persons disclaim  beneficial ownership  of
      such shares.

(3)   Includes 33,333 shares owned by Mr. Jelinek's wife.

(4)   Includes  77,922  shares  which  may   be   acquired  upon  conversion  of
      $300,000  principal  amount of Convertible Note of  the Company and 10,000
      shares covered by a currently exercisable stock purchase warrant. Both the
      Convertible Note and Stock Purchase Warrant are held by a trust created by
      Mr. Brown for the benefit of members his family, and of which  Mr. Jelinek
      is one of the co-trustees.

(5)   Represents  shares as of March 10,  1997,  as reported  on  Schedule  13D,
      Amendment No. 3. Hollybank Investments,  LP disclaims beneficial ownership
      with  respect  to all of the  shares  for  all  purposes  other  than  for
      reporting purposes on Schedule 13D. The address of Hollybank  Investments,
      LP is One Financial Center, Suite 1600, Boston, Massachusetts, 02111.

(6)   Represents  779,221  shares  which  may be  acquired  upon  conversion  of
      $3,000,000 principal amount of Convertible Secured Note of the Company and
      100,000 shares covered by a currently  exercisable stock purchase warrant.
      The address of Blue Cross and Blue Shield of Texas, Inc. is 901 S. Central
      Expressway, Richardson, Texas 75080.

(7)   Includes  2,100  shares  owned by Ms.  Curtis'  children.  The  address of
      Geralde Curtis is 2037 18th Street, Safford, Arizona 85546.

                                       2
<PAGE>

     The Company's Certificate of Incorporation authorizes 6.85 shares of Voting
Preferred Stock,  $1,000 par value,  all of which are outstanding,  as described
below.  Until May 31,  1998,  the Voting  Preferred  Stock is entitled to 14,667
votes per share.  After May 31, 1998, the Voting  Preferred  Stock has 220 votes
per share. Richard C. Jelinek,  Chairman and a director of the Company, who owns
15.1%  of  the  Common  Stock  outstanding,  owns  all  of  the  authorized  and
outstanding Voting Preferred Stock (representing 100,667 votes).

SECTION  16(a)  BENEFICIAL  OWNERSHIP  REPORTING  COMPLIANCE

      John  Lingenfelter  failed  to  timely  file a Form  4 with  respect  to a
purchase  of  25,925  shares of  Common  Stock  during  the  fiscal  year  ended
May 31, 1997.

      Risa  Lavizzo-Mourey  failed to  timely  file a Form 4 with  respect  to a
purchase of  1,615  shares  of  Common  Stock   during  the  fiscal  year  ended
May 31, 1997.

      Ms.  Curtis,  who until May 1997 owned more than 10% of Common Stock,  has
failed to timely file four reports on Form 4 with respect to 19  transactions in
which she sold an aggregate  of  117,600  shares  of  Common  Stock  during  the
fiscal year ended May 31, 1997.

      Blue Cross and Blue Shield of Texas,  Inc.  failed to timely file a report
on Form 3 with respect to their  acquisition  of a note,  convertible to 779,221
shares of  Common  Stock  and  an  acquisition of 100,000  warrants  during  the
fiscal year ended May 31, 1997.

                            ELECTION OF DIRECTORS

 
     Six  directors are to be elected at the Annual  Meeting.  The persons named
below have been designated by the Board of Directors as nominees for election as
directors,  for terms  expiring at the next Annual Meeting of  Stockholders.  In
addition,  information is provided concerning Walter J. McNerney, who has stated
that he will take a medical leave of absence from the Board, effective as of the
date of the Annual  Meeting.  The Board has appointed  Mr.  McNerney as Honorary
Director during the period of his absence. All nominees are currently serving as
directors.

      Unless  authority  is  withheld,  signed  proxies  which are returned in a
timely  manner will be voted for the election of the six nominees for  director,
provided that if any of such nominees  should be unable to serve by virtue of an
unexpected  occurrence,  the  proxies  will be voted  for such  other  person or
persons as will be determined by the holders of the proxies in their discretion.
Nominees receiving a plurality of the votes of the shares present or represented
by  proxy  at the  Annual  Meeting  and  entitled  to vote  will be  elected  as
directors.

      Biographical information concerning the six nominees is presented below.

      Richard C.  Jelinek,  age 60,  Chairman of the Board of the  Company,  was
co-founder of the predecessor of the Predecessor  Corporation in 1969 and served
as  Chief   Executive   Officer  of  the  Predecessor   Corporation   since  its
incorporation  in December 1984 until  February  1996.  From 1983 to 1985 he was
also  Chairman  of the Board and Chief  Executive  Officer of  Mediflex  Systems
Corporation.  Prior to 1969, Mr.  Jelinek was Associate  Professor of Industrial
Engineering and Hospital Administration and Director, Systems Engineering Group,
Bureau of Hospital  Administration at The University of Michigan. He has a Ph.D.
in Industrial  Engineering  from The  University of Michigan.  Mr.  Jelinek also
serves as a  director  of  Medicus.  He has been a director  of the  Predecessor
Corporation since its incorporation in 1984 and of the Company and Medicus since
the Distribution and Mergers.

      William G.  Brown,  age 54, is a partner of Bell,  Boyd & Lloyd,  Chicago,
Illinois,  counsel to the Company,  and has been Secretary and a director of the
Predecessor  Corporation  since its  incorporation  in December  1984 and of the
Company and Medicus  since the  Distribution  and  Mergers.  Mr. Brown is also a
director of MYR Group, Inc.,  Dovenmuehle Mortgage,  Inc. and CFC International,
Inc.

                                       3
<PAGE>
      Risa  Lavizzo-Mourey,  M.D.,  age 42, is the Sylvan  Eisman  Professor  of
Medicine and Health Care Systems at the University of  Pennsylvania  and a board
certified  Internist and  Geriatrician.  Dr.  Lavizzo-Mourey  earned her medical
degree  at  Harvard   Medical   School   followed   by  a  Masters  of  Business
Administration  at  the  University  of  Pennsylvania's  Wharton  School.  After
completing a residency in internal  medicine at Brigham and Women's  Hospital in
Boston,  Massachusetts,  she was a Robert Wood Johnson  Clinical  Scholar at the
University of  Pennsylvania.  She also held faculty  appointments at the Harvard
Medical School and Temple  University  Medical School.  Dr.  Lavizzo-Mourey  has
served on numerous Federal  advisory  committees and is now serving on President
Clinton's  Commission  for  Consumer  Protection  and Quality in the Health Care
Industry.   Dr. Lavizzo-Mourey  joined  the  Predecessor  Corporation  Board  in
April 1994  and has  served as a director of the Company and  Medicus since  the
Distribution  and  Mergers.  She is also a director of Beverly  Enterprises  and
Kapson Senior Quarters.

      James A. Burns,  age 54, has been Vice  Chairman of the Company  since the
Mergers and became Chief Executive Officer and President in August,  1996. Prior
to that,  he was  President  of MCSAZ  since  1992.  Previously,  he  served  as
President of Med*Star  Management  Corporation from 1990 through 1992, as Senior
Vice President of Health Management Associates,  Inc. from 1987 through 1990 and
as Executive  Vice President of Lincoln  National  Health Plan from 1984 through
1987.

      Henry Kaldenbaugh,  M.D., age 52, is a founder of Ventana,  AHC and MCSAZ,
and has been a director of the Company  since the March 1, 1996.  He has been an
officer and board member of Ventana and AHC since their  inception  and of MCSAZ
since 1993.  He has had a family  medicine  and  pediatric  practice in northern
Arizona since 1977. Dr. Kaldenbaugh is board certified in pediatrics and quality
assurance and utilization and review. Dr. Kaldenbaugh served as medical director
of AHC from 1992 to the  present  and has been an officer or  director of MCSAZ,
AHC and  Ventana  since their  inception.  He served as  Administrative  Medical
Director for Health  Management  Associates,  Inc. from 1990 through  1991,  for
Northern  Arizona  Family Health Plan from 1988 through 1991, and for the Arbors
Nursing  Facility from 1984 through 1987. Dr.  Kaldenbaugh  received his medical
degree from Baylor University.

      John Lingenfelter,  M.D., age 69, is a founder of Ventana,  AHC and MCSAZ,
and has been a director of the Company since March, 1996. He has been an officer
and board  member of Ventana  and AHC since their  inception  and of MCSAZ since
1993.  Dr.  Lingenfelter  has  engaged in the  general  practice  of medicine in
Kingman, Arizona since 1961. He served as Mohave County, Arizona Health Director
from 1966 until 1982,  Assistant  County Medical  Examiner from 1986 until 1987,
Hospital  District  Board  Trustee from 1988 to the present and has been Medical
Director  of  the  Kingman   Health  Care  Center  from  1985  to  the  present.
Dr. Lingenfelter received his medical degree from the University of Iowa.

     Walter J. McNerney,  age 72, Herman Smith Professor of Health Policy at the
J.L. Kellogg Graduate School of Management,  Northwestern  University,  has been
unable to attend  any  meeting of the Board  during the past year.  From 1978 to
1981,  Mr.  McNerney  was  national  President of the Blue Cross and Blue Shield
Association.  Mr.  McNerney has also served as Chairman of the Board of McNerney
Heintz,  Inc.,  and  served  as a  director  of the  Board  of  American  Health
Properties,  Inc.,  Hanger  Orthopedic  Group,  Inc., The Hospital  Fund,  Inc.,
Hospital Research and Educational Trust, Institute for the Future,  Institute of
Physician  Management  Relations,  National Executive Service Corps.,  Osteotech
Inc., The Stanley Works,  Inc., Value Health,  Inc. and Ventritex.  He was first
elected a director of the  Predecessor  Corporation  in 1985 and has served as a
director of the Company and Medicus  since the  Distribution  and  Mergers,  and
served  as  Chairman  of  the  Board  of  the  Company  from  March 1,  1996  to
July 1, 1996.  Mr. McNerney has stated that  he  will  take  a  medical leave of
absence from his duties as a  director, effective as of  the date of the  Annual
Meeting, due to health reasons. Therefore, he is not a nominee for election as a
director at the Annual Meeting. However, the Board currently intends to increase
the number of directors to  seven, and  to elect  Mr. McNerney to the  resulting
vacancy,  at such time as his health permits  him to  resume a full  schedule of
business activities.  In the interim, the  Board  has appointed Mr. McNerney  as
Honorary Director of the Company.

                                       4
<PAGE>

                     MEETINGS AND COMMITTEES OF THE BOARD

     During the fiscal year ended May 31, 1997,  the Board of Directors  held 17
meetings.  No director attended fewer than three-fourths of the aggregate number
of meetings of the Board and of the  committees  described  below on which he or
she served during the past fiscal year,  except that Walter  McNerney was unable
to attend any  meetings.  The Board has  designated  an Audit  Committee,  whose
functions  include  making  recommendations  to the Board on the  selection  and
retention of the Company's auditors, a Compensation  Committee,  whose functions
include making  recommendations  to the Board regarding the salaries and bonuses
to be paid,  and a Stock Option  Committee,  whose  functions  include  granting
options under,  and  administering,  the Company's  stock option plans.  William
Brown, Richard Jelinek,  Henry Kaldenbaugh and Risa Lavizzo-Mourey are currently
the  members  of the  Audit  Committee;  Mr.  Brown,  Dr.  Kaldenbaugh  and John
Lingenfelter  are currently the members of the Compensation  Committee;  and Mr.
Jelinek and Dr.  Lavizzo-Mourey  are  currently  the members of the Stock Option
Committee. During the fiscal year ended May 31, 1997, the Compensation Committee
met one time, the Stock Option  Committee met four times and the Audit Committee
met one time.

                                      5
<PAGE>

                                 COMPENSATION

      Set forth below is information  concerning  the executive  officers of the
Company as of May 31, 1997. Information for James Burns, who became an executive
officer of the Company on March 1, 1996,  includes  compensation  received  from
MCSAZ prior to the Mergers  during the fiscal year ended May 31,  1996. 
<TABLE>
<CAPTION>

                                     Summary Compensation Table
                                                                           Long-Term
                                        Annual Compensation               Compensation
                                                              Other       Securities
                                                             Annual       Underlying       All Other
Name and Principal            Fiscal    Salary    Bonus   Compensation    Options/SARs    Compensation
 Position (1)                  Year       ($)      ($)        ($)             (#)            ($) (4)
- ------------------            ------    ------    -----   ------------    ------------    ------------
<S>                           <C>       <C>       <C>     <C>             <C>             <C>

James A. Burns
  Vice Chairman, President
  and Chief Executive Officer  1997    164,792        -         -                  -         8,955
  Vice Chairman                1996    162,319   75,000         -            150,000         1,568

Blaine Bergeson
 Chief Executive Officer       1997     36,459        -         -                  -        79,846
 Chief Executive Officer       1996    162,319   75,000         -            150,000         1,334

Michael J. Kennedy
  Chief Financial Officer      1997    125,000        -    31,809(2)          87,000(3)      1,458
  Chief Financial Officer      1996     16,098        -         -             87,000(3)          -
</TABLE>

(1)   Includes each person who served as the Chief Executive  Officer during the
      most recent  fiscal year and the other most highly  compensated  executive
      officers as measured by salary and bonus meeting the disclosure  threshold
      requirements pursuant to Item 402 of S.E.C. Regulation S-K.

(2)   The amount shown for Mr. Kennedy represent moving expense reimbursement of
      $31,809.

(3)   The  options  shown as granted in fiscal 1997 to Mr.  Kennedy  reflect the
      repricing of the options originally granted in fiscal 1996.

(4)   The  amounts  shown for  Mr.  Burns  for  fiscal  1997  include  term life
      insurance  premiums of $1,140,  split  dollar  insurance  premiums of $470
      and  auto  allowance  of  $7,345.   The  amount  shown  for  Mr.  Bergeson
      represent  severance pay of $58,333,  vacation  payout  of  $15,706,  auto
      allowance  of  $1,625  and  payment  of  additional  medical  benefits  of
      $4,182.  The Company has a  contributory  retirement  savings  plan  which
      covers  eligible  employees who  qualify as  to age and length of service.
      Participants  may  contribute  1%  to  15% of their  salaries,  subject to
      maximum  contribution   limitations  imposed   by   the  Internal  Revenue
      Service.    The   amount   shown  for   Mr.  Kennedy   represent   Company
      contributions to his account in the amount of $1,458, under such plan.

                                       6
<PAGE>

OPTION / SAR  GRANTS  TABLE

      The following  table provides  information on stock options granted to the
named executive officers during fiscal year 1997. The potential realizable value
of each grant of options was  determined  assuming  that the market price of the
underlying  security  appreciates  in value from the date of grant to the end of
the option term at annualized  rates of 5% and 10% as required  pursuant to Item
402 of S.E.C. Regulation S-K.

                                   Option/SAR Grants in Last Fiscal Year
                                   -------------------------------------
<TABLE>
<CAPTION>
                                                                                     Potential Realizable
                                                                                       Value at Assumed
                                                                                     Annual Rates of Stock
                                                                                     Price Appreciation for
                                           Individual Grants                          10-Year Option Term
                      -----------------------------------------------------------    ---------------------

                         Number of       % of Total
                        Securities      Options/SARs
                        Underlying       Granted to       Exercise
                       Options/SARs     Employees in       or Base     Expiration    5%(2)     10%(2)
      Name            Granted (#)(1)    Fiscal Year     Price ($/Sh)      Date        ($)       ($)
- ------------------    --------------    ------------    ------------   ----------    -----     ------
<S>                   <C>               <C>             <C>            <C>           <C>       <C>

Michael J. Kennedy        87,000            36.3            3.25        4/27/06     177,820    450,631
</TABLE>

(1)   Options  granted   to  Mr.  Kennedy  in   fiscal  year  1997  reflect  the
      repricing  of options  originally  granted in  fiscal  year 1996,  and are
      exercisable  starting 12  months after  the original  grant date,  with 25
      percent of the shares covered thereby becoming  exercisable  at that  time
      and  with  an  additional  25  percent  of  the  option  shares   becoming
      exercisable  on  each   successive  anniversary  date,  with full  vesting
      occurring on the fourth  anniversary  date.  The options  were granted for
      a term of 10 years,  subject  to earlier  termination  in  certain  events
      related to termination of employment.

(2)   These amounts represent certain assumed rates of appreciation only. Actual
      gains,  if any, on stock option  exercises  and common stock  holdings are
      dependent on the future  performance of the common stock and overall stock
      market conditions. There can be no assurance that the amounts reflected in
      this table will be achieved.

OPTION / SAR  EXERCISES  AND  YEAR-END  VALUATION
<TABLE>
<CAPTION>
                               Aggregated Option/SAR Exercises in Last Fiscal Year
                               ---------------------------------------------------
                                         and FY-End Option/SAR Values
                                         ----------------------------

                                                            Number of Securities           Value of Unexercised
                                                           Underlying Unexercised          In-the-Money Options/
                                                           Options/SARs at FY-End             SARs at FY-End
                                                           ----------------------          ---------------------

                      Shares Acquired       Value
                      on Exercise(1)     Realized(2)    Exercisable    Unexercisable    Exercisable    Unexercisable
Name                       (#)               ($)            (#)             (#)             ($)            ($)
- ------------------    ---------------    -----------    -----------    -------------    -----------    -------------
<S>                   <C>                <C>            <C>            <C>              <C>            <C>

James A. Burns              -                 -            37,500         112,500            -              -
Michael J. Kennedy          -                 -            21,750          65,250            -              -
</TABLE>

(1)   Number of securities underlying options/SAR exercised.

(2)   Market  value of  underlying  securities  on date of  exercise,  minus the
      exercise or base price.

                                       7
<PAGE>

DIRECTOR  COMPENSATION

      All  directors of the Company are paid an annual  retainer of $10,000.  In
addition,  under the Company's 1995  Directors'  Stock Option Plan, an option to
purchase  20,000  shares of Common  Stock is  granted  to each  director  of the
Company who is not an officer, employee or greater than five percent stockholder
of the  Company at the time of such  director's  initial  election to the Board.
Under  the  Company's  1996   Non-Employee   Director  Stock  Option  Plan  each
non-employee  director  of the  Company  receives,  on the  date of each  annual
meeting of stockholders, an option to purchase 5,000 shares of the Common Stock.
Options  under  each of the  1995  Directors  Stock  Option  Plan  and the  1996
Non-Employee  Director  Stock  Option  Plan are for a term of ten years,  become
exercisable  with  respect to 25% of the shares  covered  thereby on each of the
first four  anniversaries  of the date of grant and have an exercise price equal
to the fair market value on the date of grant.

EMPLOYMENT  AGREEMENTS

      At  the  time  of  the  Mergers,  the  Company  entered   into  employment
agreements   with  each   Mr. Burns  and  Mr.  Bergeson.   Mr. Burns'  agreement
provides  that he will  receive a  salary of  at least  $175,000  annually,  and
that if  his  employment is  terminated  by the Company  (other than for cause),
he will receive severance  payments  at the rate  of $175,000 annually (i) until
March 1,  1999, in the event of  termination prior  to March 1, 1998; (ii) for a
period  of  one   year  if   termination   occurs  between   March 1,  1998  and
March 1, 1999;  (iii)  until  March  1,  2000  if  termination   occurs  between
March 1,  1999 and  September 1,  1999;  and (iv) for a period of  six months if
termination occurs after September 1, 1999.

      Mr.  Bergeson's  agreement also provided that he would receive a salary of
at least $175,000  annually,  and for severance payments at the rate of $175,000
annually  for a period  of one year if the  Company  terminated  his  employment
(other than for cause).

      Each  of Mr.  Burns'  and Mr.  Bergeson's  employment  agreements  further
provided that in no event will severance pay exceed six months if at the time of
termination  the Company has not had net income after taxes during the preceding
12 months of at least $1,000,000.  Each agreement also provided for the grant of
options to purchase 150,000 shares of Common Stock (described  elsewhere in this
Proxy Statement).

      On August 16,  1996, Mr. Bergeson  resigned as an  officer and director of
the Company and each of its subsidiaries.

COMPENSATION  AND  STOCK  OPTION  COMMITTEE  REPORT

      The Company's  compensation  policies applicable to its executive officers
are  administered  by the  Compensation  Committee  and,  with  respect to stock
options, the Stock Option Committee of the Board of Directors.

      COMPENSATION PHILOSOPHY

      The  Company  compensation  programs  are  designed  to  link  executives'
compensation  to  the  performance  of  the  Company  and  provide   competitive
compensation for Company executives relative to a select group of peer companies
in order to attract and retain high caliber senior  executives  essential to the
long-term  prosperity of the Company. The compensation mix reflects a balance of
annual base salary and equity-based incentives.  Emphasis, however, is placed on
the more strategic  equity-based  plans intended to build  shareholder value and
provide incentives to motivate executive behavior over the long term.

      COMPENSATION PROGRAM

      The Company's executive officer compensation consists of two key elements:
(1) an annual cash component comprised of base salary and (2) a long-term equity
component with respect to which existing holdings of Common Stock are recognized
and in appropriate cases stock options are granted. The policies with respect to
each of these elements are described below.

                                       8
<PAGE>

      (1)  Annual Compensation

      Base salaries for  executive  officers are  determined  by evaluating  the
responsibilities  of the position and comparing it with other executive  officer
positions in the Company and the  marketplace.  For this  purpose,  the "market"
consists of a broad range of companies  with which the Company feels it competes
for  executive  talent.  This  group is  different  than the peer group used for
comparison  purposes in the stock price performance graph that appears elsewhere
in this Proxy  Statement  because the Company  believes the market for executive
talent  extends to a broader range of companies than those included in the stock
price performance graph.

      Annual salary  adjustments are determined by a review of market  research,
Company  performance  (measured by earnings per share growth),  the individual's
contribution to that  performance,  and for executive  officers  responsible for
particular business units, the financial and operating results of their business
units. No specific weights are assigned to these factors.

      (2)  Long-Term Compensation

      To align  shareholders' and executive officers'  interests,  the Company's
long-term  compensation  plan uses stock option grants whose value is related to
the value of Common Stock.  Grants of stock options are made under the Company's
1995 and 1996 Stock  Option  Plans.  In granting  options,  the Board takes into
account existing  holdings and options already held by each executive.  The size
of each option  grant is  determined  by the  individual's  position  within the
Company,  the  individual's  level of  responsibility  and the number of options
currently held by the individual.

      Stock options are granted with an exercise  price equal to the fair market
value of the Common Stock on the date of grant.  Stock options generally vest in
four  annual  increments  and are  exercisable  up to ten  years  from  the date
granted.  Both types of stock  options  provide  incentive  for the  creation of
shareholder  value over the long term since the full benefit of the compensation
package cannot be realized unless an appreciation  occurs in the price of Common
Stock over a specified number of years.

      CEO COMPENSATION

      Each  Mr.  Burns  and Mr.  Bergeson  were  compensated  pursuant  to their
employment  agreements  (described above under "Employment  Agreements"),  which
were  entered  into at the time of the  Mergers.  In  determining  the  level of
compensation,  Mr.  Burn's and Mr.  Bergeson's  compensation  level prior to the
Mergers, their experience in the managed care industry, and their record leading
the MCS  Companies  were all  considered,  although  no specific  weighting  was
assigned to these factors.

      POLICY WITH REGARD TO THE $1 MILLION DEDUCTION LIMIT

      In 1993,  Section  162(m) was added to the  Internal  Revenue  Code.  This
section  generally limits to $1 million the tax deduction for compensation  paid
to executive officers of a publicly-held  corporation who are named in the proxy
statement,  subject to an exception  for a  "performance  - based"  compensation
plans as defined  under that section.  The Company's  1996 Stock Option Plan, as
Amended, is intended to qualify as a "performance-based  plan". The Compensation
and Stock Option Committee has determined that the other compensation  currently
paid  to  the  Company's  executive  officers  is not  expected  to  exceed  the
limitation as set forth in Section 162(m).

      The foregoing  report has been approved by all members of the Compensation
and Stock Option Committees.

                                       Richard C. Jelinek
                                       William G. Brown
                                       Henry Kaldenbaugh
                                       John Lingenfelter
                                       Risa Lavizzo-Mourey

                                       9
<PAGE>

OPTION REPRICING REPORT AND TABLE

      The  following  table  sets  forth  certain  information   concerning  the
repricing  of  stock  options  occurring  since  August  1,  1991,  the date the
Predecessor Corporation became a reporting company under the Securities Exchange
Act of 1934.

                                          TEN YEAR OPTIONS/SAR REPRICING
                                          ------------------------------
<TABLE>
<CAPTION>

                                      Number of
                                      Securities
                                      Underlying
                                      Options/       Market Price      Exercise Price                 Original Term
                                        SARs         of Stock at        at Time of          New        Remaining at
                                      Repriced or    Repricing or       Repricing or      Execise        Date of
Name                          Date    Amended (#)    Amendment ($)      Amendment ($)    Price ($)      Repricing
- ------------------            ----    -----------    -------------     --------------    ---------    -------------
<S>                           <C>     <C>            <C>               <C>               <C>          <C>


Michael J. Kennedy          7/18/96      87,000          3.25              7.38            3.25        9 yr., 9 mo.
  Chief Financial Officer

Deborah R. Suckow (1)       2/27/93      10,000          8.75             10.00            8.75        9 yr., 4 mo.
  Vice President

Robert C. Steffel(1)        2/27/94       2,000          8.75             10.00            8.75        9 yr., 4 mo.
  Sr. Vice President         7/8/94       1,000         12.00             18.88           12.00        9 yr., 7 mo.
                             7/8/94      50,000         12.00             17.00           12.00        9 yr., 10 mo.

Donald Simborg (1)           7/8/94     170,000         12.00             17.00           12.00        9 yr., 10 mo.
  Sr. Vice President

Victor W. Sterne (1)        2/27/93       9,000          8.75             10.00            8.75        9 yr., 4 mo.
  Vice President

Carol Hayden (1)            2/27/93      10,000          8.75             10.00            8.75        9 yr., 4 mo.
  Vice President

Michael Minear (1)          2/27/93       2,000          8.75             10.00            8.75        9 yr., 4 mo.
  Vice President

George Whetsell (1)         2/27/93      60,000          8.75             10.00            8.75        9 yr., 4 mo.
  Vice President

Robert Barcklay (1)          7/8/94       2,000         12.00             18.88           12.00        9 yr., 7 mo.
  Vice President

Arlene Verona (1)            7/8/94      10,000         12.00             18.88           12.00        9 yr., 7 mo.
  Vice President

Roxane Spitzer-Lehmann (1)   7/8/94       5,000         12.00             17.00           12.00        9 yr., 10 mo.
  Vice President

Frank A. Pierce (1)          7/8/94      76,667         12.00             17.25           12.00        9 yr., 11 mo.
  Sr. Vice President
</TABLE>

(1) The  repricings  of  stock  options  granted  to  Ms.  Suckow,  Mr. Steffel,
    Mr.  Simborg,    Mr.  Sterne,   Ms.  Hayden,   Mr.   Minear,   Mr. Whetsell,
    Mr. Barcklay,  Ms.  Verona,  Ms.  Spitzer-Lehmann,   and   Mr.  Pierce  were
    approved by the Predecessor Corporation's  Board  of Directors  and occurred
    prior to the  Distribution.  For these  individuals, the  market prices, the
    original  exercise  prices  and  the  new  exercise  prices  shown  in   the
    Repricing Table are the actual  prices at the time  the repricings  occurred
    and have not been  adjusted  to reflect the  impact of the  Distribution  on
    these prices.

                                       10
<PAGE>

      On July 18,  1996,  the  Compensation  and Stock  Option  Committee of the
Existing  Corporation's Board of Directors determined that certain stock options
issued to  employees of the Existing  Corporation  had an exercise  price higher
than the market price of the Existing  Corporation's  Common Stock.  In light of
the  Committee's  conclusion  that such options were not  providing  the desired
incentive,  it replaced options with exercise prices of $7.38 per share with new
stock options to purchase an identical number of shares of Existing  Corporation
Common Stock at the then current market price of $3.25.

PERFORMANCE  GRAPH

      The following graph compares the cumulative  total  shareholder  return on
Common Stock since March 1, 1996 (the effective date of the Mergers and the date
on which the Common  Stock began  trading  under the symbol MCSX) to that of the
Nasdaq market index and Nasdaq Health Services index.

                               [GRAPHIC OMITTED]

                                                           May 31,
                                                       --------------
                                      March 1, 1996    1996      1997
                                      -------------    ----      ----

            Managed Care Solutions       100           152        76
            NASDAQ U.S.                  100           113       128
            NASDAQ Health Services       100           114        94

                                       11
<PAGE>

      The following graph compares the cumulative  total  shareholder  return on
Predecessor  Corporation (then known as Medicus Systems orporation) Common Stock
from June 1, 1992 to  February  29,  1996  (the  last  trading  day prior to the
effective  date of the Mergers) to that of the Nasdaq  market index and an index
comprised  of  the  common  stock  of 13  peer  companies  that  compete  in the
healthcare   information  systems  industry.  In  calculating  cumulative  total
shareholder  return,  reinvestment  of dividends is assumed,  and the returns of
each member of the peer group are weighted for market capitalization.

                              [GRAPHIC OMITTED]

                                 1992    1993    1994    1995    1996 (1)
                                 ----    ----    ----    ----    --------

                 Medicus         100      78     149      90        82
                 NASDAQ U.S.     100     120     127     151       192
                 Peer Group      100     117     142     190       243


               (1) Data is shown as of the effective date of the Mergers.

      The peer group of  companies  was  selected  based upon their being in the
business of healthcare  information systems and related services.  The companies
in the peer group,  which for performance  graph purposes,  does not include the
Predecessor  Corporation,  are as follows:  Access Health Marketing,  First Data
Corporation,  GMIS, Inc.,  Health  Management  Systems,  Health Risk Management,
Keane, Inc., Medaphis Corporation, Medic Computer Systems, Mediware Informations
Systems, Policy Management Systems,  Shared Medical Systems,  Spacelabs Medical,
Inc. and US Services, Inc.

COMPENSATION   AND   STOCK   OPTION    COMMITTEE     INTERLOCKS   AND    INSIDER
PARTICIPATION

      Mr. Brown  and Drs.  Kaldenbaugh and Lingenfelter  are  currently  members
of the  Compensation  Committee  and  Mr.  Jelinek  and  Dr. Lavizzo-Mourey  are
currently  members  of  the  Stock  Option  Committee.  None  of  the  Company's
directors have  interlocking  or other  relationships  with other  boards or the
Company  that  require  disclosure  under Item 402(j) of S.E.C.  Regulation S-K,
except as described below.

                                       12
<PAGE>

      For the fiscal year ended May 31, 1997,  the Company  incurred  legal fees
for general legal services of $163,983 to the law firm of Bell, Boyd & Lloyd, of
which William G. Brown,  Secretary and a director of the Company,  is a partner.
In  addition,  the  directors  of the Company  other than Mr.  Brown  approved a
transaction  pursuant to which a trust created by Mr. Brown, of which Richard C.
Jelinek and Mr.  Brown's  brother are  trustees,  purchased  from the Company on
October 1, 1996, for a cash purchase price of $300,000, a convertible  unsecured
note in the principal  amount of $300,000,  due, if extended in accordance  with
its terms,  on September 30, 2001,  bearing  interest at a rate of 8% per annum.
Such note is  convertible  into Common Stock at a conversion  price of $3.85 per
share.  The trust also  received  warrants to purchase  10,000  shares of Common
Stock at an  exercise  price of $4.45  per  share.  The Stock  Option  Committee
approved  the grant to Mr.  Brown of an  additional  option to  purchase  25,000
shares of Common  Stock at an exercise  price  equal to the market  price at the
date of closing of such transaction.  During the fiscal year ended May 31, 1997,
Dr.  Kaldenbaugh  served as a Medical  Director  of AHC,  and the  Company  paid
Medical Director fees of $60,000 to Dr. Kaldenbaugh.

      RELATIONSHIP BETWEEN MEDICUS AND THE COMPANY

      Messrs.  Jelinek and  Brown and  Dr. Lavizzo-Mourey are  each directors of
both the Company  and Medicus,  and,  prior to  March 19, 1997,  Mr. Jelinek was
Chairman of Medicus,  and  Mr. McNerney was  director of Medicus.  In connection
with the  Distribution,  the Company  and Medicus  entered  into a  Distribution
Agreement and a Services Agreement.

      DISTRIBUTION  AGREEMENT.  The Distribution  Agreement  provides for, among
other things, the principal corporate transactions which were required to effect
the  Distribution,  the  division  between  the  Company  and Medicus of certain
liabilities,  the treatment of certain employee compensation,  benefit and labor
matters,  and certain other agreements  governing the  relationship  between the
Company and Medicus following the Distribution.  Subject to certain  exceptions,
the   Distribution   Agreement  is  designed  to  place  with  Medicus  and  its
subsidiaries,  following  the  Distribution,  financial  responsibility  for the
liabilities of Medicus'  businesses and for other  corporate  liabilities of the
Predecessor  Corporation,  except those liabilities  relating to businesses that
relate specifically to the business of the Company.

      SERVICES  AGREEMENT.  The  Company and Medicus  have also  entered  into a
Services Agreement (the "Services Agreement"), pursuant to which Medicus (i) was
to make available to the Company certain  services,  including tax,  accounting,
data processing, cash management,  employee benefits,  monitoring,  operational,
supervisory, insurance purchasing and claims administration consulting services,
and (ii) provide certain financial  services to the Company,  including analysis
and advice regarding potential financial transactions (including but not limited
to proposed  issuances of debt or equity  securities,  proposed  merger or asset
acquisition  or  sale   transactions  and  dividend,   stock  split  or  similar
transactions),  assistance in budget and forecast  preparation,  relations  with
financial  analysts,  financial press, and investors,  and crisis management and
control.  Such  services  were to commence on the date of the  Distribution  and
continue  for one year.  The Company paid  Medicus  $700,000  for such  services
during the twelve months ended May 31, 1997. In order to compensate  Medicus for
fixed  costs  incurred  in making  such  services  available,  the  Company  was
obligated  to pay such fees  whether or not it elected to utilize the  services.
The Services  Agreement  also  provides  that Medicus will not be liable for any
losses or damages  suffered in respect of services to be  performed  thereunder,
other than by reason of its willful misconduct or gross negligence in performing
such services.

      CERTAIN  RELATIONSHIPS AND RELATED  TRANSACTIONS  CONCERNING  THE  COMPANY
      AND ITS SUBSIDIARIES

      THE  COMPANY.  As of May 31,  1997,  Dr.  Kaldenbaugh  owed $95,243 to the
Company  pursuant  to a  promissory  note in the  original  principal  amount of
$94,000,  with  interest at the rate of 3%. The note was  originally  payable to
Ventana, and  was  transferred to  the  Company  during  the  fiscal  year ended
May 31, 1997.  The note is payable upon demand.  The purpose of this loan was to
provide Dr. Kaldenbaugh funds to settle litigation in 1992 concerning a covenant
not to compete to which he was subject.

      During fiscal 1997, the Company received $300,000 from Blue Cross and Blue
Shield  of  Texas,  Inc.  ("BCBSTX")  pursuant  to  an  administrative  services
agreement  between the Company and Rio Grande HMO, Inc., a subsidiary of BCBSTX,
and $50,000 pursuant to a consulting agreement between the Company and BCBSTX.

                                       13
<PAGE>

      MCS AZ. In October 1995, MCSAZ borrowed  $154,797 from a trust established
by Dr.  Lingenfelter,  $51,555 from a trust established by Dr. Kaldenbaugh,  and
$43,464 from a trust established by Geralde Curtis,  who was then a director and
officer  of the MCS  Companies  and  currently  owns  approximately  6.5% of the
Company's Common Stock.  MCSAZ then  loaned from  these funds $118,153  each  to
Dr.  Kaldenbaugh   and    Ms.  Curtis   pursuant   to   promissory   notes   due
December 31, 2000 providing  for  interest  to accrue at 8% per annum. The notes
are secured by a pledge of the Company Common Stock received  by Dr. Kaldenbaugh
and Ms. Curtis in the Mergers in exchange for their  stock  in MCSAZ.  The stock
pledge also secures the above  described  loans  from  the trusts to MCSAZ.  The
purpose of the loans was to provide  Dr.  Kaldenbaugh  and Ms.  Curtis  funds to
pay  taxes  incurred  as  a  result  of  their  owning  shares  in  AHC,  then a
Subchapter S corporation.  As of May 31, 1997,  $134,695 was  outstanding  under
each  of  the  loans  to  Dr.  Kaldenbaugh  and  Ms.  Curtis.  On July 24, 1997,
Ms. Curtis paid $118,153 in principal and $18,042 in accrued interest due to the
Company pursuant to the Promissory Note.

      VENTANA.   In  October  1995,   Dr.  Kaldenbaugh   borrowed   $95,055  and
Ms. Curtis  borrowed  $97,704 from  Ventana  pursuant to   promissory  notes due
December 31,  2000  providing  for  interest  to  accrue at  8% per  annum.  The
notes are secured by a pledge of the Common  Stock received  by  Dr. Kaldenbaugh
and  Ms. Curtis  in  the  Mergers in exchange  for their  stock in Ventana.  The
purpose of  the loans was  to provide  Dr. Kaldenbaugh  and Ms. Curtis  funds to
pay  taxes as  described  in  the  preceding  paragraph.   As of  May 31,  1997,
$107,729 and  $110,731 was outstanding under  the loans to  Dr. Kaldenbaugh  and
Ms. Curtis,  respectively.   On July  24, 1997,  Ms.  Curtis repaid all existing
loans from Ventana.

      During fiscal 1997, Dr.  Lingenfelter  received total payments of $169,498
under risk  sharing  contracts  between Dr.  Lingenfelter  and Ventana in Mohave
County,  Arizona.  As of May 31, 1997,  Dr.  Lingenfelter  is owed an additional
$290,776 pursuant to such contracts.

      ARIZONA HEALTH  CONCEPTS.   Dr. Lingenfelter  and Dr. Kaldenbaugh received
payments  of   $3,140  and   $48,136,  respectively,  during  fiscal  year  1997
pursuant  to   risk   sharing   contracts   with   AHC.   As  of May  31,  1997,
Dr. Lingenfelter and Dr. Kaldenbaugh are owed $4,573 and $5,805, respectively.

                             CERTAIN TRANSACTIONS

      For descriptions  of  certain  transactions  involving  Messrs.  Brown and
Jelinek and Drs.  Kaldenbaugh  and Lingenfelter,  see  the information under the
caption  "Compensation - Compensation  and Stock  Option  Committee   Interlocks
and Insider Participation."

                           INDEPENDENT ACCOUNTANTS

      Price  Waterhouse  LLP has been  selected by the Board of Directors of the
Company,  upon the recommendation of its Audit Committee,  to continue to act as
auditors  in fiscal  1998.  A  representative  of Price  Waterhouse  LLP will be
present at the Annual Meeting. He will have the opportunity to make a statement,
if he  desires  to do so,  and  will be  available  to  respond  to  appropriate
questions.

                                ANNUAL REPORT

      The Company is delivering  herewith to  stockholders  its Annual Report on
Form 10-K for the fiscal year ended May 31, 1997.  Stockholders  are referred to
this report for  financial  and other  information  about the Company,  but such
report is not  incorporated  in this  Proxy  Statement  and is not a part of the
proxy soliciting material.

                          PROPOSALS BY STOCKHOLDERS

      Any proposals by stockholders  intended to be presented at the 1998 Annual
Meeting  of  Stockholders  must  be  received  by  the  Company  no  later  than
May 8, 1998.

                                       14
<PAGE>

                                OTHER MATTERS

      Brokerage  firms,  banks,  fiduciaries,  voting trustees or other nominees
will be requested to forward the soliciting material to each beneficial owner of
stock held of record by them, and the Company will, upon request, reimburse them
for the reasonable expense of doing so. The entire cost of the solicitation will
be borne by the Company.

      The Board of Directors  does not intend to present,  and does not have any
reason to believe that others will  present,  any item of business at the Annual
Meeting  other than those  specifically  set forth in the notice of the meeting.
However, if other matters are properly presented for a vote, the proxies will be
voted  with  respect to such  matters in  accordance  with the  judgment  of the
persons acting under the proxies.

                                       By Order of the Board of Directors


                                          William G. Brown
                                          Secretary

                                       15
<PAGE>

- --------------------------------------------------------------------------------
PROXY                                                                      PROXY
                      MANAGED CARE SOLUTIONS, INC.

                    Annual Meeting, October 10, 1997

          PROXY SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS

Richard C. Jelinek or James A. Burns or either of them,  each with full power of
substitution, is hereby authorized to vote all shares of Common Stock of Managed
Care  Solutions,  Inc.  which  the  undersigned  would  be  entitled  to vote if
personally  present  at the  Annual  Meeting of  Stockholders  of  Managed  Care
Solutions,  Inc. to be held on October 10, 1997, and at any adjournment thereof,
as indicated herein.

The shares represented by this proxy will be voted as directed herein, but if no
direction is given, the shares will be voted FOR all nominees listed in Item 1.

    PLEASE      MARK  THIS  PROXY AND SIGN AND DATE IT ON THE  REVERSE  SIDE AND
                RETURN IT IN THE ENCLOSED ENVELOPE.

             (Continued and to be signed on reverse side.)
- --------------------------------------------------------------------------------
<PAGE>

- --------------------------------------------------------------------------------
                        MANAGED CARE SOLUTIONS, INC.

 PLEASE MARK VOTE IN OVAL IN THE FOLLOWING MANNER USING DARK INK ONLY. /X/

[                                                                            ]

The Board of Directors Recommends a Vote "FOR" the Listed Proposal.

                                                                        FOR ALL
                                                    FOR ALL   WITHHOLD   EXCEPT

1. ELECTION OF DIRECTORS-

   Nominees:  Richard C. Jelinek, William G. Brown,
   Risa Lavizzo-Mourey, M.D., Henry M. Kaldenbaugh,
   M.D., John G. Lingenfelter, M.D., James A. Burns   /  /     /  /      /  /

   ------------------------------------------------
   (Except Nominee(s) written above)

2. In their  discretion,  on such other business as may properly come before the
   meeting


                                                Dated:-------------------, 1997

                                    Signature (s)------------------------------

                                      -----------------------------------------
                                      Please  sign  exactly  as  your  name  (or
                                      names)    appears    herein.    Executors,
                                      administrators, trustees and other signing
                                      in  a   representative   capacity   should
                                      indicate  the capacity in which they sign.
                                      Where  there is more than one owner,  each
                                      should sign.
- --------------------------------------------------------------------------------


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