The group's principal activities are to provide management and health care cost containment services to health care insurers and other health service organizations. The group's management and consulting services have been provided to integrated health care delivery systems and other care management organizations. The group provided certain health care cost containment services, including utilization review, case management and disease management and independent reviews to horizon bcbsnj and another blue cross blue shield organization the subsidiaries of the group are careadvantage health systems, inc and contemporary health care management, inc.