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                                                                    Exhibit 10.8

                             QUALITY CARE SOLUTIONS
                             5030 E. SUNRISE DRIVE
                             PHOENIX, ARIZONA 85044


                               February 8, 2000

Gary G. Gorden
8260 Pecan Grove Circle
Tempe, AZ  85284


Dear Gary:

         We are pleased to offer you the position of Vice President of Sales and
Marketing for Quality Care Solutions, Inc. (the "Company"), reporting directly
to me. This letter serves to set forth the terms of the Company's offer of
employment to you and your compensation and benefits package.

         Your annual base salary will be $160,000. On or before your first
anniversary date you will be entitled to a cash bonus equal to 30% of your
annual base salary. In future years you will be eligible for bonuses on the same
basis and terms as other similarly situated executives of the Company. You will
be entitled to participate in the Company's employee benefit plans on the same
basis and terms as other similarly situated executives of the Company. In
addition, you initially will be granted options to purchase an aggregate of
150,000 shares of the common stock of the Company pursuant to the Company's 1999
Amended and Restated Stock Option Plan. The terms and conditions of these stock
options, including the exercise price per share and the vesting schedule
applicable thereto, shall be set forth in a Stock Option Agreement to be entered
into between you and the Company, a copy of which is attached to this letter as
Exhibit A.

         Your initial term of employment will be for a term of three (3) years
commencing on February 10, 2000. This term may be extended by the mutual written
consent of the parties. If you are terminated by the Company, without "cause,"
during the initial term of your employment as specified above, all of your
options will fully vest and become exercisable upon the termination date, and
you will be entitled to 90 days severance pay if such termination occurs during
the first year of the initial term, and 180 days severance pay if the
termination occurs during the balance of the initial term. You shall be entitled
to no other benefits if you are terminated without "cause." If your title, or
duties commiserate with your title, are changed during the term of this
agreement you may, at your option and if not otherwise notified by the company
under the terms of this letter agreement, consider yourself terminated without
"cause" and would accordingly be entitled to any benefits described in this
agreement for termination without "cause". If you are terminated with "cause,"
you shall be entitled to receive accrued but unpaid salary through the date of
termination, and no other compensation or benefits. Vesting of your options upon
termination for cause will be governed by the terms of the Option Agreement. For
purposes of
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this letter, the term "cause" shall mean (i) conviction of, or entry of a guilty
plea with respect to a felony or any other criminal offense involving
dishonesty, fraud, theft, embezzlement, breach of trust or moral turpitude; (ii)
engaging in any conduct which is materially injurious to the Company, monetarily
or otherwise, or from which you derive an improper material personal benefit; or
(iii) commission of gross malfeasance or intentional failure or refusal to
perform the duties assigned to you and consistent with your position as
described above.

         Upon commencement of your employment with the Company, you will be
requested to sign our standard form of [CONFIDENTIALITY AND NONDISCLOSURE]
Agreement, attached hereto as Exhibit B.

         Upon acceptance of our offer of employment, you acknowledge and agree
that your employment with the Company remains at-will. This means that either
the Company or you may terminate the employment relationship at any time, with
or without notice, for any reason or for no reason at all. Nothing in this offer
letter or in the exhibits to this letter shall change the at-will nature of your
employment.

         Please confirm your acceptance of our offer by signing and returning
the enclosed copy of this letter. We certainly hope that you will decide to join
the Company, and we look forward to working with you.

                                   Sincerely yours,

                                   QUALITY CARE SOLUTIONS, INC.


                                   By: /S/ Gregory S. Anderson
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                                           Gregory S. Anderson
                                           President and CEO



ACCEPTED AND AGREED to this  10  day of  February   2000.
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/s/ Gary G. Gorden
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    Gary G. Gorden