EXHIBIT 10.13
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                            STOCK PURCHASE AGREEMENT

                                      among

                            MEDE AMERICA CORPORATION

                                       and

                               THE STOCKHOLDERS OF
                          HEALTHCARE INTERCHANGE, INC.

                           NAMED IN SCHEDULE I HERETO

                          Dated as of October 20, 1998

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                                TABLE OF CONTENTS




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ARTICLE I.  SALE AND TRANSFER OF SHARES; PURCHASE PRICE; CLOSING..................................................1

         SECTION 1.01      Sale and Transfer of Shares............................................................1
         SECTION 1.02      Delivery of Shares and Payment of Purchase Price.......................................1
         SECTION 1.03      Closing................................................................................2

ARTICLE II.  REPRESENTATIONS AND WARRANTIES AS TO THE COMPANY ....................................................2

         SECTION 2.01      Organization, Qualifications and Corporate Power; Subsidiaries.........................2
         SECTION 2.02      Capitalization.........................................................................3
         SECTION 2.03      Financial Statements...................................................................3
         SECTION 2.04      Absence of Undisclosed Liabilities.....................................................4
         SECTION 2.05      Absence of Certain Changes or Events...................................................4
         SECTION 2.06      Consents and Approvals.................................................................5
         SECTION 2.07      Title to Properties, Absence of Liens and Encumbrances.................................5
         SECTION 2.08      List of Properties, Contracts and Other Data...........................................6
         SECTION 2.09      Third-Party Payer and Customer Contracts...............................................7
         SECTION 2.10      Intangible Rights......................................................................7
         SECTION 2.11      Software...............................................................................7
         SECTION 2.12      Litigation, Etc........................................................................8
         SECTION 2.13      Taxes..................................................................................8
         SECTION 2.14      Governmental Authorizations and Regulations...........................................10
         SECTION 2.15      Labor Matters; Employees..............................................................10
         SECTION 2.16      Insurance.............................................................................11
         SECTION 2.17      Use of Real Property..................................................................11
         SECTION 2.18      Condition of Assets...................................................................11
         SECTION 2.19      Employee Benefit Plans................................................................11
         SECTION 2.20      Related Party Transactions............................................................13
         SECTION 2.21      Environmental Matters.................................................................13
         SECTION 2.22      System Capacity.......................................................................13
         SECTION 2.23      Stock and Asset Transfers.............................................................13
         SECTION 2.24      Securities Laws Matters...............................................................14
         SECTION 2.25      Y2K Compliance........................................................................14
         SECTION 2.26      Limit on Employee Obligations.........................................................14




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ARTICLE III.  REPRESENTATIONS AND WARRANTIES OF THE STOCKHOLDERS.................................................15

         SECTION 3.01      Organization, Qualifications and Corporate Power......................................15
         SECTION 3.02      Authorization of Agreements, Etc......................................................15
         SECTION 3.03      Validity..............................................................................15
         SECTION 3.04      Title to Shares.......................................................................15
         SECTION 3.05      Brokers' or Finders' Fees.............................................................16

ARTICLE IV.  REPRESENTATIONS AND WARRANTIES OF THE PURCHASER.....................................................16

         SECTION 4.01      Organization, Power, Etc..............................................................16
         SECTION 4.02      Authorization of Agreements, Etc......................................................16
         SECTION 4.03      Validity..............................................................................16
         SECTION 4.04      Governmental Approvals................................................................17
         SECTION 4.05      Litigation Relating to Transaction....................................................17
         SECTION 4.06      Brokers' or Finders' Fees.............................................................17

ARTICLE V.  COVENANTS............................................................................................17

         SECTION 5.01      Certain Covenants of the Stockholders ................................................17
         SECTION 5.02      Books and Records.....................................................................18
         SECTION 5.03      Preparation of Certain Financial Statements...........................................18
         SECTION 5.04      Certain Tax Matters...................................................................18
         SECTION 5.05      Certain Balance Sheet Transactions....................................................19
         SECTION 5.06      Consents and Approvals................................................................21
         SECTION 5.07      Retention of Employees................................................................21
         SECTION 5.08      Intercare and MTI Dispositions........................................................21
         SECTION 5.09      Employee Bonuses......................................................................21
         SECTION 5.10      Access to Tax and Other Records.......................................................21

ARTICLE VI.  CONDITIONS PRECEDENT................................................................................23

         SECTION 6.01      Conditions Precedent to the Obligations of the Purchaser..............................23
         SECTION 6.02      Conditions Precedent to the Obligations of the Stockholders...........................26

ARTICLE VII.  INDEMNIFICATION....................................................................................26

         SECTION 7.01      Survival of Representations and Warranties; Limitation................................26
         SECTION 7.02      Tax Indemnity.........................................................................27
         SECTION 7.03      General Indemnity by the Stockholders.................................................27



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         SECTION 7.04      General Indemnity by the Purchaser....................................................28
         SECTION 7.05      Third Party Claims....................................................................28
         SECTION 7.06      Procedure.............................................................................29
         SECTION 7.07      Remedies Limited......................................................................29
         SECTION 7.08      Limited Y2K Indemnity.................................................................30

ARTICLE VIII.              TERMINATION AND ABANDONMENT...........................................................31

         SECTION 8.01      Termination...........................................................................31
         SECTION 8.02      Procedure and Effect of Termination...................................................31

ARTICLE IX.                MISCELLANEOUS.........................................................................32

         SECTION 9.01      Expenses, Etc.........................................................................32
         SECTION 9.02      Execution in Counterparts.............................................................32
         SECTION 9.03      Notices...............................................................................32
         SECTION 9.04      Waivers...............................................................................33
         SECTION 9.05      Amendments, Supplements, Etc..........................................................33
         SECTION 9.06      Entire Agreement......................................................................33
         SECTION 9.07      Applicable Law........................................................................33
         SECTION 9.08      Binding Effect; Benefits..............................................................34
         SECTION 9.09      Assignability.........................................................................34
         SECTION 9.10      Pre-Closing Breach....................................................................34



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                         INDEX TO EXHIBITS AND SCHEDULES

Exhibit                            Description

- -------                            -----------
    A                    Escrow Agreement

    B-1                  Amended and Restated Payer Agreement (Right Choice)
    B-2                  Amended and Restated Payer Agreement (General)
    C                    Data Processing Agreement
    D-1                  Form of Employment Agreement
    D-2                  Form of Transition Agreement
    D-3                  Form of Release (Intercare employees hired by PEI)
    D-4                  Form of Release (employees to be terminated)
    D-5                  Form of Release (Intercare employees not hired by PEI)
    D-6                  Form of Release Letter (Kruessel)
    E                    Form of Opinion of Counsel for the Stockholders
    F                    Form of Non-Competition and Confidentiality Agreement
    G                    Non-Competition Agreement (Romer)


Schedule                           Description

- --------                           -----------
I                                  Stockholders
2.01                       Subsidiaries

2.02                       Shares of Capital Stock; Warrants, etc.
2.03                       Financial Statements
2.04                       Absence of Undisclosed Liabilities
2.05                       Changes Since June 30, 1998
2.06                       Consents and Approvals
2.07                       Title, Liens and Related Matters
2.08                       List of Properties, Contracts, Etc.
2.10                       Intangible Rights
2.11                       Software
2.12                       Litigation
2.13                       Tax Matters
2.14                       Regulations and Governmental Authorizations
2.15                       Employees
2.16                       Insurance
2.18                       Condition of Assets
2.19                       Severance and Other Benefits
2.20                       Related Party Transactions
2.25                       Y2K Compliance
5.05(b)                    Certain Payments
5.09                       Employee Bonuses
6.01(e)                    Employees




                                       iv



                            STOCK PURCHASE AGREEMENT

                  STOCK PURCHASE AGREEMENT,  dated as of October 20, 1998, among
MEDE AMERICA CORPORATION,  INC., a Delaware  corporation (the "Purchaser"),  and
the stockholders of Healthcare  Interchange,  Inc., a Missouri  corporation (the
"Company"),  named in  Schedule  I hereto  (hereinafter  sometimes  referred  to
individually as a "Stockholder" and collec tively as the "Stockholders").

                  WHEREAS,  on  the  Closing  Date  (as  defined  herein),   the
Stockholders will own all of the issued and outstanding  shares of capital stock
of the Company, consisting of (i) 35,000 shares (the "A Common Shares") of Class
A Common  Stock,  $1 par value ("A Common  Stock"),  (ii) 35,000  shares (the "B
Common Shares") of Class B Common Stock, $1 par value ("B Common Stock"),  (iii)
20,001 shares (the "C Common  Shares") of Class C Common Stock, $1 par value ("C
Common Stock"), and (iv) 62,500 shares (the "Preferred Shares," and collectively
with the A Common  Shares,  the B Common  Shares  and the C Common  Shares,  the
"Shares") of Convertible  Cumulative  Preferred Stock, $1 par value  ("Preferred
Stock"); and

                  WHEREAS,  the  Stockholders  desire to sell and the  Purchaser
desires to purchase the Shares,  all on the terms and subject to the  conditions
hereinafter set forth;

                  NOW,  THEREFORE,  in  consideration  of the  premises  and the
mutual covenants herein contained, the parties agree as follows:

                                   ARTICLE I.

                          SALE AND TRANSFER OF SHARES;
                             PURCHASE PRICE; CLOSING

                  SECTION  1.01.  Sale and  Transfer  of Shares.  Subject to the
terms and  conditions  set forth  herein,  on the Closing  Date (as  hereinafter
defined) each Stockholder  shall sell to the Purchaser,  and the Purchaser shall
purchase from such Stockholder,  the number of A Common Shares, B Common Shares,
C Common  Shares  and  Preferred  Shares  set  forth  opposite  the name of such
Stockholder in Part B of Schedule I hereto under the headings "A Common Shares,"
"B Common Shares," "C Common Shares" and "Preferred Shares," as applicable.

                  SECTION  1.02.  Delivery  of Shares and  Payment  of  Purchase
Price. (a) On the Closing Date, each Stockholder  shall deliver to the Purchaser
a certificate  or  certificates  in defini tive form,  registered in the name of
such  Stockholder  or accompanied by a stock transfer power duly executed by the
registered  holder of such  certificate and  transferring  the Shares  evidenced
thereby  to  such  Stockholder,   evidencing  the  Shares  being  sold  by  such
Stockholder  hereunder,  duly  endorsed  for  transfer or  accompanied  by stock
transfer powers duly endorsed in blank,  with all requisite stock transfer taxes
paid and stamps affixed.



                  (b) As  payment in full of the  purchase  price for the Shares
and against delivery of the certificates  evidencing the Shares as aforesaid, on
the Closing Date the Purchaser shall:

                  (i)  pay  an  aggregate   $11,200,000   (the   "Initial   Cash
         Consideration") to the Stockholders or as otherwise directed in writing
         by the Stockholders, by wire transfer of immediately available funds in
         the amounts set forth opposite the name of each Stockholder in Schedule
         I hereto under the heading "Cash Paid at Closing;" and

                  (ii) cause $400,000 in cash (the "Escrow Amount," collectively
         with the  Initial  Cash  Consideration,  the  "Purchase  Price")  to be
         deposited in an escrow account  pursuant to an Escrow  Agreement  among
         the  Purchaser,  the  Stockholders  and the Escrow Agent named therein,
         substantially in the form of Exhibit A hereto (the "Escrow Agreement"),
         to secure in part the  indemnification  obligations of the Stockholders
         pursuant to Article VII hereof.

                  SECTION  1.03.  Closing.   The  closing  of  the  transactions
contemplated by this Agreement (the  "Closing")  shall take place at the offices
of Thompson Coburn, One Mercantile Center, St. Louis, Missouri 63101, within two
business days after the  satisfaction or waiver of all conditions to closing set
forth  herein,  or at such  other  place or at such  other  date and time as the
Stockholders  and the  Purchaser  may  mutually  agree (the date and time of the
Closing is herein called the "Closing Date").

                                   ARTICLE II.

                      REPRESENTATIONS AND WARRANTIES AS TO
                                   THE COMPANY

                  The Stockholders  jointly and severally  represent and warrant
to the Purchaser as follows:

                  SECTION  2.01.  Organization,   Qualifications  and  Corporate
Power;  Subsidiaries.  (a) The Company is a corporation  duly  incorporated  and
validly existing under the laws of the State of Missouri and is duly licensed or
qualified as a foreign  corporation in each other juris diction in which it owns
or leases any real  property  or, to the extent the failure to so qualify  would
have a Material  Adverse  Effect  (as  defined  herein),  in which the nature of
business transacted by it makes such licensing or qualification  necessary.  The
Company has the corporate  power and authority,  and the legal right, to own and
operate its properties and to carry on its business as currently conducted.

                  (b) Except as set forth in Schedule  2.01 hereto,  the Company
does not own of  record or  beneficially,  or have any  right or  obligation  to
acquire, directly or indirectly,  (i) any shares of outstanding capital stock or
securities convertible into or exchangeable for capital stock

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of any other corporation or (ii) any participating interests in any partnership,
joint venture or other non-corporate business enterprise.

                  SECTION 2.02. Capitalization. (a) The authorized capital stock
of the Company  consists of (i) 66,250 shares of A Common Stock, of which 35,000
shares are issued and outstanding, fully paid and nonassessable and owned as set
forth in Part A of Schedule I hereto,  (ii) 66,250 shares of B Common Stock,  of
which 35,000 shares are issued and outstanding, fully paid and nonassessable and
owned as set forth in Part A of Schedule I hereto,  (iii) 56,000 shares C Common
Stock,  of which  20,001  shares  are  issued  and  outstanding,  fully paid and
nonassessab  le and owned as set forth in Part A of Schedule I hereto,  and (iv)
62,500  shares of  Preferred  Stock,  of which  62,500  shares  are  issued  and
outstanding,  fully paid and  nonassessable  and owned as set forth in Part A of
Schedule I hereto.  As of the Closing  Date,  all shares of capital stock of the
Company  shall be owned as set forth in Part B of  Schedule I hereto.  Except as
set forth in Schedule  2.02 hereto,  none of the Shares are subject to, nor were
any of them issued in violation of, any preemptive rights of stockholders of the
Company or to any right of first  refusal or other similar right in favor of any
person.

                  (b)  Except  as set  forth in  Schedule  2.02  hereto,  (i) no
subscription,  warrant, option,  convertible security or other right (contingent
or other) to purchase or acquire any shares of any class of capital stock of the
Company are authorized or  outstanding,  (ii) there is not any commitment of the
Company  to issue any  shares,  warrants,  options  or other  such  rights or to
distribute  to  holders  of any  class of its  capital  stock any  evidences  of
indebtedness  or assets and (iii) the Company has no obligation  (contingent  or
other) to purchase,  redeem or otherwise acquire any shares of the capital stock
of the Company or any interest  therein or to pay any dividend or make any other
distribution  in respect  thereof.  At the  Closing,  neither the stock  options
listed or reflected on Schedule 2.02 hereto (or in any other  Schedule  hereto),
nor any right to receive  payment of any sort in respect of such stock  options,
will be outstanding.

                  (c)  Effective  upon  the  consummation  of  the  transactions
contemplated hereby, each of the Stockholders,  by its execution and delivery of
this Agreement,  acknowledges  satisfaction in full of all dividends  payable in
respect of the Preferred  Stock through the Closing Date, and forever waives any
claim, right, title or interest in or to any such dividends not actually paid as
of the Closing Date.

                  SECTION  2.03.  Financial   Statements.   Attached  hereto  as
Schedule 2.03 are the balance sheet of the Company as of June 30, 1998,  and the
related statements of operation,  cash flows and stockholders'  equity (deficit)
for the nine months then ended, including the notes thereto  (collectively,  the
"Financial  Statements").  The Financial Statements (i) are complete and correct
in all material  respects,  (ii) were prepared from the books and records of the
Company in conformity with generally accepted accounting principles applied on a
consistent  basis  (subject to normal  year-end  adjustments)  and (iii)  fairly
present the financial position and stockholders' equity of the Company as of the
dates  specified  therein  and the income and cash  flows for the  periods  then
ended.

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                  SECTION 2.04. Absence of Undisclosed  Liabilities.  Except (i)
as and to the extent reflected in the Financial Statements, (ii) as set forth in
Schedule  2.04  hereto,  or (iii) for  immaterial  trade  payables  and  similar
operating  liabilities  incurred  since June 30, 1998 in the ordi nary course of
business and consistent  with past  practice,  the Company has no liabilities or
obliga  tions  of any  kind  or  nature,  whether  known  or  unknown,  secured,
unsecured,  absolute,  accrued,  contingent or otherwise,  and whether due or to
become due (including  without  limitation any tax  liabilities due or to become
due, or whether incurred in respect of or measured by the assets,  sales, income
or receipts of the Company for any period),  which  liabilities  or  obligations
would be required to be reflected on a balance sheet of the Company  prepared in
accordance with generally accepted accounting principles.

                  SECTION 2.05. Absence of Certain Changes or Events. Since June
30, 1998,  except as otherwise set forth in Schedule 2.05 hereto or as expressly
contemplated by this Agreement, the Company has not:

                  (a)  changed or  amended  its  Articles  of  Incorporation  or
         By-laws;

                  (b)  incurred   any   obligation   or   liability   (fixed  or
         contingent),  except normal trade or business  obligations  incurred in
         the ordinary course of business and consistent with past practice, none
         of which individually or in the aggregate is materially adverse;

                  (c)  discharged  or  satisfied  any  material  lien,  security
         interest,  charge or other encumbrance or paid any material  obligation
         or liability  (fixed or contingent),  other than in the ordinary course
         of business and consistent with past practice;

                  (d)  mortgaged,  pledged or  subjected  to any lien,  security
         interest,  charge or other  encumbrance any of its assets or properties
         (other than Permitted Liens as defined in Section 2.07 below);

                  (e)  transferred,  leased or otherwise  disposed of any of its
         material  assets or properties,  except for fair  consideration  in the
         ordinary  course of business  and  consistent  with past  practice,  or
         acquired  any  material  assets or  properties,  except in the ordinary
         course of business and consistent with past practice;

                  (f) declared,  set aside or paid any distribution  (whether in
         cash,  stock or property or any combination  thereof) in respect of its
         capital  stock,  or redeemed or other wise  acquired any of its capital
         stock or split,  combined or  otherwise  similarly  changed its capital
         stock or  authorized  the creation or issuance of or issued or sold any
         capital stock or any  securities  or  obligations  convertible  into or
         exchangeable  therefor,  or given any person  any right to acquire  any
         capital stock from the Company, or agreed to take any such action;

                                        4



                  (g)  made any  investment  of a  capital  nature,  whether  by
         purchase of stock or  securities,  contributions  to capital,  property
         transfers or otherwise, in any other partner ship, corporation or other
         entity, or purchased any material property or assets;

                  (h) canceled or compromised  any debt or claim,  other than in
         the ordinary course of business consistent with past practice;

                  (i) waived or released any rights of material value, including
         without  limita  tion,  any  Intangible  Rights (as  defined in Section
         2.08(b) below);

                  (j) transferred or granted any rights under or with respect to
         any Intangible  Rights, or permitted any license,  permit or other form
         of authorization relating to an Intangible Right to lapse;

                  (k) made or granted any wage or salary increase  applicable to
         any group or  classification of employees  generally,  entered into any
         employment  contract  with,  or made any loan to, or  entered  into any
         material  transaction of any other nature with, any officer or employee
         of the Company; or

                  (l) suffered any casualty loss or damage  (whether or not such
         loss or damage shall have been covered by  insurance)  which affects in
         any material respect its ability to conduct its business.

                  SECTION 2.06.  Consents and Approvals.  Except as set forth on
Schedule  2.06 hereto,  no order,  authorization,  approval or consent  from, or
filing  with,  (i) any  federal or state  governmental  or public  body or other
authority having jurisdiction over either Stockholder or the Company or (ii) any
third party (including,  without  limitation,  pursuant to any contract to which
the  Company  is a party)  is  necessary  (A) for the  execution,  delivery  and
performance by such  Stockholder of its obligations  under this Agreement or the
Ancillary Agreements (as defined herein), to the extent that such Stockholder is
a party thereto, or the consummation of the transactions  contemplated hereby or
(B) in order that the  business  of the  Company  can be  conducted  immediately
following  the  Closing  Date  substantially  in the same  manner as  heretofore
conducted.

                  SECTION  2.07.  Title to  Properties,  Absence  of  Liens  and
Encumbrances.  Except as set forth in Schedule 2.07 hereto, the Company has, and
will have as of the  Closing  Date,  good and valid  title to all its assets and
properties,  in each  case  free  and  clear  of all  liens,  charges,  security
interests or other encumbrances of any nature  whatsoever,  other than (x) liens
for taxes not yet due, (y) mechanic's, materialman's and similar statutory liens
arising in the ordinary  course of business and which,  in the aggregate,  would
not have a material  adverse  effect on the business,  properties,  prospects or
condition (financial or other) of the Company (a "Material Adverse Effect"),  or
(z) security  interests  securing  indebtedness  not in default for the purchase
price of or lease rental payments on property  purchased or leased under capital
lease arrange-

                                       5



ments in theordinary course of business (the liens, charges,  security interests
and other  encumbrances  described  in  clauses  (x),  (y) and (z)  above  being
referred to herein as "Permitted Liens").

                  SECTION 2.08.  List of  Properties,  Contracts and Other Data.
Annexed hereto as

Schedule 2.08 is a list setting forth the following:

                  (a) a description  of all leases of real or personal  property
         to which the Company is a party, either as lessee or lessor,  including
         a description of the parties to each such lease,  the property to which
         each such lease  relates,  and the rental  term and  monthly (or other)
         rents payable under each such lease;

                  (b) (i) all patents, trademarks and trade names, trademark and
         trade name registrations,  logos, servicemark registrations,  copyright
         registrations,  all applications  pending on the date hereof for patent
         or for trademark,  trade name, servicemark or copy right registrations,
         and all other material  intellectual  property rights (collectively "In
         tangible  Rights") owned by the Company  (specifying  the nature of the
         rights therein), and (ii) all licenses granted by or to the Company and
         all other  agreements  to which the Company is a party that relate,  in
         whole or in part, to any Intangible Rights mentioned in (i) above or to
         other proprietary rights reasonably  necessary to the Company,  whether
         owned by any of the Stockholders or the Company or otherwise;

                  (c)  all  collective  bargaining  agreements,  employment  and
         consulting agree ments,  independent contractor  agreements,  executive
         compensation  plans,  bonus plans,  deferred  compensation  agreements,
         employee  pension plans or retirement  plans,  employee  profit sharing
         plans,  employee  stock  purchase  and stock option  plans,  group life
         insurance,  hospitalization insurance, severance or other similar plans
         or arrangements  maintained for or providing  benefits to employees of,
         or independent contractors or other agents for the Company (in any such
         case, whether oral or written);

                  (d) all contracts,  including without  limitation  guarantees,
         mortgages,  inden tures and loan agreements,  to which the Company is a
         party,  or to which the Company or its assets or  properties is subject
         and which are not specifically  referred to in clauses (a), (b), or (c)
         above,  provided,  however,  that  there  need  not be  listed  in said
         Schedule 2.08 pursuant to this clause (d) any sales  contracts,  supply
         contracts  with  suppliers  and other such  contracts  incurred  in the
         ordinary  course of business and consistent  with past practice,  other
         than any such  contract  which (i) is a  contract  or group of  related
         contracts which exceeds $5,000 in amount,  (ii) contains  warranties by
         the Company in excess of those customary in its business,  (iii) cannot
         be  performed in the normal  course  within 12 months after the Closing
         Date without breach or penalty or (iv) would be terminable or result in
         a penalty or additional  obligation on the part of the Company upon the
         consum mation of the transactions contemplated hereby; and

                  (e) all agreements with third party payers and customers.

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                  Schedule 2.08  indicates,  for each contract  listed  therein,
whether such contract relates to the so-called  "Financial Services" business or
the  so-called  "Intercare"  business (or to both, as the case may be). True and
complete  copies of all documents and complete  descriptions of all binding oral
commitments  (if any)  referred to in said  Schedule  2.08 have been provided or
made available to the Purchaser and/or its counsel.  Except as disclosed in such
Schedule,  all material provisions of the contracts referred to in such Schedule
are valid and  enforceable  obligations  of the Company and, to the knowledge of
the Company and the  Stockholders,  of the other  parties  thereto.  Neither the
Company nor any of the  Stockholders  has been notified of, or is aware that any
basis exists for, any claim that any  contract  referred to in such  Schedule is
not valid and  enforceable  in accordance  with its terms for the periods stated
therein,  or that there is under any such contract any existing default or event
of default or event which with notice or lapse of time or both would  constitute
such a default.

                  The lease for premises at 2452 Centerline  Ind. Dr.,  Maryland
Heights, Missouri 63043 will be validly terminated prior to the Closing Date.

                  SECTION 2.09. Third-Party Payer and Customer Contracts.  Other
than with respect to the  third-party  payers and  customers of HIIT (as defined
herein) or relating to the "Intercare" business,  the Company has not lost since
June 30,  1998,  and neither the  Company nor any of the  Stockholders  has been
notified  that  the  Company  will  lose or  suffer  diminution  in,  and to the
knowledge  of  the  Company  and  the  Stockholders,   no  representative  of  a
third-party  payer or other  customer  has  notified  the  Company or any of the
Stockholders that, in the event of a sale of the Company, the Company would lose
or suffer diminution in, its relationship with any third-party payer(s) or other
customer(s) that, in the aggregate, accounted for more than five percent (5%) of
the revenues of the Company during the nine months ended June 30, 1998.

                  SECTION  2.10.  Intangible  Rights.  Except  as set  forth  in
Schedule  2.10  hereto,  (i) the  Company  has  complied  with  its  contractual
obligations  relating to the protection of such of the Intangible Rights used by
it pursuant to  licenses or other  contracts,  (ii) the Company has the right to
use its Intangible Rights to provide, sell and produce the services provided and
sold  by it and to  conduct  its  business  as  heretofore  conducted,  and  the
consummation of the  transactions  contemplated  hereby will not alter or impair
any  such  Intangible  Rights,  (iii)  all such  Intangible  Rights  are  valid,
enforceable and in good standing,  and no claims have been asserted with respect
to the use by the  Company  of any of the  Intangible  Rights or  otherwise  for
patent,  copyright or trademark  infringement,  and (iv) to the knowledge of the
Company  and the  Stockholders,  no person is  infringing  on or  violating  the
Intangible Rights or know-how used by the Company.

                  SECTION 2.11.  Software.  (a) The  operating and  applications
computer  software  programs and databases used by the Company in the conduct of
its business (other than programs and databases that are generally  commercially
available  for a per unit  license fee of less than $1,000)  (collectively,  the
"Software")  are  described  in  Schedule  2.11  hereto.  Except as set forth in
Schedule  2.11,  the Company owns outright or holds valid licenses to all copies
of the Software  used by it in its  business.  None of the Software  used by the
Company, and no use by the

                                        7



Company thereof,  infringes upon or violates any patent, copyright, trade secret
or other  proprietary  right of any other  person and, to the  knowledge  of the
Company and the Stockhold ers, no claim with respect to any such infringement or
violation is threatened. The Company has taken all steps reasonably necessary to
protect  its  right,  title and  interest  in and to the  Software  owned by the
Company, including, without limitation, the use of written agreements containing
appropriate  confidentiality  provisions with all third parties having access to
the source code relating to the Software.

                  (b) The Company  possesses  or has access to the  original and
all copies of all documentation,  including, without limitation, all source code
for all Software owned by it. Upon consummation of the transactions contemplated
by this  Agreement,  except as set forth in  Schedule  2.11,  the  Company  will
continue  to own all the  Software  owned by it,  free and clear of all  claims,
liens,  encumbrances,  obligations  and  liabilities,  and,  with respect to all
agreements for the lease or license of Software which require  consents or other
actions as a result of the consummation of the transactions contemplated by this
Agreement in order for the Company to continue to use and operate such  Software
after the Closing  Date,  the Company will have  obtained such consents or taken
such other actions so required.

                  (c)  Any  programs,   modifications,   enhancements  or  other
inventions, improve ments, discoveries,  methods or works of authorship included
in the  Software  that were created by employees of the Company were made in the
regular  course  of such  employees'  employment  with  the  Company  using  the
Company's  facilities  and resources  and, as such,  constitute  "works made for
hire."

                  SECTION 2.12. Litigation, Etc. Schedule 2.12 hereto sets forth
a complete  list and an  accurate  description  of all claims,  actions,  suits,
proceedings and  investigations  pending or, to the knowledge of the Company and
the  Stockholders,  threatened,  by  or  against  the  Company  or  any  of  its
properties,  assets, rights or businesses. No such pending or threatened claims,
actions, suits, proceedings or investigations,  if adversely determined,  would,
individually or in the aggregate,  have a Material  Adverse Effect.  Neither the
Company nor any of the Stockholders has any knowledge of any basis for any other
such claim,  action,  suit,  proceeding  or  investigation  which,  if adversely
decided,  would have a Material  Adverse  Effect.  There are no actions,  suits,
proceedings  or claims pending  before or by any court,  arbitrator,  regulatory
authority or government  agency against or affecting any of the  Stockholders or
the Company that might enjoin or prevent the  consummation  of the  transactions
contemplated by this Agreement.

                  SECTION 2.13.  Taxes.

                  (a) Except as set forth in Schedule  2.13 hereto,  the Company
has (i) duly and timely filed all  returns,  declarations,  reports,  estimates,
information  returns and statements  ("Re turns")  required to be filed by it in
respect of any Taxes (as hereinafter  defined),  all of which Returns (including
all  informational  Returns) were correct as filed (or as subsequently  amended)
and  correctly  reflect  the  facts  regarding  the  income,  business,  assets,
operations, activities and

                                        8



status of the Company as well as any Taxes  required to be paid or  collected by
the  Company;  (ii) timely  paid or withheld  all Taxes that are due and payable
with  respect to the  Returns  referred  to in clause  (i);  (iii)  established,
consistent  with past practice,  an adequate  reserve,  if any, on its books and
records  for the  payment of all Taxes with  respect to any  taxable  period (or
portion  thereof) ending on or prior to the Closing Date; and (iv) complied with
all  applicable  laws,  rules  and  regulations  relating  to  the  payment  and
withholding  of Taxes and has timely  withheld from employee wages and paid over
to the proper  governmental  authorities  when due all amounts required to be so
withheld and paid over.

                  For purposes of this Agreement, "Taxes" shall mean (A) any net
income,  alternative or add-on minimum tax, gross income, gross receipts, sales,
use, ad valorem, value added, transfer, franchise, profits, license, withholding
on amounts paid or received,  payroll,  employment,  excise,  severance,  stamp,
occupation,  premium,  property,  environmental or windfall profit taxes, custom
duties or other taxes, governmental fees or other like assessments or charges of
any kind whatsoever,  together with any interest or any penalty, addition to tax
or  additional  amount  imposed  on the  Company by any  governmental  authority
responsible for the imposition of any such taxes (domestic or foreign)  ("Taxing
Authorities"),  (B)  liability  for  the  payment  of any  amounts  of the  type
described in (A) as a result of being a member of an  affiliated,  consolidated,
combined or unitary  group,  or being a party to any  agreement  or  arrangement
whereby  liability  for  payments of such amounts was  determined  or taken into
account with reference to the liability of any other person for any period prior
to the Closing Date and (C) liability with respect to the payment of any amounts
described in (A) as a result of any express or implied  obligation  to indemnify
any other person.

                  (b) Except as set forth in Schedule  2.13 hereto,  no Federal,
state or local income Tax Returns of the Company are being examined or have been
examined by any Taxing Authority.

                  (c) Except as set forth in Schedule  2.13 hereto,  the Company
has never (A)  requested  or received a Tax ruling  (other than a  determination
with  respect to a qualified  employee  benefit  plan) or entered into a legally
binding agreement (such as a closing agreement) with any Taxing Authority, which
ruling or agreement could have an effect on the Taxes of the Company on or after
the Closing Date or (B) filed any election or caused any deemed  election  under
Section 338 of the Code, or any similar state or local provision.

                  (d)  Except  as set  forth in  Schedule  2.13  hereto,  (A) no
extensions  of time have been  granted to the Company to file any Return,  which
Return has not been filed in the time period  permitted  by any such  extension,
(B) no  deficiency or adjustment  for any Taxes has been  proposed,  asserted or
assessed  against the Company,  which deficiency or adjustment has not been paid
in full, and no Federal,  state, local or foreign audits or other administrative
proceedings or court  proceedings  are currently in progress or pending  against
the Company with respect to any Taxes owed by the Company,  and (C) no waiver or
consent extending any statute of limitations for the assessment or collection of
any Taxes owed by the Company, which waiver or consent

                                        9



remains in effect, has been executed by the Company or on behalf of the Company,
nor are any re quests for such waivers or consents pending.

                  (e) Except as set forth in Schedule  2.13 hereto,  the Company
has never (A) been a member of any  consolidated,  combined or unitary group for
Federal,  state,  local or foreign  Tax law  purposes or (B) been a party to any
Tax-sharing or allocation agreement.

                  (f) The Company is not a party to any  agreement,  contract or
arrangement  that  would  result,  by reason of the  consummation  of any of the
transactions contemplated herein, separately or in the aggregate, in the payment
of any "excess  parachute  payment"  within the  meaning of Section  280G of the
Code.

                  SECTION 2.14.  Governmental Authorizations and Regulations.

                  (a) Except as set forth in Schedule  2.14 hereto,  the Company
has all govern mental licenses,  franchises and permits ("Governmental Permits")
required  under  applicable  law for the conduct of its  business  as  currently
conducted.

                  (b) The business of the Company is being conducted in material
compliance with all applicable  laws,  ordinances,  rules and regulations of all
governmental  authorities  relating  to  its  properties  or  applicable  to its
business, including without limitation the terms of all Governmental Permits and
federal  securities  laws.  Neither the Company nor any of the Stock holders has
received any notice of any alleged violation of any of the foregoing.

                  (c) Neither the Company nor any of its properties,  operations
or  businesses  is  subject  to any  court or  administrative  order,  judgment,
injunction or decree. To the knowledge of the Company and the  Stockholders,  no
action  has  been  taken or  recommended  by any  govern  mental  or  regulatory
official,  body or authority,  either to revoke, withdraw or suspend any license
used in the operations of the Company.

                  SECTION  2.15.  Labor  Matters;  Employees.  (a) No collective
bargaining  agreement is applicable  to any employees of the Company.  There are
not any  disputes  between  the  Company  and any of its  employees  that  might
reasonably be expected to have a Material Ad verse  Effect.  To the knowledge of
the  Company and the  Stockholders,  there are not any organi  zational  efforts
presently being made or threatened involving any of such employees.  Neither the
Company nor any of the  Stockholders  has received  notice of any claim that the
Company has failed to comply with any laws relating to employment, including any
provisions thereof relating to wages, hours, collective bargaining,  the payment
of  social  security  and other  payroll  or  similar  taxes,  equal  employment
opportunity,  employment  discrimination  and  employment  safety,  or that  the
Company is liable for any arrears of wages or any taxes or penalties for failure
to comply with any of the foregoing.

                                       10



                  (b) There are no  proceedings  pending or, to the knowledge of
the Company and the Stockholders, threatened before the National Labor Relations
Board with respect to any employees of the Company.  There are no discrimination
charges  (relating to sex, age,  religion,  race,  national  origin,  ethnicity,
handicap or veteran  status)  against the Company  pending before any federal or
state agency or authority.

                  (c) Schedule 2.15 hereto lists all employees of the Company as
of the  date  hereof,  and  indicates  for each  employee  (i)  whether,  to the
knowledge of the Stockholders and the Company, such employee will be employed in
connection with the "Intercare" business following the Closing,  (ii) the salary
now  received  by  such   Employee   and  (iii)  the  total  amount   (including
stay/severance  benefits  and amounts  payable on exercise of any "in the money"
stock options held by such Employee) of all benefits that will be payable to the
Employee  as a result  of the  consum  mation of the  transactions  contemplated
hereby.

                  SECTION  2.16.  Insurance.  All  policies of fire,  liability,
workers'  compensation and other forms of insurance providing insurance coverage
to or for the  Company are listed in  Schedule  2.16  hereto and,  except as set
forth in said  Schedule  2.16,  (i) the  Company is a named  insured  under such
policies,  (ii) all premiums with respect thereto covering all periods up to and
including the Closing Date have been paid and (iii) no notice of cancellation or
termination has been received with respect to any such policy. All such policies
are in full  force and  effect  and will  remain in full force and effect to and
including  the Closing  Date,  and coverage  thereunder  will  continue to be in
effect  immediately after the Closing Date,  without limit as to time, for occur
rences prior to the Closing Date.

                  SECTION 2.17. Use of Real Property. The leased real properties
listed  in  Schedule  2.08  hereto  are  used and  operated  by the  Company  in
compliance and conformity  with all applicable  leases.  Neither the Company nor
any of the  Stockholders  has received notice of any violation of any applicable
zoning or building  regulation,  ordinance or other law,  order,  regulation  or
requirement  relating to the respective real estate  operations or assets of the
Company and, to the knowledge of the Company and the Stockholders,  there are no
such violations.

                  SECTION  2.18.  Condition  of  Assets.  Except as set forth in
Schedule 2.18 hereto,  all tangible  personal  property,  fixtures and equipment
comprising  the assets of the  Company  are in a good state of repair  (ordinary
wear and tear excepted) and operating condition, and are sufficient and adequate
to permit the Company to conduct its business as of the Closing Date.

                  SECTION  2.19.  Employee  Benefit  Plans.  (a)  Schedule  2.08
attached  hereto lists each employee  benefit plan within the meaning of Section
3(3) of the Employee Retirement Income Security Act of 1974 ("ERISA") maintained
by the Company or to which the Company  contributes or is required to contribute
or in which any employee of the Company participates (a "Plan"). The Company has
complied and currently is in compliance in all material respects, both

                                       11



as to form and operation,  with the provisions of ERISA and the Internal Revenue
Code of 1986, as amended (the "Code") applicable to each Plan.

                  (b) Each of the  Plans  which is  intended  to  qualify  under
Section 401(a) of the Code does so qualify and is exempt from taxation  pursuant
to Section  501(a) of the Code,  and the  Company  has  received  favorable  and
unrevoked  determination  letters  from the  Internal  Revenue  Service  to that
effect.

                  (c) The Company  has not  maintained,  contributed  to or been
required to contribute  to, and the employees of the Company do not  participate
in, a "multiemployer  plan" (as defined in Section 3(37) of ERISA) or a "defined
benefit plan" (as defined in Section 3(35) of ERISA).  No amount is due or owing
from the  Company  on  account  of a  multiemployer  plan or on  account  of any
withdrawal therefrom.

                  (d)  Notwithstanding  anything else set forth herein,  neither
the Company nor any of the  Stockholders has incurred any liability with respect
to any Plan under ERISA (in cluding, without limitation,  Title I or Title IV of
ERISA),  the Code or other applicable law, which has not been satisfied in full,
and no event has occurred, and there exists no condition or set of circumstances
which could result in the  imposition of any liability  under ERISA  (including,
without limitation,  Title I or Title IV of ERISA), the Code or other applicable
law with respect to any of the Plans.

                  (e) No Plan,  other than a Plan which is an  employee  pension
benefit  plan  (within  the  meaning  of Section  3(2)(A)  of  ERISA),  provides
benefits,  including  without  limita tion,  death,  health or medical  benefits
(whether or not  insured),  with  respect to current or former  employees of the
Company beyond their retirement or other termination of service with the Company
(other than (i) coverage mandated by applicable law, (ii) deferred  compensation
benefits  accrued as  liabilities  on the books of the Company or (iii) benefits
the  full  cost of which is borne by the  current  or  former  employee  (or his
beneficiary)).

                  (f) Except as otherwise set forth in Schedule 2.19 hereto, the
consummation  of the  transactions  contemplated  by this Agreement will not (i)
entitle  any current or former  employee or officer of the Company to  severance
pay, unemployment compensation or any other payment, or (ii) accelerate the time
of payment or  vesting,  or  increase  the amount of compen  sation due any such
employee or officer.

                  (g)  The  Company  has  provided  to the  Purchaser  true  and
complete  copies of the following,  to the extent each is  applicable,  for each
Plan: (i) the Plan; (ii) summary plan  description of the Plan;  (iii) the trust
agreement,  insurance policy or other instrument  relating to the funding of the
Plan;  (iv) the most recent  Annual  Report (Form 5500 series) and  accompanying
schedule filed with the Internal Revenue Service or United States  Department of
Labor with respect to the Plan; (v) the most recent audited financial  statement
for the Plan;  (vi) the most  recent  actuarial  report  of the Plan;  (vii) the
policy of fiduciary liability insurance (and agreements

                                       12



related  thereto)  maintained in connection  with the Plan;  and (viii) the most
recent  determination letter issued by the Internal Revenue Service with respect
to each of the Plans that is intended  to qualify  under  Section  401(a) of the
Code.

                  SECTION 2.20. Related Party Transactions.  Except as set forth
in  Schedule  2.20 hereto or as  contemplated  by this  Agreement,  there are no
existing  material  arrangements or proposed material  transactions  between the
Company or its  subsidiaries  and (i) any  officer or director of the Company or
its  subsidiaries or any member of the immediate  family of any of the foregoing
persons  (such  officers,   directors  and  family  members  being   hereinafter
individually re ferred to as a "Related Party"), (ii) any business (corporate or
otherwise)  which a Related Party owns,  directly or  indirectly,  or in which a
Related Party has an ownership interest,  or (iii) between any Related Party and
any business (corporate or otherwise) with which the Company or its subsidiaries
regularly does business.

                  SECTION  2.21.  Environmental  Matters.  (a) The Company,  its
business, operations, properties and assets comply in all material respects with
all existing Environmental Laws (as defined below). The Company has not received
notice of violations of any existing  Environmental Law relating to the Company,
its  business  or  operations  or any of its  assets or  properties  that  might
reasonably be expected to have a Material Adverse Effect.

                  (b) For the purposes of this Agreement,  "Environmental  Laws"
shall mean any law, statute, regulation, rule, order, ordinance, consent decree,
settlement agreement or govern mental requirement of any governmental authority,
as in  effect  on the date of this  Agreement,  which  relates  to or  otherwise
imposes liability or standards of conduct concerning the protection or pollution
of the environment,  or community health and safety,  including, but not limited
to the Comprehensive  Environmental  Response Compensation and Liability Act, as
amended,  the Federal  Solid  Waste  Disposal  Act,  as amended by the  Resource
Conservation and Recovery Act and the Hazardous and Solid Waste Amendments,  the
Federal Clean Air Act, the Federal Clean Water Act, the Federal Toxic  Substance
and  Control  Act,  the  Federal  Safe  Drinking  Water Act,  and any similar or
analogous  statute,  regulation,  decisional law,  legally  binding  conditions,
standards,   prohibitions,   requirements  or  judgments  or  any   governmental
authority, as now exist.

                  SECTION 2.22. System Capacity. The computer hardware, Software
and  communications  equipment  now being used by the Company are  sufficient to
accommodate the electronic data interchange and transaction processing currently
performed  by the Company and as  proposed to be  performed  for the next twelve
months (given  reasonably  anticipated  Company  growth and  transaction  volume
absent the transactions contemplated by this Agreement).

                  SECTION 2.23. Stock and Asset  Transfers.  The consummation of
the  transac  tions  contemplated  by  the  "MTI  Transfer  Agreement"  and  the
"Intercare   Transfer  Agreement"  (as  defined  in  Section  5.08  hereof),  as
contemplated  by  Section  5.08  hereof,  will  result in the valid and  legally
binding release  (effective  immediately after the Closing) of the Company,  the
Purchaser and their respective  affiliates,  parents,  subsidiaries,  directors,
officers, employees and

                                       13



agents, from all liabilities and obligations of any nature and howsoever arising
(whether arising before, on or after the Closing Date, whether known or unknown,
secured, unsecured,  absolute, accrued, contingent or otherwise, and whether due
or to become due) to the extent the same relate to the business now conducted by
the Company's  subsidiary,  HII Telemedical  Corp.  ("HIIT"),  and the so-called
"Intercare"  business now being  conducted  by the Company,  other than any such
obligations  that are explicitly set forth either on the "Closing Balance Sheet"
or the "Backup Materials" (as each is defined in Section 5.05 hereof).

                  SECTION 2.24.  Securities  Laws  Matters.  Neither the Company
nor, to the knowledge of the Company and the Stockholders, any person authorized
by the Company or any  Stockholder  as agent,  broker,  dealer or  otherwise  in
connection  with the offering or sale of the Shares,  or any similar  securities
has taken or will take any action  (including  without  limitation  any offer or
sale of any securities under  circumstances  which would require the integration
of such securities with the Common Shares being  transferred by such Stockholder
hereunder under the Securities Act of 1933 (the "Securities  Act"), or the rules
and  regulations of the Securities and Exchange  Commission  (the  "Commission")
thereunder), which would subject such transfer to the registration provisions of
the Securities Act.

                  SECTION 2.25.  Y2K  Compliance.  Anything in this Agreement to
the contrary notwithstanding, the Purchaser acknowledges and agrees that neither
the Company nor the Stockholders have made any representation or warranty to, or
covenant with, the Purchaser  with respect to issues  surrounding  the so called
"Year 2000" or "Y2K"  problem or Y2K  compliance  of any of the Company's or any
Stockholder's equipment,  software, computer hardware or other assets; provided,
however,  that notwithstanding the foregoing,  the Stockholders hereby represent
and warrant that,  except as set forth in Schedule 2.25 hereto,  the Company has
made no agreement  or contract  with or  commitment  to any third party that the
Company's  equipment,  software or computer hardware will be Y2K compliant prior
to December 1, 1999.

                  SECTION  2.26.  Limit  on  Employee   Obligations.   Upon  the
execution and delivery of the "Employment  Agreements,"  "Transition Agreements"
and "Releases" (as defined herein) required by Section 6.01(e), by the employees
listed on Schedule 6.01(e),  after the Closing Date neither the Company, nor the
Purchaser  shall  have any  payment,  severance,  bonus  or  other  compensatory
obligations of any sort whatsoever arising from or relating to the employment of
any employee of the Company or HIIT on or prior to the Closing Date,  except for
(i) the  obligations  of the Purchaser and the Company  listed in the Employment
Agreements,  Transition Agreements and Releases,  (ii) the obligation to provide
credit  for  past  services  in  determining   eligibility  and  status  in  the
Purchaser's  employee benefit plans,  (iii) the obligation to pay salary for the
pay period in which the Closing Date takes place, (iv) reimbursement obligations
for business  expenses  incurred by such  employees and submitted for payment in
accordance  with the Pur  chaser's  policies now in effect and (v) for any other
liabilities  specifically  listed on the  Closing  Balance  Sheet or the  Backup
Materials.

                                       14



                                  ARTICLE III.

                        REPRESENTATIONS AND WARRANTIES OF
                                THE STOCKHOLDERS

                  Each  Stockholder,  severally and not jointly,  represents and
warrants as to itself to the Purchaser as follows:

                  SECTION  3.01.  Organization,   Qualifications  and  Corporate
Power. Such Stockholder has been duly incorporated and is in good standing under
the  laws  of its  jurisdiction  of  incorporation.  Such  Stockholder  has  all
requisite  corporate  power  and  authority  to  execute  and  deliver  (i) this
Agreement,  (ii) the Escrow  Agreement,  (iii) a  Non-Competition  and  Confiden
tiality  Agreement  in the  form  of  Exhibit  F  hereto  (the  "Non-Competition
Agreement"), (iv) in the case of RightCHOICE Managed Care, Inc. ("RightCHOICE"),
an Amended and Restated  Payer  Agreement in the form of Exhibit B-1 hereto (the
"RightCHOICE  Payer  Agreement") and a Data Processing  Agreement in the form of
Exhibit  C hereto  (the  "Data  Processing  Agreement"),  and (v) in the case of
General  American Life Insurance  Company  ("General"),  an Amended and Restated
Payer  Agreement  in  the  form  of  Exhibit  B-2  hereto  (the  "General  Payer
Agreement," and  collectively  with the Escrow  Agreement,  the  Non-Competition
Agreement,  the RightCHOICE  Payer Agreement and the Data Processing  Agreement,
the  "Ancillary  Agreements"),  and to perform  its  obligations  hereunder  and
thereunder.

                  SECTION 3.02. Authorization of Agreements,  Etc. The execution
and delivery by such Stockholder of this Agreement and the Ancillary  Agreements
to  which  it is a  party,  and  the  performance  by  such  Stockholder  of its
obligations hereunder and thereunder, have been duly authorized by all requisite
corporate action and will not (x) violate any provision of law, any order of any
court or other agency of government, the charter or By-laws of such Stockholder,
or any judgment,  award or decree to which such  Stockholder  is a party,  or by
which such  Stockholder  or any of such  Stockholder's  properties  or assets is
bound or  affected  or (y) result in the  creation  or  imposition  of any lien,
charge or encumbrance of any nature whatsoever upon any of the Shares.

                  SECTION 3.03. Validity.  This Agreement has been duly executed
and delivered by such  Stockholder and constitutes the legal,  valid and binding
obligations  of  such  Stockholder,  enforceable  against  such  Stockholder  in
accordance with its terms. Each of the Ancillary  Agreements,  when executed and
delivered by such Stockholder (if a party thereto) as contem plated hereby, will
constitute  the  legal,  valid  and  binding  obligation  of  such  Stockholder,
enforceable against such Stockholder in accordance with its terms.

                  SECTION 3.04. Title to Shares.  Such Stockholder is the lawful
holder of record and beneficial owner of the number of Shares set forth opposite
the name of such Stockholder in Schedule I to this Agreement,  in each case free
and clear of any and all pledges,  security interests,  liens,  charges or other
encumbrances of any nature whatsoever. The delivery by such

                                       15



Stockholder of certificates or instruments and agreements  evidencing the number
of Shares set forth  opposite the name of such  Stockholder  as aforesaid,  duly
endorsed for transfer or accompanied  by stock transfer  powers duly endorsed in
blank, to the Purchaser pursuant to Section 1.02(a) above, against payment or in
exchange for such Shares pursuant to Section 1.02(b) above,  will transfer valid
title to said Shares to the  Purchaser,  free and clear of any and all  pledges,
security  interests,   liens,  charges  or  other  encumbrances  of  any  nature
whatsoever.

                  SECTION  3.05.  Brokers' or Finders'  Fees.  All  negotiations
relative to this Agreement and the  transactions  contemplated  hereby have been
carried out  directly  with the  Purchaser or through the  Stockholders'  agent,
Jefferies & Company,  Inc. (whose fees and expenses shall be borne solely by the
Stockholders),  without the  intervention of any person on behalf of the Company
or the  Stockholders  in such  manner as to give rise to any claim by any person
against  the  Purchaser  for a finder's  fee,  brokerage  commission  or similar
payment.

                                   ARTICLE IV.

                 REPRESENTATIONS AND WARRANTIES OF THE PURCHASER

                  The Purchaser  represents and warrants to the  Stockholders as
follows:

                  SECTION  4.01.  Organization,  Power,  Etc. The Purchaser is a
corporation duly organized, validly existing and in good standing under the laws
of the State of Delaware.  The Purchaser has full corporate  power and authority
to execute and deliver this  Agreement and the Ancillary  Agreements to which it
is a party, and to perform its obligations hereunder and thereun der.

                  SECTION 4.02. Authorization of Agreements,  Etc. The execution
and delivery by the Purchaser of this Agreement and the Ancillary  Agreements to
which it is a party,  and the  performance  by the Purchaser of its  obligations
hereunder and thereunder,  have been duly authorized by all requisite  corporate
action on the part of the  Purchaser  and will not (x) violate any  provision of
law,  any order of any court or other  agency of  government,  the  Amended  and
Restated Certificate of Incorporation or By-laws of the Purchaser, any judgment,
award or decree or any  indenture,  agreement or other  instrument  to which the
Purchaser is a party, or by which it or any of its properties or assets is bound
or affected;  (y) conflict with,  result in a breach of or constitute  (with due
notice or lapse of time or both) a default under any such indenture,  agree ment
or other  instrument;  or (z) result in the creation or  imposition of any lien,
charge or  encumbrance  of any nature  whatsoever  upon any of the properties or
assets of the Purchaser.

                  SECTION 4.03. Validity.  This Agreement has been duly executed
and  delivered by the  Purchaser and  constitutes  the legal,  valid and binding
obligations of the  Purchaser,  enforce able against the Purchaser in accordance
with its terms. Each of the Ancillary Agreements, when executed and delivered by
the Purchaser (if a party thereto) as contemplated hereby,

                                       16



will  constitute  the legal,  valid and  binding  obligation  of the  Purchaser,
enforceable against the Purchaser in accordance with its terms.

                  SECTION 4.04. Governmental Approvals. No order, authorization,
approval or consent from, or filing with, any federal or state  governmental  or
public  body or  other  authority  having  jurisdiction  over the  Purchaser  is
necessary for the  execution,  delivery and  performance by the Purchaser of its
obligations under this Agreement or the Ancillary Agreements (to the extent that
the Purchaser is a party thereto).

                  SECTION 4.05. Litigation Relating to Transaction. There are no
actions,  suits,  proceedings or claims pending before any court,  arbitrator or
government  agency  against or  affecting  the  Purchaser  which might enjoin or
prevent the consummation of the  transactions  contemplated by this Agreement or
the Ancillary Agreements.

                  SECTION  4.06.  Brokers' or Finders'  Fees.  All  negotiations
relative to this Agreement and the  transactions  contemplated  hereby have been
carried  out by the  Purchaser  directly  with  the  Stockholders,  without  the
intervention  of any person on behalf of the Purchaser in such manner as to give
rise to any claim by any person  against the  Stockholders  for a finder's  fee,
brokerage commission or similar payment.

                                   ARTICLE V.

                                    COVENANTS

                  SECTION  5.01.  Certain  Covenants  of the  Stockholders.  (a)
During the period  from the date of this  Agreement  to the  Closing  Date,  the
Stockholders  will cause the  Company to conduct  its  business  and  operations
according to its ordinary  course of business  consistent with past practice and
use its best efforts (i) to preserve its relationships  with business  partners,
employees and customers,  (ii) to maintain the contracts with third-party payers
and customers in full force and effect in accordance  with their terms and (iii)
to ensure that the Company  will  continue to provide its services to such third
party payers and  customers.  Without  limiting the generality of the foregoing,
except as  otherwise  expressly  contemplated  by this  Agreement,  prior to the
Closing  Date,  without  the  prior  written  consent  of  the  Purchaser,   the
Stockholders  will  cause  the  Company  not to do any of the  things  listed in
paragraphs (a) through (k) of Section 2.05 above.

                  (b) Upon prior  notice and at  reasonable  times,  between the
date hereof and the Closing Date, the  Stockholders  shall,  and shall cause the
Company  to,  provide  access  to  repre  sentatives  of  the  Purchaser  to the
financial,  accounting and legal records of the Company, and to key employees of
the Company  designated by the Purchaser,  and, in connection  therewith,  shall
permit representatives of the Purchaser to visit the premises of the Company.

Such activities 

                                       17



shall be  performed,  so far as is reasonably  possible,  in such a manner as to
avoid disruption of normal operations.

                  (c)  Between  the  date  hereof  and  the  Closing  Date,  the
Stockholders  shall cause the Company not to, except as required by consistently
applied accounting  methods,  (A) utilize accounting  principles  different from
those used in the  preparation  of the financial  statements as of June 30, 1998
referred to in Section  2.03 above,  (B) change in any manner its method of main
taining its books of account and records  from such methods as in effect on June
30,  1998,  or (C)  accelerate  booking of revenues or the deferral of expenses,
other than as shall be consistent  with past practice and in the ordinary course
of business.

                  (d)  Between  the  date  hereof  and  the  Closing  Date,  the
Stockholders  shall not,  and shall  cause the  Company  not to,  enter into any
transaction,  make any  agreement or commit ment, or take any action which would
result  in  any  of  the   representations,   warranties  or  covenants  of  the
Stockholders contained in this Agreement not being true and correct at and as of
the time immediately after the occurrence of such transaction, event or action.

                  SECTION 5.02.  Books and Records.  Promptly  after the Closing
Date, the  Stockholders  shall deliver to the Purchaser or the Company all books
and records used in the  operation of the business of the Company and all files,
documents,  papers, agreements, books of account and other records pertaining to
the business of the Company, to the extent that such books,  records,  files and
other materials are not located at the offices of the Company.

                  SECTION 5.03. Preparation of Certain Financial Statements. (a)
After the Closing and at no cost to the  Stockholders,  the  Stockholders  shall
provide  the  Company's  auditors  with all  financial  information,  other than
information  held by the Company,  and data  reasonably  necessary to enable its
independent  accountants to prepare and review an audited  consolidated  balance
sheet of the Company as of June 30, 1999 and the related  statements  of income,
stockhol ders' equity and cash flows for the year then ended.

                  (b) The  Stockholders  agree that, if requested by the Company
as being necessary to prepare the audited  financial  statements as contemplated
by Section  5.03(a)  hereof,  the  Stockholders  shall  provide to the Company's
auditors a management  representation  letter in a form reasonably acceptable to
such auditors covering the period referred to above.

                  SECTION 5.04.  Certain Tax Matters.

                  (a) Transfer Taxes. All stamp,  transfer,  sales and use Taxes
imposed  upon or incurred by any of the parties  hereto in  connection  with the
transfer of the Shares to the Purchaser under this Agreement,  and any legal and
other  expenses  relating  thereto,  shall  be borne  by the  Stockholders.  The
Stockholders  shall,  at their own expense,  prepare and file all  necessary Tax
Returns and other documents with respect to all such stamp, transfer,  sales and
use Taxes.

                                       18



                  (b) Tax Returns.  The Purchaser shall prepare and file all Tax
Returns  of the  Company  that have not yet been  filed.  Before  filing any Tax
Returns  relating  in whole or in part to the any  period  prior to the  Closing
Date, the Purchaser shall deliver a copy of such Tax Returns to the Stockholders
for their  review and  approval  (which  will not be  unreasonably  withheld  or
delayed). The Purchaser shall make any changes requested by the Stockholders and
reasonably  acceptable to the  Purchaser.  For all Tax Returns  relating both to
periods  before and after the Closing  Date,  all  reasonable  fees and expenses
relating to the  preparation  of such returns shall be  apportioned  between the
Stockholders,  on the one hand, and the Company and the Purchaser,  on the other
hand,  on the basis set forth in paragraph  (c) below.  The  Stockholders  shall
provide the Purchaser  with all  reasonable  assistance  required to prepare and
file such Tax Returns.  The Stockholders shall be responsible for, and shall pay
all  Taxes  shown on such Tax  Returns  that  relate to any Tax  period  (or any
portion  thereof)  ending on or before the close of business on the Closing Date
(a "Prior Tax Period").  The Purchaser shall be responsible  for, and shall pay,
any such Taxes for which the Stockholders are not responsible.

                  (c) Straddle Periods. Subject to Section 5.04(b), with respect
to any Tax period that  straddles the Closing  Date,  (i) the portion of any Tax
based on income,  profits or revenue that is  attributable to a Prior Tax Period
shall be determined based on a closing of the Company's books as of the close of
business on the Closing Date and (ii) the portion of any other Tax  attributable
to a Prior Tax Period will be determined by  multiplying  the amount of such Tax
by a  fraction,  the  numerator  of which shall equal the number of days in such
Prior Tax Period up to and  including  the Closing Date and the  denominator  of
which shall equal the total number of days in such Tax period.

                  (d) Tax Disputes.  In the event that the Stockholders  dispute
their  responsi  bility for any Tax under this Section  5.04,  the  Stockholders
shall not be relieved of their  obligation  to pay, in the first  instance,  the
amount of such Tax. If, within 15 days of the payment by the Stockholders of the
disputed  Tax, the  Stockholders,  on the one hand,  and the  Purchaser,  on the
other, are unable to resolve the dispute among  themselves,  they shall select a
nationally  recog nized  financial  accounting firm and shall give such firm the
authority to resolve the dispute in its sole discretion.

                  SECTION 5.05.  Certain Balance Sheet Transactions.

                  (a) Prior to or on the Closing Date,  the  Stockholders  shall
cause the Company (or direct the Purchaser to disburse a portion of the Purchase
Price) to repay all  indebtedness of the Company for borrowed money, and to take
such  actions  as  may  be  necessary  or  appropriate  to  release  all  liens,
encumbrances, mortgages and security interests securing such indebtedness.

                  (b) On or prior to the Closing Date,  the  Stockholders  shall
cause the Company to take such  actions as may be necessary to cause (i) the Net
Working  Capital of the Company to be at least $1 on the  Closing  Date and (ii)
the Tangible Net Worth of the Company on the Closing Date

                                       19



to be  at  least  $425,000,  in  each  case  after  giving  effect  to  (i)  the
transactions  contemplated  by the MTI  Transfer  Agreement  and  the  Intercare
Transfer  Agreement  and (ii) the payments  listed on Schedule  5.05(b)  hereof;
provided,  however,  that the Net Working  Capital and Tangible Net Worth may be
reduced  below such  amounts by the amount  payable to KPMG Peat  Marwick LLP in
connection  with its audit of the  Company as of and for the nine  months  ended
June 30, 1998; provided, further, however, that such amount so payable shall not
exceed $30,000.  For purposes hereof,  "Net Working Capital" shall be calculated
by subtracting the sum of the Company's current  liabilities from the sum of the
Company's  "cash,"  "accounts  receivable"  (excluding,  however,  any  accounts
receivable  arising  from the  Company's  "Intercare"  business and the business
conducted by HIIT (collectively,  the "Excluded  Receivables")),  "deposits" and
"prepaids,"  in each case deter  mined in  accordance  with  generally  accepted
accounting  principles  consistently applied and (to the extent not inconsistent
with GAAP) in a manner consistent with that used by the Company in preparing the
Financial Statements.  For purposes hereof, "Tangible Net Worth" means the total
assets of the Company (excluding,  however,  any Excluded  Receivables) less the
value of capitalized  software,  goodwill,  other intangible assets and less all
liabilities,  in each case  determined in  accordance  with  generally  accepted
accounting  principles  consistently applied and (to the extent not inconsistent
with GAAP) in a manner consistent with that used by the Company in preparing the
Financial Statements.

                  (c) On the Closing Date, the Stockholders shall deliver to the
Purchaser  a  balance  sheet  (the  "Closing  Balance  Sheet")  of the  Company,
unaudited but certified by the Company's chief executive officer, reflecting (in
accordance with paragraphs (a) and (b) above) the repayment of indebtedness  and
the revised Net Working  Capital and Tangible Net Worth of the Company as of the
Closing Date,  and also  reflecting  the  transactions  contemplated  by the MTI
Transfer   Agreement  and  the  Intercare   Transfer  Agreement  (and  otherwise
reflecting no material  changes to the  Company's  audited June 30, 1998 balance
sheet other than those  described in Schedule 2.04 hereto).  For all purposes of
this  Agreement,  the  Closing  Balance  Sheet shall be deemed to be part of the
Financial  Statements  (without limiting the foregoing,  the representations and
warranties made by the  Stockholders  regarding the Financial  Statements  shall
apply to the Closing Balance Sheet).  The Stockholders shall also deliver to the
Purchaser  such  supporting  materials  (collectively,  the "Backup  Materials")
relating to the Closing  Balance Sheet as the Purchaser may reasonably  request,
including without  limitation  worksheets of all accounts receiv able,  accounts
payable  and  accrued  but unpaid  expenses  that are  reflected  on the Closing
Balance Sheet.

                  (d)  Notwithstanding  any  policy  of  the  Purchaser  to  the
contrary,  the  Purchaser  agrees to cause the Company to pay all accrued  sales
commissions set forth in the Backup Materials as and when due in accordance with
the Company's  policies prior to the Closing Date, whether or not such employees
are then employed by the Purchaser or the Company.

                  (e)  The  Purchaser   agrees  that,  in  connection  with  the
transactions  contemplated  by the  Intercare  Transfer  Agreement  and  the MTI
Transfer Agreement, the Company will surrender

                                       20



all right, title and interest in and to the Excluded  Receivables.  In the event
that,  after the Closing Date,  the Company shall receive any amounts in payment
of the  Excluded  Receivables,  the  Purchaser  shall cause the Company to remit
one-half  of any such  amount to each  Stockholder  (with the  result  that such
amount shall be remitted in full to the Stockholders). Such remittances shall be
made in a reasonably commercially prompt manner.

                  SECTION 5.06. Consents and Approvals.  Between the date hereof
and the Closing Date, the  Stockholders  shall,  and shall cause the Company to,
use their  respective  best efforts to make the filings and procure the consents
and approvals listed on Schedule 2.06 hereto.

                  SECTION  5.07.  Retention  of  Employees.  Effective as of the
Closing Date,  the Purchaser  will offer  employment to certain  employees  (the
"Retained  Employees")  of the  Company  principally  engaged in the  "Financial
Services"  business.  The Retained  Employees  will be employed on the terms set
forth in the  "Employment  Agreements"  referred  to in Section  6.01(e)  below.
Effective as of the Closing Date, the Purchaser will offer employment to certain
other  employees (the  "Transitional  Employees")  on a  transitional  basis for
periods  of time up to one  year,  on the  terms  set  forth in the  "Transition
Agreements" referred to in Section 6.01(e) below.

                  SECTION 5.08. Intercare and MTI Dispositions. Between the date
hereof and the Closing Date, the Stockholders shall, and shall cause the Company
to, use their best efforts to execute and deliver  agreements  transferring from
the Company all operations and liabilities relating to the business conducted by
HIIT  (such  agreements  being  collectively  referred  to as the "MTI  Transfer
Agreement")  and the  so-called  "Intercare"  business  being  conducted  by the
Company  (such  agreements  being  collectively  referred  to as the  "Intercare
Transfer  Agreement").  Among other things, the Intercare Transfer Agreement and
the MTI Transfer Agreement shall provide (in terms satisfactory to the Purchaser
and its  counsel)  that  after  the  Closing  Date  the  Company  shall  have no
obligations  or  liabilities of any sort relating to the businesses so disposed,
other than any such  obligations  that are  explicitly  set forth  either on the
Closing  Balance  Sheet  or  the  Backup  Materials.   In  connection  with  the
transactions  contemplated by the Intercare  Transfer  Agreement,  the Purchaser
agrees to negotiate in good faith with the  proposed  acquiror of the  Intercare
business the terms of any short-term transitional service agreements that may be
required by such acquiror after the Closing Date.

                  SECTION  5.09.  Employee  Bonuses.  On the Closing  Date,  the
Stockholders  will  cause a  portion  of the  Purchase  Price  to be paid to the
Company  for the purpose of  enabling  the Company to pay (and the  Stockholders
shall  cause the  Company to pay) to each of the  employees  of the  Company set
forth on Schedule 5.09 hereto, a bonus in the amount set forth opposite the name
of such employee.

                                       21



                  SECTION 5.10.  Access to Tax and Other Records.

                  (a) After the  Closing  Date,  if and to the  extent  that the
Purchaser  has  asserted a claim for Damages  under  Article VII hereof,  or any
other  third  party has  asserted a claim  against  either the Company or either
Stockholder  with  respect to any act or omission  alleged to have been taken or
omitted by the Company on or prior to the Closing Date, then upon the request of
either  Stockholder  the Purchaser  shall (i) grant to such  Stockholder and its
representatives the right, during normal business hours, to inspect and copy the
books,  records and other  documents  of the  Company and (ii) use  commercially
reasonable efforts to cause the Company's auditors to permit such Stockholder to
inspect and copy worksheets and other information  pertaining to the Company and
its financial  statements,  in each case as reasonably  necessary to defend such
Stockholder against any such claim. In connection with any such inspection,  the
Stockholder  making  such  inspection  shall  reimburse  the  Purchaser's,   the
Company's  and the  auditors'  (as the  case  may be)  reasonable  out-of-pocket
expenses only.

                  (b) After the Closing Date,  in  connection  with any claim or
investigation  by the  Internal  Revenue  Service  or any state or local  taxing
authority with respect to (i) the Company, for any periods ending on or prior to
the Closing Date, or (ii) the transactions  contemplated by this Agreement,  the
Purchaser shall cause the Company to make available to either Stockholder access
to appropriate  employees,  agents and  representatives of the Company,  in each
case as  reasonably  necessary  to defend  itself  against  any such claim or to
represent  itself  in  any  such  investigation.   Any  out-of-pocket   expenses
reasonably  and actually  incurred by the  Purchaser or the Company in complying
with the  provisions  of this  paragraph  (b) shall be borne by the  Stockholder
requesting such assistance.

                  (c) The Purchaser  shall, and shall cause the Company to, keep
and maintain all their tax books,  records and other tax information  pertaining
to the Company for all tax periods  ending on or prior to the Closing Date for a
period of six (6) years after the Closing Date, and thereafter  shall (and shall
cause the Company to) offer such tax  information to the  Stockholders  prior to
the disposal thereof.

                  (d) To the extent that either Stockholder requests information
pursuant to this Section  5.10,  such  Stockholder  shall keep such  information
confidential  as  though  it were  "Confidential  Information,"  as such term is
defined   in   the   Non-Competition   Agreement;    provided,   however,   that
notwithstanding the terms of the Non-Competition Agreement, such Stockholder may
use  such  information  for  its own  benefit  in  connection  with  the  claim,
investigation  or  proceeding  giving  rise to such  Stockholder's  request  for
information.  Notwithstanding  the provisions of this Section 5.10, in the event
that  Purchaser  is  advised  in  writing  by its  outside  legal  counsel  that
disclosure of any  information  hereunder  would destroy or compromise a legally
accepted privilege against disclosure  (including without limitation  privileges
relating to  attorney-client  communications  or attorney  work  products),  the
Purchaser and the Company shall not be obligated to disclose such information.

                                       22



                                   ARTICLE VI.

                              CONDITIONS PRECEDENT

                  SECTION 6.01.  Conditions  Precedent to the Obligations of the
Purchaser.  The  obligation  of the  Purchaser to  consummate  the  transactions
contemplated  by this Agreement is subject,  at the option of the Purchaser,  to
the  satisfaction  at or  prior  to the  Closing  Date of each of the  following
conditions:

                  (a)   Accuracy  of   Representations   and   Warranties.   The
representations  and warranties of each Stockholder  contained in this Agreement
or in any  certificate or document  delivered to the Purchaser  pursuant  hereto
shall be true and correct on and as of the Closing Date as though made at and as
of that date, and each  Stockholder  shall have so certified to the Purchaser in
writing.

                  (b) Compliance with  Covenants.  Each  Stockholder  shall have
performed  and complied in all  material  respects  with all terms,  agreements,
covenants and  conditions of this  Agreement to be performed or complied with by
it at or prior to the Closing Date, and each Stockholder shall have so certified
to the Purchaser in writing.

                  (c) Balance Sheet  Adjustments.  The  Stockholders  shall have
made (or  caused  the  Company  to make)  the  payments,  and  delivered  to the
Purchaser the Closing  Balance  Sheet,  contemplated  by and in accordance  with
Sections 5.05 and 5.09 hereof.  Such  adjustments,  and the form of such balance
sheet after giving effect to such adjustments, shall be reasonably acceptable to
the Purchaser.

                  (d) Indebtedness  for Borrowed Money.  The Stockholders  shall
have caused the Company to repay all  indebtedness for borrowed money, and shall
have caused all liens, encumbrances, mortgages and security interests in respect
thereof to be  released.  The  Stockhold  ers shall have  caused the  Company to
deliver  to the  Purchaser  evidence  of such  repayments  and  releases,  which
evidence shall be reasonably satisfactory to the Purchaser and its counsel.

                  (e) Employment  Arrangements.  Each of the Retained  Employees
listed on Schedule  6.01(e)  hereto  shall have  executed  and  delivered to the
Company and the  Purchaser  an  Employment  Agreement in the form of Exhibit D-1
hereto  (collectively,  the "Employment  Agreements").  Each of the Transitional
Employees listed on Schedule 6.01(e) hereto shall have executed and delivered to
the Company and the Purchaser a Transition  Agreement in the form of Exhibit D-2
hereto (collectively,  the "Transition Agreements"). Each of the other employees
of the Company or HIIT shall have  executed and delivered to the Company and the
Purchaser a Release in the form of either Exhibit D-3, Exhibit D-4, Exhibit D-5,
or Exhibit D-6 hereto (collectively,  the "Releases"),  as specified by Schedule
6.01(e).

                                       23



                  (f) All Proceedings To Be Satisfactory.  All proceedings to be
taken by the Company and the  Stockholders in connection  with the  transactions
contemplated  hereby and all  documents  incident  thereto  shall be  reasonably
satisfactory  in form and substance to the  Purchaser  and its counsel,  and the
Purchaser and said counsel shall have received all such  counterpart  origi nals
or certified or other copies of such documents as they may reasonably request.

                  (g) No Material  Adverse  Change.  Except as  disclosed on the
Schedules to this  Agreement,  there shall not have occurred since June 30, 1998
any  material  adverse  change  (i) in the  financial  condition  or  results of
operations of the business of the Company or (ii) in the capacity of the Company
to conduct such business in a manner consistent with past practice.

                  (h) Opinion of Counsel.  The Purchaser shall have received the
opinion of Thompson Coburn,  counsel to the  Stockholders,  in substantially the
form of Exhibit E hereto.

                  (i)  Consents and  Approvals.  All  authorizations,  consents,
waivers and  approvals  set forth in Schedule  2.06 hereto  shall have been duly
obtained  and  shall be in form and  substance  reasonably  satisfactory  to the
Purchaser and its counsel.

                  (j)  Legal  Actions  or   Proceedings.   No  legal  action  or
proceeding  shall  have  been  instituted  by any  party  or  threatened  by any
governmental  department,  agency  or  authority,  in  either  case  seeking  to
restrain,  prohibit,  invalidate  or otherwise  affect the  consummation  of the
transactions  contemplated  hereby or which would, if adversely decided,  have a
Material Adverse Effect.

                  (k) Ancillary  Agreements.  The Stockholders,  the Company and
the Escrow Agent shall have executed and  delivered the Ancillary  Agreements to
which each of them is a party,  and the  Ancillary  Agreements  shall be in full
force and effect with respect to each of them.

                  (l) MTI Transfer Agreement and Intercare  Transfer  Agreement.
The MTI Transfer  Agreement  and the Intercare  Transfer  Agreement (in form and
substance  satisfactory  to the  Purchaser  and its counsel)  shall be have been
executed and  delivered by all parties  thereto,  all  conditions to closing set
forth therein shall have been  satisfied,  and such  agreements  shall have been
consummated in accordance with their respective terms.

                  (m)  Intercare  Switching  Agreement.   The  Company  and  the
acquiror  of the  Intercare  business  shall  have  executed  and  delivered  an
Intercare Switching Agreement on mutually agreeable terms.

                  (n) Resignations.  The Purchaser shall have received from each
person who is,  immediately  prior to the Closing Date, a director or officer of
the Company, his or her written  resignation,  effective as of the Closing Date,
from such position.

                                       24



                  (o) Supporting Documents. On or prior to the Closing Date, the
Purchaser and its counsel shall have received copies of the following supporting
documents:

                  (i) (A) the charter  documents  of the Company and each of the
         Stockholders certified as of a recent date by the Secretary of State of
         such corporation's  jurisdiction of incorporation and (B) a certificate
         of such  Secretary  of  State  as to the  due  incorporation  and  good
         standing  of the Company or such  Stockholder,  as the case may be, and
         listing all documents on file with said official;

                  (ii) a certificate of the Secretary or an Assistant  Secretary
         of the Company and each of the Stockholders, dated the Closing Date and
         certifying (A) that attached thereto is a true and complete copy of the
         By-laws of the Company or such  Stockholder,  as the case may be, as in
         effect on the date of such  certification;  (B) that the charter of the
         Company or such Stockholder,  as the case may be, have not been amended
         since the date of the last  amendment  referred  to in the  certificate
         delivered  pursuant  to clause  (i)(B)  above;  (C) in the case of each
         Stockholder,  that attached  thereto is a true and complete copy of the
         resolutions  adopted  by  the  Board  of  Directors  or  an  authorized
         committee of the Board of Directors  of such  Stockholder,  authorizing
         the  execution,  delivery and  performance  of this  Agreement  and the
         Ancillary  Agreements;  and (D) as to the incum bency and  signature of
         each officer of the Company or such  Stockholder  that is executing any
         Ancillary  Agreement  or other  certificate  or document  delivered  in
         connection with the Closing; and

                  (iii) such additional supporting documents as the Purchaser or
         its counsel may rea sonably request.

All such documents  shall be satisfactory in form and substance to the Purchaser
and its counsel.

                  (p) Non-Competition  Agreement. John Romer shall have executed
and delivered a Non-Competition Agreement substantially in the form of Exhibit G
hereto, and the same shall be in full force and effect.

                  (q)  Settlement  of  Litigation.   The  lawsuit  described  on
Schedule 2.12 hereto shall have been settled and dismissed with  prejudice.  The
terms of such settlement shall be satisfactory to the Purchaser and its counsel.

                  (r)  Financing.  The Purchaser  shall have obtained  financing
from  Bank of  America  NT&SA in an  amount  sufficient  to enable it to pay the
Purchase Price.

                                       25



                  SECTION 6.02.  Conditions  Precedent to the Obligations of the
Stockholders.  The  obligations  of the  Stockholders  under this  Agreement are
subject,  at the option of the Stockholders,  to the satisfaction at or prior to
the Closing Date of each of the following condi tions:

                  (a)   Accuracy  of   Representations   and   Warranties.   The
representations  and warranties of the Purchaser  contained in this Agreement or
in any  certificate or document  delivered to the  Stockholders  pursuant hereto
shall be true and correct on and as of the Closing Date as though made at and as
of that date.

                  (b)  Compliance  with  Covenants.  The  Purchaser  shall  have
performed  and complied in all  material  respects  with all terms,  agreements,
covenants and  conditions of this  Agreement to be performed or complied with by
it at or prior to the Closing Date.

                  (c) All Proceedings to Be Satisfactory.  All proceedings to be
taken by the Purchaser in connection with the transactions  contemplated  hereby
and all documents incident thereto shall be reasonably  satisfactory in form and
substance to the Stockholders  and their counsel,  and the Stockholders and said
counsel shall have received all such counterpart originals or certified or other
copies of such documents as they may reasonably request.

                  (d) Employment  Arrangements.  Each of the Retained  Employees
shall have executed and delivered to the Company and the Purchaser an Employment
Agreement.  Each of the Transitional Employees shall have executed and delivered
to the Company and the Purchaser a Transition  Agreement.  Each of the Company's
employees  not to be  retained  by the Company or the  Purchaser  following  the
Closing Date shall have  executed and delivered to the Company and the Purchaser
a Release.

                  (e)  Legal  Actions  or   Proceedings.   No  legal  action  or
proceeding  shall  have  been  instituted  by any  party  or  threatened  by any
governmental  department,  agency  or  authority,  in  either  case  seeking  to
restrain,  prohibit,  invalidate  or otherwise  affect the  consummation  of the
transactions contemplated hereby.

                  (f) Ancillary Agreements.  The Purchaser,  the Company and the
Escrow Agent shall have executed and delivered the Ancillary Agreements to which
each of them is a party, and the Ancillary Agreements shall be in full force and
effect with respect to each of them.

                                  ARTICLE VII.

                                 INDEMNIFICATION

                  SECTION 7.01.  Survival  of  Representations   and Warranties;
Limitation.  All representations and warranties made by any party hereto in this
Agreement or pursuant hereto

                                       26



shall survive the Closing Date hereunder for a period of eighteen months, except
for (i)those  representations  and  warranties set forth in Section 2.13 hereof,
which shall  survive  until the  expiration  of all  applicable  Tax statutes of
limitations  (including any extensions  thereof) and (ii) those  representations
and warranties  set forth in Sections 2.02 and 3.04 hereof,  which shall survive
indefinitely. Notwithstanding the other provisions of this Article VII, no party
hereto  shall be  obligated  to  indemnify  any  other  party  hereto  until the
aggregate amount of Taxes and/or Damages (as defined herein) in respect of which
indemnification  is  sought  exceeds  $30,000,  it  being  understood  that  the
foregoing  limitation is a "threshold" and not a "deductible." In addition,  the
maximum  aggregate  liability  of the  Stockholders  for  "Damages"  (as defined
herein) shall be $11,600,000.  There shall be no maximum aggregate  liability of
the Stockholders for Taxes payable in accordance with Section 7.02 hereof.

                  SECTION 7.02. Tax Indemnity.  (a) The Stockholders jointly and
severally  agree to and will  indemnify,  defend and hold harmless the Purchaser
and the Company from and against any and all Taxes  incurred by, imposed upon or
attributable  to the  Company  or  HIIT,  including  reasonable  legal  fees and
expenses  incurred  by the  Company,  HIIT or any  party  hereto  and  relat ing
thereto,  for any Prior Tax Period,  including without limitation any amount due
for sales and use Taxes  payable as a result of an audit  conducted  by state or
local governmental authorities.

                  (b) For purposes of this Section 7.02,  any interest,  penalty
or  additional  charge  included  in Taxes  shall be  deemed to be a Tax for the
period to which  the item or event  giving  rise to such  interest,  penalty  or
additional  charge is  attributable,  and not a Tax for the period  during which
such interest, penalty or additional charge accrues.

                  (c) The  indemnity  provided for in this Section 7.02 shall be
independent  of any other  indemnity  provision  hereof  and,  anything  in this
Agreement to the contrary notwithstanding, shall survive until the expiration of
the applicable statutes of limitation, including any extensions thereof, for the
Taxes  referred  to  herein.  Any  Taxes,  legal  fees and  expenses  subject to
indemnifi cation under this Section 7.02 shall not be subject to indemnification
under Section 7.03 or Section 7.04 hereof.

                  SECTION 7.03.  General Indemnity by the Stockholders.  Subject
to the terms and conditions of this Article VII, the  Stockholders  agree to and
will,  jointly and severally,  indemnify,  defend and hold the Purchaser and the
Company (together with their respective directors,  officers, employees, agents,
stockholders  and  affiliates)  harmless  from and against all demands,  claims,
actions or causes of action, assessments,  losses, damages,  liabilities,  costs
and expenses,  including without limitation  interest,  penalties and reasonable
attorneys'  fees  and  expenses  (hereinafter  collectively  called  "Damages"),
asserted  against,  resulting to, imposed upon or incurred by the Company or the
Purchaser (or such other  parties) by reason of,  resulting  from or arising out
of:

                                       27



                   (i) a  breach  of  any  representation  or  warranty  of  any
         Stockholder contained in or made pursuant to this Agreement,  except as
         and to the extent that Section 7.02 above shall be applicable  thereto,
         in which case the provisions of said section shall govern;

                  (ii)  any  breach  of  any   covenant  or   agreement  of  any
         Stockholder contained in or made pursuant to this Agreement;

                  (iii)   any   claims,   actions,   suits,   proceedings,    or
         investigations  described in Schedule 2.12 hereof,  or any other claim,
         action, suit,  proceeding,  or investigation against the Company or the
         Stockholders,  whether  known or unknown as of the Closing Date, to the
         extent  arising from an event  occurring or a claim arising on or prior
         to the Closing  Date  (including,  without  limitation,  any claims for
         severance or other  employment-related  benefits by any employee of the
         Company beyond those specifically  assumed by the Purchaser pursuant to
         the Employment Agreements, the Transition Agreements and the Releases);
         or

                  (iv)  any   liabilities  or  obligations  of  any  nature  and
         howsoever  arising  (whether  arising  before,  on or after the Closing
         Date, whether known or unknown, secured, unse cured, absolute, accrued,
         contingent  or  otherwise,  and  whether  due or to become  due) to the
         extent  the same  relate to the  business  conducted  by HIIT or to the
         so-called  "Intercare" business conducted by the Company on or prior to
         the Closing Date,  other than any  liabilities  or  obligations  of the
         Company  specifically listed on the Closing Balance Sheet or the Backup
         Materials.

                  SECTION 7.04.  General Indemnity by the Purchaser.  Subject to
the terms and  conditions of this Article VII, the Purchaser  agrees to and will
indemnify,  defend and hold the  Stockholders  (together  with their  respective
directors,  officers,  employees,  agents, stockholders and affiliates) harmless
from and against all Damages  asserted  against,  resulting to,  imposed upon or
incurred by the  Stockholders  (or such other  parties) by reason of,  resulting
from or arising out of:

                  (i)    a  breach  of any  representation  or  warranty  of the
         Purchaser contained in or made pursuant to this Agreement,

                  (ii) any breach of any covenant or agreement of the  Purchaser
         contained in or made pursuant to this Agreement or

                  (iii)  any   liabilities   or   obligations   of  the  Company
         specifically  listed  on  the  Closing  Balance  Sheet  or  the  Backup
         Materials.

                  SECTION 7.05. Third Party Claims.  The respective  obligations
and liabilities of the Stockholders,  on the one hand, and the Purchaser, on the
other hand (herein  sometimes  called the  "indemnifying  party"),  to the other
(herein  sometimes  called the  "party to be  indemnified"  or 

                                       28



the  "indemnified  party")  under  Sections 7.03 and 7.04 hereof with respect to
claims  resulting  from the  assertion of liability  by third  parties  shall be
subject to the following terms and conditions:

                  (a) Within 30 days after receipt of notice of  commencement of
any  action  or the  assertion  of any claim by a third  party,  the party to be
indemnified  shall give the  indemnifying  party written notice thereof together
with a copy of such  claim,  process  or other  legal  pleading  (provided  that
failure so to notify the  indemnifying  party of the assertion of a claim within
such period shall not affect its indemnity obligation hereunder except as and to
the extent that such failure shall adversely  affect the defense of such claim),
and the indemnifying party shall have the right to undertake the defense thereof
by representatives of its own choosing.

                  (b) In the event that the indemnifying  party, by the 30th day
after  receipt  of notice of any such claim (or,  if  earlier,  by the tenth day
preceding  the day on which an answer or other  pleading must be served in order
to prevent  judgment by default in favor of the person  asserting  such  claim),
does not elect to defend against such claim,  the party to be  indemnified  will
(upon further notice to the indemnifying  party) have the right to undertake the
defense,  compro  mise or  settlement  of such  claim on  behalf  of and for the
account  and  risk  of the  indemnifying  party,  subject  to the  right  of the
indemnifying  party to assume  the  defense  of such  claim at any time prior to
settlement, compromise or final determination thereof.

                  (c)   Anything   in  this   Section   7.05  to  the   contrary
notwithstanding,  (i) if  there is a  reasonable  probability  that a claim  may
materially  and  adversely  affect the party to be indem  nified other than as a
result of money damages or other money  payments,  the  indemnified  party shall
have the right, at its own cost and expense, to compromise or settle such claim,
but (ii) the party to be  indemnified  shall  not,  without  the  prior  written
consent of the indemnifying  party, settle or compromise any claim or consent to
the entry of any  judgment  which  does not  include  as an  unconditional  term
thereof the giving by the claimant or the plaintiff to the indemnifying  party a
release from all liability in respect of such claim.

                  (d) In connection with any such indemnification,  the party to
be indemnified  will cooperate in all  reasonable  requests of the  indemnifying
party.

                  SECTION  7.06.  Procedure.  In the event  that a party  incurs
Damages  or  Taxes  for  which  it in good  faith  believes  it is  entitled  to
indemnification  under this Article VII, and the  procedure set forth in Section
7.05 is not applicable,  then at any time after incurring or paying such Damages
or Taxes,  such  party  shall  notify  the  Purchaser  or the  Stockholders,  as
applicable, of such payment or incurrence in writing and request that such party
or parties pay to it the amount of such  Damages or Taxes.  Within 30 days after
receiving  such a written  request,  the party or parties from whom indemnity is
sought  shall,  in good  faith,  either (i) pay the amounts so  requested  to be
indemnified  or (ii) notify the party seeking  indemnification  that it does not
intend to pay such amounts, in which case the party seeking  indemnification may
pursue any and all lawful remedies in respect of its claims.

                                       29



                  SECTION  7.07.  Remedies  Limited.  From and after the Closing
Date, the  indemnification  provisions of this Article VII shall be the sole and
exclusive contractual remedy of the parties hereto with respect to any breach of
this  Agreement;  provided that the  foregoing  shall not prohibit any claim for
injunctive or non-monetary equitable relief.

                  SECTION 7.08.  Limited Y2K Indemnity.  (a) The Purchaser shall
have no right of indemnification for Damages to the extent the same arise out of
or relate to the Y2K problem, other than for a breach of the representations set
forth  in  the  proviso  to  Section  2.25  of  this  Agreement  and  except  as
specifically provided in this Section 7.08.

                  (b)      In the event that:

         (i)      between  the  Closing  Date  and June 30,  1999,  a client  or
                  clients   (each  a  "Terminat  ing  Client")  of  the  Company
                  terminate their respective contracts with the Company;

         (ii)     the  principal  grounds for  termination  of such  Terminating
                  Client's  contract is the failure of the Company to abide by a
                  representation  or  warranty  (whether  oral  or  written  and
                  whether set forth on Schedule 2.25 or otherwise),  made by the
                  Company on or prior to the Closing Date,  relating to the date
                  prior to which the Company's  systems or services would be Y2K
                  compliant; and

         (iii)    the  aggregate  revenues  of all  Terminating  Clients for the
                  twelve months ended September 30, 1998 exceeded $500,000;

then the Stockholders shall jointly and severally pay to the Purchaser an amount
equal to 40% of (i) the "net sales" (computed in accordance with the "net sales"
shown on the "Schedule of Financial  Services Customer  Agreements"  appended to
Schedule 2.08(d) hereof) generated by each such Terminating  Client in the month
prior to the termination of such Terminating  Client's  contract,  multiplied by
(ii) eighteen.

                  (c) The Stockholders jointly and severally agree to indemnify,
defend and hold  harmless the Purchaser and the Company from and against any and
all  Damages  resulting  from claims by any clients of the Company to the extent
that such claims relate to an actual or alleged  failure of the Company to abide
by a representation  or warranty  (whether oral or written and whether set forth
on Schedule 2.25 or  otherwise),  made by the Company on or prior to the Closing
Date,  relating  to the date prior to which the  Company's  systems or  services
would be Y2K compliant.

                  (d)  In no  event  shall  the  Stockholders  be  obligated  to
indemnify  the  Purchaser  and/or the Company  under this  Section  7.08 for any
amounts in excess of $1,000,000 in the aggregate.

                                       30



                                  ARTICLE VIII.

                           TERMINATION AND ABANDONMENT

                  SECTION 8.01.  Termination.  This Agreement may be terminated 
at any time prior to the Closing:

                  (a)      by the mutual consent of  the  Stockholders  and the 
         Purchaser;

                  (b)  by a  "Breaching  Party"  (as  defined  in  Section  9.10
         hereof),  subject to the terms  (including the payment  obligations) of
         Section 9.10; or

                  (c) by the Purchaser, on the one hand, or the Stockholders, on
         the other  hand,  if the Closing  shall not have  occurred on or before
         November  30,  1998 or such  later  date as may be  agreed  upon by the
         parties hereto,  provided,  however,  that the right to termi nate this
         Agreement  under this clause (c) shall not be available to any party (a
         "Defaulting  Party") whose failure to fulfill any obligation under this
         Agreement  has been the  cause of or  resulted  in the  failure  of the
         Closing to occur on or before such date.

If the Closing shall not have occurred,  or this  Agreement  shall not have been
terminated  in accordance  with this Section  8.01,  by December 31, 1998,  this
Agreement shall automatically  terminate on said date, provided,  however,  that
such  termination  shall not affect the  liability  hereunder of any  Defaulting
Party.

                  SECTION  8.02.  Procedure  and Effect of  Termination.  In the
event of  termination  of this  Agreement and  abandonment  of the  transactions
contemplated hereby by any or all of the parties pursuant to Section 8.01 above,
written  notice  thereof  shall  forthwith be given to the other parties to this
Agreement  (other than in the event of an automatic  termination  as provided in
such Section) and this Agreement  (except for this Section and Sections 8.01 and
9.01,  which shall continue) shall terminate and the  transactions  contemplated
hereby shall be abandoned,  without further action by any of the parties hereto.
If this Agreement is terminated as provided in this Agreement:

                  (a) the parties hereto will promptly  redeliver all documents,
         work  papers and other  material  of any other  party  relating  to the
         transactions  contemplated hereby, whether obtained before or after the
         execution hereof, to the party furnishing the same; and

                  (b) no party shall have any liability or further obligation to
         any other party to this Agreement  pursuant to this Agreement except as
         provided in this Article VIII.

                                       31



                                   ARTICLE IX.

                                  MISCELLANEOUS

                  SECTION  9.01.  Expenses,  Etc.  (a)  Subject to Section  9.10
hereof,  all costs and expenses,  including fees and  disbursements  of counsel,
advisors,   accountants  and  consultants,   incurred  in  connection  with  the
negotiation,  preparation,  execution  and  delivery of this  Agreement  and the
closing of the  transactions  contemplated  hereby  (collectively,  "Expenses"),
shall be paid by the party incurring such Expenses.  All transfer,  documentary,
stamp and other similar  taxes,  if any, in connection  with the transfer of the
Shares  as  provided  herein  shall  be  borne  by the  Stockholder  selling  or
exchanging such Shares.

                  (b) The Stockholders,  on the one hand, and the Purchaser,  on
the other hand,  will  indemnify the other and hold it or them harmless from and
against any claims for finders' fees or brokerage  commissions in relation to or
in  connection  with  such   transactions  as  a  result  of  any  agreement  or
understanding between such indemnifying party and any third party.

                  SECTION 9.02.  Execution in Counterparts.  For the convenience
of the parties, this Agreement may be executed in one or more counterparts, each
of which shall be deemed an original, but all of which together shall constitute
one and the same instrument.

                  SECTION 9.03.  Notices.  All notices which are required or may
be given pursuant to the terms of this  Agreement  shall be in writing and shall
be sufficient and deemed to be received if (i) delivered personally, (ii) mailed
by registered or certified mail,  return receipt  requested and postage prepaid,
or (iii) sent via a nationally  recognized  overnight  courier service,  in each
case as follows:

         if to the Purchaser, to:

                  MEDE AMERICA Corporation
                  Suite 501
                  90 Merrick Avenue
                  East Meadow, New York  11554
                  Attention:  Thomas P. Staudt

         with a copy to:

                  Reboul, MacMurray, Hewitt,
                     Maynard & Kristol

                  45 Rockefeller Plaza
                  New York, New York  10111
                  Attention:  Mark J. Tannenbaum, Esq.

                                       32



         if to any Stockholder,  to the address appearing under the name of such
         Stockholder in Schedule I hereto, and in each case with a copy to:

                  Thompson Coburn
                  One Mercantile Center
                  Suite 3500
                  St. Louis, Missouri  63101

                  Attention:  Donald B. Dorwart, Esq.

or such other address or addresses as the Stockholders,  on the one hand, or the
Purchaser,  on the other hand, shall have designated by notice in writing to the
other.

                  SECTION 9.04.  Waivers.  Either the  Stockholders,  on the one
hand, or the Purchaser,  on the other hand, may, by written notice to the other,
(i)  extend  the time for the  performance  of any of the  obligations  or other
actions of the other under this  Agreement,  (ii) waive any  inaccuracies in the
representations or warranties of the other contained in this Agreement or in any
document delivered  pursuant to this Agreement,  (iii) waive compliance with any
of the conditions or covenants of the other contained in this Agreement, or (iv)
waive  performance of any of the  obligations of the other under this Agreement.
Except as provided in the preceding  sentence,  no action taken pursuant to this
Agreement,  including,  without limitation, any investigation by or on behalf of
any  party,  shall be deemed to  constitute  a waiver by the party  taking  such
action  of  compliance  with  any  representations,   warranties,  covenants  or
agreements  contained  in this  Agreement.  The waiver by any party  hereto of a
breach of any provision of this Agreement shall not operate or be construed as a
waiver of any subsequent breach.

                  SECTION 9.05. Amendments,  Supplements,  Etc. At any time this
Agreement may be amended or supplemented by such additional agreements, articles
or  certificates,  as may be determined  by the parties  hereto to be necessary,
desirable or expedient to further the purposes of this Agreement,  or to clarify
the intention of the parties hereto, or to add to or modify the covenants, terms
or conditions  hereof or to effect or facilitate  any  governmental  approval or
acceptance of this  Agreement or to effect or facilitate the filing or recording
of this Agreement or the  consummation of any of the  transactions  contemplated
hereby. Any such instrument must be in writing and signed by all parties hereto.

                  SECTION 9.06. Entire Agreement.  This Agreement,  its Exhibits
and  Schedules  and the  documents  executed on the Closing  Date in  connection
herewith,  constitute  the entire  agreement  between  the  parties  hereto with
respect to the subject  matter  hereof and supersede  all prior  agreements  and
understandings, oral and written, between the parties hereto with respect to the
subject matter hereof.

                  SECTION 9.07. APPLICABLE LAW. THIS AGREEMENT SHALL BE GOVERNED
BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK, EXCLUSIVE

OF THE CONFLICTS OF LAWS PROVISIONS THEREOF.

                                       33



                  SECTION 9.08. Binding Effect;  Benefits.  This Agreement shall
inure to the  benefit  of and be  binding  upon the  parties  hereto  and  their
respective successors and permitted as signs. Notwithstanding anything contained
in this  Agreement  to the  contrary,  nothing in this  Agreement,  expressed or
implied,  is intended to confer on any person  other than the parties  hereto or
their respective  successors and assigns, any rights,  remedies,  obligations or
liabilities under or by reason of this Agreement.

                  SECTION 9.09.  Assignability.  Neither this Agreement nor any 
of the parties' rights hereunder shall be assignable by any party hereto without
the prior written consent of the other parties hereto.

                  SECTION 9.10.  Pre-Closing Breach.

                  (a)  Between the date  hereof and the  Closing  Date,  if as a
result of any  investigation  by any party or any  information  disclosed  to or
discovered by such party prior to the Closing Date,  such party  determines that
any  representation  or warranty of another party hereunder is not true, or that
any  covenant  of  another  party (in either  case,  the  "Breaching  Party") is
impracticable or impossible of performance (a "Pre-Closing  Breach"),  the party
making  such  determination  will use  reasonable  efforts  to  communicate  the
existence of a possible  Pre-Closing  Breach to the  Breaching  Party.  Promptly
after learning of any Pre-Closing Breach, the Breaching Party shall use its best
efforts to remedy or cure the same;  provided  that,  in the event the Breaching
Party determines that the cost of remedying such  Pre-Closing  Breach is greater
than $100,000 or that such  Pre-Closing  Breach cannot be remedied  prior to the
Closing  Date,  the  Breaching  Party  may  terminate  this  Agreement  and  its
obligations  hereunder by paying all fees, expenses and internal allocated costs
of  each  other  party  hereto  relating  to  the   negotiation,   execution  or
implementation  of the acquisition  contemplated  hereby. As of the date hereof,
the total of such costs for the  Purchaser  is $150,000.  Any party  entitled to
reimbursement for fees,  expenses and costs (whether arising before or after the
date hereof) shall submit reasonably  detailed  supporting  documentation to the
Breaching Party.

                  (b)  Nothing  in  paragraph  (a)  above  shall   restrict  the
requirement  that the Breaching  Party either  satisfy or obtain a waiver of all
conditions  precedent  set forth in Section 6.01 or Section 6.02 hereof,  as the
case may be, in order to cause the Purchaser or the  Stockhold  ers, as the case
may be, to be obligated to consummate the transactions contemplated hereby

                  (c) Notwithstanding anything to the contrary set forth in this
Agreement,  no  investigation  or acquisition of  information  (whether  actual,
alleged or imputed) by any party  hereto shall in any way operate as a waiver of
the representations, warranties and covenants made to or for the benefit of such
party in this Agreement.  In addition to and without  limiting the generality of
the foregoing, after the Closing Date any actual or alleged failure by any party
hereto to disclose a Pre-Closing Breach shall in no way restrict such party from
seeking  indemnification  or any  other  available  remedy  hereunder  for  such
Pre-Closing Breach.

                                       34



                  IN WITNESS WHEREOF,  this Agreement has been duly executed and
delivered by the parties hereto as of the day and year first above written.

                                        MEDE AMERICA CORPORATION

                                        By                                  

                                          ----------------------------------
                                                  Richard P. Bankosky
                                                Chief Financial Officer

                                        STOCKHOLDERS:

                                        RIGHTCHOICE MANAGED CARE, INC.

                                        By                                  

                                          ----------------------------------
                                        Name:
                                        Title:

                                        GENERAL AMERICAN LIFE INSURANCE COMPANY

                                        By                                  

                                          ----------------------------------
                                        Name:
                                        Title:

                                       35






                                                    SCHEDULE I, PART B

                                                                                                    
                                            A Common          B Common          C Common           Preferred       Initial Cash
Name and Address of Stockholder             Shares            Shares            Shares             Shares          Payment
- -------------------------------             -------------     -------------     -------------      -----------     --------------
RightCHOICE Managed Care, Inc.                         0            35,000          10,000.5           31,250          $5,600,000
1831 Chestnut
St. Louis, Missouri 63103
Attn: Sandra Van Trease

General American Life Insurance Company           35,000                 0          10,000.5           31,250          $5,600,000
13045 Tesson Ferry Road
St. Louis, Missouri 63128
Attn: Michael P. Ingrassia