BlueCross Blue Shield of Texas

Exhibit 10.1

BlueCross Blue Shield

of Texas

August 30, 2010

Xx. Xxxxxx Xxxxxx

President and CEO

CareAdvantage, Inc.

Metropolitan Corporate Center

000-X Xxxxx Xxx Xxxxx

Xxxxxx, XX  00000

Dear Xx. Xxxxxx:

In accordance with Section 5.2.2, “Termination without Cause”, of the Service and License Agreement between CareAdvantage, Inc. (“CareAdvantage” or “CAI”) and Blue Cross and Blue Shield of Texas, a division of Health Care Service corporation, a Mutual Legal Reserve Company (“BCBSTX”) effective August 15, 2003 (the “Agreement”), this letter serves as ninety (90) days prior written notice of BCBSTX’s intent to terminate the Agreement effective November 30, 2010.

We would like to thank you for the services your organization has provided over the years.

Sincerely,

/s/ Xxxxxxx X. Xxxxxxx

Xxxxxxx X. Xxxxxxx

Vice President

Health Care Clinical Operations

CAJ:dmc