Optum, Inc. v. Optum Wellness PLLC, txedc:4:2020cv00583

Providing continuing medical education courses; Education services, namely, conducting seminars, courses, conferences, audio conferences, and online seminars in the fields of continuing medical education and health care and well-being, and distribution of course materials in connection therewith; Training clinical trial site personnel in the use of tests and rating systems for drug protocol requirements; training clinical trial site personnel in the use of medical and research equipment required by drug protocols; educational services, namely, providing clinical education training to physicians and hospital managed care personnel in the fields of utilization review, case management, medical cost management, and quality assurance;

Hospital admission counseling services; patient healthcare support services in the nature of health care decision support counseling and health care planning for individuals at risk of needing intensive treatment; medical case management and disease management services, namely, disease-specific information and medical care resources to assist patients in managing their own health care and to reinforce the treatment plan; providing information in the field of health care;

Health care advocacy services to members of health benefit plans; individualized health care coordination services, namely, facilitating an array of services, namely, medical care services, behavior health services, and health care management;

[printed materials, namely, pamphlets, magazines, brochures regarding physical and mental health, substance abuse, legal and financial issues, and daily living problems];

employee assistance services, namely, providing online, telephonic, and in-person consultation, information, assessment, and referral services for physical, and mental health, and substance abuse; and referral services for legal and financial issues and work and family problems;

Nurse information services, namely, nurse triage and nurse call centers providing information regarding the identification of specific health related concerns and general health issues;

employee assistance services; namely, telephonic assessment and referral services for mental health, substance abuse and daily living problems;

Providing continuing medical education courses; Education services, namely, conducting seminars, courses, conferences, audio conferences, and online seminars in the fields of continuing medical education and health care and well-being, and distribution of course materials in connection therewith; Training clinical trial site personnel in the use of tests and rating systems for drug protocol requirements; training clinical trial site personnel in the use of medical and research equipment required by drug protocols; educational services, namely, providing clinical education training to physicians and hospital managed care personnel in the fields of utilization review, case management, medical cost management, and quality assurance; Development and dissemination of educational materials in the field of pharmacy benefits for others;