PGH conducted no utilization review or direct supervision of Crane's activities. There was a quality assurance committee, which randomly reviewed physician charts. Anders stated in her deposition that she never saw this billboard. The hospital CEO has asked you for a summary of the legal causes of action against the hospital and an analysis of the strengths and weaknesses of the case for purposes of determining whether or not to continue settlement negotiations or take it to court. Following her discharge from PGH, Anders needed antibiotics to treat pelvic inflammatory disease.
Crane is one of many physicians who have complained about the restrictions of formularies.
Crane felt that A-max, although more expensive, would work better for Anders because, in his personal experience, it is more effective for this disease. Prepare the ethics analysis that explores the perspectives of the patient, physician, and plan in this case. The Cuyuna Range area is home to two different organizations seeking to integrate with other health care industry players and become managed care organizations. MHS serves a large number of medicare and medicaid recipients. Both MHS and RCMG want to form an HMO or some other kind of integrated health care company.