Not by going through the ICU to discover who has an advance directive and who does not. Or by discontinuing ventilators and transferring people to hospital beds in the name of patient preference. It should also win customer loyalty. By addressing head-on the duty to others that all health care involves. Managed care organizations are part of their local communities.
Preventive ethics is as important as preventive medicine.
These centers specialize in credibility and prestige. Many also train medical ethicists, sometimes 10 at a time. In return for advising managed care plans on ethics, academic health centers could learn how to use demand management and practice guideline programs from managed care people with years of experience. Finally, there are moral arguments for using ethics as public relations for managed care. An organization that recognizes ethical dilemmas is halfway to resolving them.