One way in which a health plan can support an ethical environment is by

requiring organizations with which it contracts to adopt the plan's formal ethical policy

developing and maintaining a culture where ethical considerations are integrated into decision making at the top organizational level only

establishing a formal method of managing ethical conflicts, such as using an ethics task force or bioethics consultant

maintaining control of policy development by removing providers and members from the process of developing and implementing policies and procedures that provide guidance to providers and members confronted with ethical issues