I agree, option D does seem risky. It's important to involve providers and members in the process to ensure ethical considerations are properly addressed.
I'm not sure I agree with option B. Ethical considerations should be integrated at all levels, not just the top. A top-down approach may not be enough to create a truly ethical culture.
Option C seems like the best way to support an ethical environment. Establishing a formal method to manage ethical conflicts is key to ensuring ethical considerations are integrated throughout the organization.
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