Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company. To explain: The standard for materiality in the claim filed by the investors.

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Answer 1

Question

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

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Anthem, one of the largest healthcare insurers in the United States, implemented an“avoidable ER” policy to help manage the care of its enrollees. The policy stated thatAnthem would not pay for emergency room visits if the company determined that the visitwas not necessary. The policy, which was instituted in six states beginning in 2015, wasmeant to encourage patients to seek care in appropriate settings. However, providers feelthat this policy might cause patients to avoid emergency treatment, even when it isnecessary. In response to customer and provider complaints, Anthem created severalexceptions: Claims will be covered if a healthcare provider tells a patient to go to theemergency room, if the patient is under 15 years of age, if the patient is outside his or her state of residence, and if the patient had a CT scan or MRI or underwent surgery. Still,providers are unhappy with the policy (Livingston 2018).1-Why did Anthem implement this policy?

Anthem, one of the largest healthcare insurers in the United States, implemented an“avoidable ER” policy to help manage the care of its enrollees. The policy stated thatAnthem would not pay for emergency room visits if the company determined that the visitwas not necessary. The policy, which was instituted in six states beginning in 2015, wasmeant to encourage patients to seek care in appropriate settings. However, providers feelthat this policy might cause patients to avoid emergency treatment, even when it isnecessary. In response to customer and provider complaints, Anthem created severalexceptions: Claims will be covered if a healthcare provider tells a patient to go to theemergency room, if the patient is under 15 years of age, if the patient is outside his or her state of residence, and if the patient had a CT scan or MRI or underwent surgery. Still,providers are unhappy with the policy (Livingston 2018).How is this policy an example of managed care?

ANTHEM’S AVOIDABLE EMERGENCY ROOM POLICYAnthem, one of the largest healthcare insurers in the United States, implemented an“avoidable ER” policy to help manage the care of its enrollees. The policy stated thatAnthem would not pay for emergency room visits if the company determined that the visitwas not necessary. The policy, which was instituted in six states beginning in 2015, wasmeant to encourage patients to seek care in appropriate settings. However, providers feelthat this policy might cause patients to avoid emergency treatment, even when it isnecessary. In response to customer and provider complaints, Anthem created severalexceptions: Claims will be covered if a healthcare provider tells a patient to go to theemergency room, if the patient is under 15 years of age, if the patient is outside his or her state of residence, and if the patient had a CT scan or MRI or underwent surgery. Still,providers are unhappy with the policy (Livingston 2018). What other solutions could be used…

Answer 2

Question

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

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Answer 3

Question

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

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Answer 4

Question

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

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Answer 5

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

Answer 6

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Answer 7

Chapter 28, Problem 4BCP

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The standard for materiality in the claim filed by the investors.

Answer 8

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

Answer 9

Summary Introduction

Case summary:Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent sale of the company. The reports about loss of sense of smell by the customer are received by company M. There were four product liability suits registered against company M. Company did not reveal the information received by the report. Person J and other investors filed a suit against M claiming the omission of material information by the company.

To explain:The validity of claim made by the person J.

Answer 10

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Answer 11

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Answer 13

Ch. 28 - Prob. 1RE Ch. 28 - Prob. 2RE Ch. 28 - Prob. 3RE Ch. 28 - Prob. 4RE Ch. 28 - Prob. 1IS Ch. 28 - Prob. 2IS Ch. 28 - Prob. 1BS Ch. 28 - Prob. 2BS Ch. 28 - Prob. 3BS Ch. 28 - Prob. 4BCP

Solution Summary: The author explains that Company M manufactures and sells over-the-counter pharmaceutical products. Its main brand Z accounts for almost 70 percent of its sales.

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Chapter 28 Solutions