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A news agency releases a report containing information about two local hospitals, Hospital A and Hospital B. The information that is released includes the following rates: surgical procedures, admittance via the ER, cesarean sections vs. natural births, and cost of an overnight stay.

The report concludes that patients who are admitted to Hospital B are more likely to experience higher rates of invasive surgery and cesarean sections, and pay more for their stay.

The report notes that Hospital A is privately owned, whereas Hospital B is publically funded. Based on this information, the news agency concludes that Hospital B performs more unnecessary procedures and overcharges its patients.

The final report recommends that people choose Hospital A in order to save money and lower the risk of unnecessary surgery. After the report, Hospital B counters the claims as being a result of poor data collecting procedures and analysis.

Which of the following can provide an alternative explanation for the news agency's findings?

A

Hospital A is a teaching hospital, so many patients are seen by inexperienced physicians.

B

Hospital B has a trauma center and a larger Intensive Care Unit.

C

Hospital A has better procedures for separating patients into low- and high-risk categories.

D

Hospital B has a history of hiring higher-profile doctors, who can charge more for their services.

E

Hospital A, being privately owned, has better revenue streams to supplement cost of care.

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