When a Hospital's Cardiac Surgery Center Gets the Medicare Certification

When a hospital's cardiac surgery center gets the Medicare certification as a surgical center of excellence, which of the following statements would be an incorrect projection of the likely consequences of this event?

A) Patients are more likely to demand surgery services at that hospital.
B) Insurance companies are more likely to approve payment for services performed at that surgery center.
C) Physicians are more likely to refer patients to that surgery center.
D) The hospital is likely to attract more physicians who want to build their practice through the hospital's reputation for quality.
E) It will be now easier for this hospital to compete for contracts from HMOs.