Which of the Following Best Describes Why For-Profit Managed Care

Which of the following best describes why for-profit managed care organizations (MCOs) have not begun to move into rural areas to increase the number of persons served? (Select all that apply.)

A) High startup and administrative costs are needed.
B) A large number of elderly are on Medicare or Medicaid, which results in low reimbursement.
C) Managed care has not yet had time to go beyond major population centers.
D) MCOs are waiting until federal reimbursements for underserved rural health areas become higher.
E) The population is too small and too spread out.
F) Rural health areas are too geographically unattractive and lack any recreational possibilities for managers to want to work there.