Which of the alternatives best describes the pattern of scores on the scatter diagram below? 
Definitions:
Quality of Care
The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.
Managed Care
A healthcare delivery system designed to manage cost, utilization, and quality, often through coordination of care and provider networks.
Institutional Isomorphism
A concept in sociology that explains how institutions tend to become more similar to one another over time due to various pressures that encourage standardization.
Preferred Provider
A healthcare provider who has a contract with an insurer to provide services to plan members for specific pre-negotiated rates.
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