Sentence Correction (SC) | Re: Though the concept of managed care may evoke for some people images of

The difference in answer choices which I noted was usage of "it" and "they" in when clause after comma

Sentence is talking about concept so "they" is incorrect so A and C are out

D is wrong due to usage of "were made".no past is required here

Bw B and E
Sentence stresses on what happens in concept wrt meaning "decisions" at start makes more sense
And sound more appropriate when compared with accountants..

Though jag of passive makes E less selective
...

---