There are a great many issues associated with adapting to local conditions that U.S. Managed Care Organizations (MCOs) abroad have had to face. Issues include:Lack of standardized coding systemsEstablished lines of physician income that are threatened by managed careCultural sensitivityExplain which issue you believe poses the greatest challenge and discuss a strategy that could be leveraged to deal with this issue. Refer to the text (Essentials of Managed Health Care, Peter R. Komgstvedt, 6th edition, Ch. 24, 25, 26, and 27) and past experiences as you provide evidence to support your response. (APA formatting)(450-550 word count)

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