The paper is due at the end of this learning plan. The paper should be 2 to 3 pages in length. The paper is due by Sunday midnight at the end of the first week. The assignment assesses competency 1. Identify the various types of managed care plans. Directions: Write a 2 to 3 page paper concerning the impact the development of MCOs has had on the doctor-patient relationship. List issues that have impacted the doctor-patient relationship due to the development of MCOs and the change in what the MCO expects from a doctor. After listing the issues, discuss the positives and/or negatives of each. From your text readings and research through the virtual library, etc., do you believe that the doctor-patient relationship has been affected more positively or negatively? Cite references to back your writings