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 systems
Established lines of physician income that are threatened by managed care
Cultural sensitivity
Explain 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 and past experiences as you provide evidence to support your response. As you respond to your peers, consider reviewing the response of someone who chose a different challenge.