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HA3120D – Essentials of Managed Care. LP01 Assignment: Impact Paper. Directions: Write a 2 to 3-page paper concerning the impact the development of MCOs has had on the doctor-patient relationship. 1. 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. 2. After listing the issues, discuss the positives and/or negatives of each. 3. 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? 4. Cite references to back your writings.