I've done a few MTH cars using the MTH 2-rail trucks. They drop the car about 1/8" and using the Kadee mounts on the car (use 2mmx8mm screws), the couplers are the right height. For a while, MTH cars would come with a shim for use with the 3-rail trucks that put the couplers at the right height.
Some cars, like the Auto Racks and Center Beam flat cars, are set up with Kadee mounts, but those mount the coupler below the end sill, when it should be notched out. The early cars without the mounts are actually better suited for conversion, but there's more work involved since you have to build bolsters (in the right place as opposed to where they are as-sold) and notch the end sills. I've acquired three more Center Beam flats that I'll be converting when I can re-stock my supply of Intermountain wheels.