Review the following lecture:The Affordable Care Act and Managed Care OrganizationsDiscussion Questions:Before beginning work on this discussion forum, please review the link “Doing Discussion Questions Right” and any specific instructions for this topic.Before the end of the week, begin commenting on at least two of your classmates’ responses. You can ask technical questions or respond generally to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses in the Discussion Area.The term “managed care” refers to several different forms of healthcare provision intended to ensure quality care for people in America at lower costs. In 1973, the Health Maintenance Organization Act was signed by President Nixon and funding for HMO expansion was provided to employers willing to provide health insurance for employees. HMOs were the first true form of managed care.MCOs have gone through many changes over the years, some of which have been beneficial and others that have not been successful.After a thorough research of credible sources from the South University Online Library and the Internet, please answer the following questions:What is the purpose of an MCO?What are the major differences between MCOs, Health Managed Organizations (HMOs), Preferred Provider Organizations (PPOs), and Exclusive Provider Organizations (EPOs)?MCOs provide monetary incentives to physicians who keep the costs of caring for patients as low as possible. Do you feel it is ethical? Why or why not?To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Submit your document to this Discussion Area by the due date assigned. Be sure to cite your sources using APA format.Respond to your peers throughout the week. Justify your answers with examples, research, and reasoning. Follow up posts need to be submitted by the end of the week.Use the following rubric as a guide to complete your discussion responses.