In 2010, the Affordable Care Act opens up the 45-year-old Medicare program to the biggest changes since its inception. Discuss the components of the Affordable Care Act that you think will have a positive effect on improving health care outcomes and decreasing costs.  The discussion must address the topic. Rationale must be provided. May use examples from your nursing practice. 150 words minimum without the reference. Minimum of two references in APA format within the last five years published