And it was designed to work in coordination with private payers by aligning provider incentives, which improved quality and health outcomes for patients across the ACO, and achieved cost savings for Medicare, employers and patients.
How your Skin Changes with Menopause. âMany women will notice changes in their skin and hair during the menopause. Dry, thin and sagging skin are common complaints heard during menopause. The two main reasons for the change in skin are loss of estrogen during menopause and long-term exposure to the elements, namely sun and wind.
These changes can contribute to weight gain around the time of menopause. Other physical changes associated with menopause may include: Skin changes, such as dryness and loss of elasticity; Vaginal dryness; Hair growth (or loss). These changes may affect a womanâs body image and self-esteem and increase her risk of depression and sexual difficulties.