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.
Menopause results in oestrogen deficiency and the effects on the skin include: 1  Atrophy. 2  Decreased collagen and water content. 3  Decreased sebaceous secretions.  Loss of 1  elasticity. Manifestations of hyperandrogenism.  Poor wound healing.
Menopause causes many changes to your skin. Your body stops making as much collagen. You lose some fat under your skin and your skin's elasticity drops. That, combined with dryness caused by hormonal changes, can cause sagging -- especially around the neck, jawline, and cheeks -- and fine lines and wrinkles.