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.
Estrogen Deficiency, A Contributor to Skin Aging. Research has suggested that estrogen deficiencies following menopause may contribute to aging in skin. Although the exact mechanisms are not known, the reduction in estrogen is believed to increase skin thickness, dryness, and loss of elasticity.