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.
With the arrival of menopause and its decreasing levels of estrogen in the body, the effect is felt in the skin as well. Cells in the skin have estrogen receptors; this means that they âlistenâ for instructions from estrogen. When the estrogen begins to disappear, those messages arenât getting through.