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.
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.