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.
More on Skin Changes. Dry, thin and sagging skin are common complaints among patients. But what many donât realize is that, in additional to long-term exposure to the elements, namely sun and wind, the hormonal changes associated with menopause cause additional problems for the skin.