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.
Menopausal Side Effects. The side effects normally associated with menopause occur after bilateral ovary removal. These include the inability to have children, cessation of menses, hot flashes, night sweats, mood swings, sleeplessness, fatigue and anxiety. Ovary removal can also affect sexuality by decreasing sex drive.