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.
Oily Skin: During the reproductive years, B-Estradiol stimulates a more fluid sebaceous gland secretion (âanti-acneâ effect). During menopause, as estrogen levels decrease, testosterone (produced by the adrenal glands) is no longer masked in the womanâs body.