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.
During menopause, as estrogen levels decrease, testosterone (produced by the adrenal glands) is no longer masked in the womanâs body. Testosterone reveals itself by stimulating sebaceous glands to secrete thicker sebum, giving the appearance of oily skin (and the tendency toward adult acne in some women).