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.
PROBABLE CAUSE: Menopause. Changes in hormone levels can produce an itchy skin condition called formication. Sufferers have the phantom sensation of insects crawling on their skin, though itâs not clear why. One theory is that fluctuating hormone levels may affect nerve endings in the skin.