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.
These changes can contribute to weight gain around the time of menopause. Other physical changes associated with menopause may include: Skin changes, such as dryness and loss of elasticity; Vaginal dryness; Hair growth (or loss). These changes may affect a womanâs body image and self-esteem and increase her risk of depression and sexual difficulties.