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.
Menopause is sometimes responsible for bouts of dry skin, particularly around the mouth, nose areas, as well as internally within the eyes. This dryness can be caused by the hormonal imbalances.During menopause, estrogen, progesterone and testosterone levels decline and different types of âdrynessâ can occur.enopause is sometimes responsible for bouts of dry skin, particularly around the mouth, nose areas, as well as internally within the eyes. This dryness can be caused by the hormonal imbalances.