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.
The wild hormonal fluctuations associated with menopause can cause tingling in feet and hands when the hypothalamus fails to keep up with the new hormone levels. Skin may become hypersensitive or numb as well as thinner and less able to bounce back.