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.
One of the symptoms of menopause is the thinning out of the lining of the vagina. There is a significant amount of thinning which can lead to some spotting after menopause. The thinning can also cause the vaginal wall to get weaker, thus allowing pieces of it to break away, say, after sex.