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.
Most women have hot flashes during menopause. Call your doctor if your hot flashes disrupt your life. They can recommend treatment options for you. The decreased production of estrogen and progesterone can affect the thin layer of moisture that coats the vaginal walls.