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.
Hormone replacement therapy (HRT) of estrogen and/or progesterone can relieve unpleasant menopausal symptoms. However, it can cause digestive issues, breast tenderness, and leg cramps. These side effects usually go away within a few months. More serious risks include gallbladder disease and heart problems, especially if you smoke.