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.
Itchy skin is a common symptom of menopause. Changes in hormone levels interfere with the production of collagen, an agent that supports skin, and also in the skin's ability to produce moisturizing oils. Itchy skin can be treated with a good moisturizer or balm.tchy skin is a common symptom of menopause. Changes in hormone levels interfere with the production of collagen, an agent that supports skin, and also in the skin's ability to produce moisturizing oils. Itchy skin can be treated with a good moisturizer or balm.