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.
How your Skin Changes with Menopause. âMany women will notice changes in their skin and hair during the menopause. Dry, thin and sagging skin are common complaints heard during menopause. The two main reasons for the change in skin are loss of estrogen during menopause and long-term exposure to the elements, namely sun and wind.
There are lots of ways of coping with negative or troubling psychological effects during menopause, even if you canât pinpoint yourself what is causing them. First of all, chat with your doctor. It may be that a course of Hormone Replacement Therapy (HRT) can stabilize fluctuating hormones and reduce both physical and psychological symptoms until you are properly in menopause when they should disappear on their own.