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.
Menopause affects every woman differently. Some women have no symptoms, but some women have changes in several areas of their lives. It's not always possible to tell if these changes are related to aging, menopause, or both. Some changes that might start in the years around menopause include: 1  Irregular periods. 2  Hot flashes. 3  Trouble sleeping. 4  Vaginal and urinary problems. 5  Mood changes. 6  Changing feelings about sex. 7  Osteoporosis (OS-tee-oh-poh-ROH-sis). 8  Other changes.