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 (Pruritis) can be a major life disruption especially if it causes discomfort and/or disrupts sleep. Parethesia is related to pruritis and can also afflict women during the menopause transition. Parethesia is defined as sensation of numbness, âpins and needlesâ tingling and prickling.