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.
Lower hormone levels in menopause may lead to hot flashes, vaginal dryness and thin bones. To help with these problems, women are often given estrogen or estrogen with progestin (another hormone). Like all medicines, hormone therapy has risks and benefits.Talk to your doctor, nurse, or pharmacist about hormones.s you near menopause, you may have: 1  Changes in your periodâtime between periods or flow may be different. 2  Hot flashes (âhot flushesâ)âgetting warm in the face, neck and chest with and without sweating. 3  Night sweats that may lead to problems sleeping and feeling tired, stressed or tense.