Tuesday, December 10, 2013

Dr Brown certifies as an iStent Surgeon

Dr Steven VL Brown becomes one of the first surgeons in Chicago to complete iStent Certification

What is iStent?  (information from glaukos.com)
The iStent Trabecular Micro-Bypass stent is a new surgical therapy for glaucoma that is designed to improve aqueous outflow to safely lower IOP and may reduce medication burden; but this will be at the discretion of your physician.
iStent is the smallest medical device ever approved by the FDA and is placed in your eye during cataract surgery. It is so small, you won’t be able to see or feel it after surgery but it will be continuously working to help reduce your eye pressure.

How can iStent help me?
Every day, you are probably taking one or more eye drops to control your eye pressure. By improving the outflow of fluid from your eyes, iStent works to help control your eye pressure. After implantation of iStent, many patients are able to control their eye pressure.
Controlling eye pressure is extremely important to reduce the risk for vision loss due to glaucoma. If you forget to take your eye drops or ‘skip a dose’, this can cause large changes in your eye pressure. Large changes in eye pressure can increases the risk for vision loss.

Click HERE to learn more about the iStent or call us to schedule a consultation.

Monday, December 9, 2013

Chicago Glaucoma Consultants Participation in Marketplace Plans

With the new Marketplace insurance plans (under the Affordable Healthcare Act), we would like to provide our patients with the most up-to-date information about our participation.  We contract through Rush University Medical Center for most of our private insurance policies and therefore follow their guidelines.  Please find below an article that applies to Chicago Glaucoma Consultants Participation: 

DOWNLOAD THE PDF of the 38/71 plans we will participate in:
Marketplace listing

 

Rush Health Participation in the Illinois Health Insurance Marketplace 
10/18/2013

With the enrollment period opening on October 1st for a January 1, 2014 effective date, people who have not had access to affordable health insurance can now go on the federal https://www.healthcare.gov/ or state http://getcoveredillinois.gov  website and select a health insurance plan.   There are six health insurance companies in Illinois currently offering benefit plans through this new marketplace (earlier referred to as the “Insurance Exchange.”)  They are Aetna, Blue Cross Blue Shield, Coventry, Health Alliance Medical Plan, Humana, and Land of Lincoln.  Other insurance companies are not offering any of their plans on the Marketplace for 2014.

What is unique about purchasing insurance through the Marketplace is the opportunity for people below certain income thresholds to qualify for federal subsidies to help pay the monthly insurance premiums.  People who purchase health insurance outside of the Marketplace will not have access to the federal subsidy/assistance.


The benefit plan options fall into four basic categories that are identified by metal levels - Platinum, Gold, Silver and Bronze.  These tiers or levels of benefit plans are based on the level of cost sharing required by the consumer.  There are multiple plan options available in each level.  The benefit coverage increases with metal level – platinum plans will offer the lowest out-of-pocket cost for the consumer while bronze the highest out-of-pocket.  Based on this coverage level, the Platinum and Gold metal levels have a higher monthly premium while the Silver and Bronze level plans have lower premiums.

  • Platinum – Insurance plan pays 90% of cost, consumer 10%
  • Gold – Insurance plan pays 80% of cost, consumer 20%
  • Silver – Insurance plan pays 70% of cost, consumer 30%
  • Bronze– Insurance plan pays 60% of cost, consumer 40%

The consumer cost sharing will be a combination of deductible, coinsurance and copayment

The Illinois Marketplace offers 71 different plans in Cook County. Rush Health, which includes RUMC, ROPH, Rush-Copley and all Rush Health physicians, participates in 38 of those plans offered:

  • Rush Health is in all of the Land of Lincoln plans
  • Rush Health is in some of the Blue Cross and Humana Plans
  • Rush Health is in none of the Aetna and Coventry Plans
  • Health Alliance is only offered downstate

The Marketplace listing attached indicates the 71 plans offered in Cook County and identifies the 38 plans that Rush participates in and is considered an in-network provider.  All of the plans that Rush participates in are also offered in DuPage, Kane, Kendall and Will counties, except for the Humana plans.  Humana does not offer coverage in these counties.


It is imperative to understand which plans Rush Health is an in-network provider.  When patients select plans that Rush Health participates in, the in-network deductibles/coinsurance will apply.  Out-of-network benefits, even when available in the various plans, offer less coverage and very high out-of-pocket costs to the patients.  These out-of-network costs are much greater than what we are used to seeing with commercial insurance plans. Therefore, the message to the patient is that you will want to pick a plan Rush Health is participating in if you want to come to Rush Health physicians and hospitals.


Rush Health will continue to provide more information on the new Marketplace as it becomes available. Please contact your Provider Services Consultant with questions.

Contracting
Rush Health

Wednesday, November 27, 2013

Dr Breunig is a Diplomate of the American Board of Ophthalmology

Excited to announce that Dr Adam Breunig, our newest associate, is now a Board Certified Ophthalmologist!  We congratulate him on his efforts wish all of you a wonderful thanksgiving holiday. 

Monday, September 30, 2013

Monday, August 26, 2013

Dr Adam C Breunig


 
 Chicago Glaucoma Consultants is pleased to welcome
Adam C Breunig, MD to the practice. 

Dr. Breunig will have hours at our Glenview, Evanston and Chicago locations

Education
· Glaucoma Fellowship: Northwestern University
· Residency: University of Minnesota
· Medical School: University of Wisconsin

Society Membership
· American Academy of Ophthalmology
· American Glaucoma Society
· Chicago Glaucoma Society
· Illinois Association of Ophthalmology
· Minnesota Academy of Ophthalmology

Recent Publications
Matthew Lazzara MD, Adam Breunig MD, Lisa Rosenberg MD, Jon Ruderman MD. “Trabeculectomy Vs Ex-PRESS:

Retrospective review comparing outcomes and complications.” Presented at the American Glaucoma Society- February 28, 2013.

Breunig AC, et al. Autoimmune retinopathy in a patient with Autoimmune Poly-glandular Syndrome. Ocular Immunology and Inflammation. April 2013, Vol. 21, No. 2, Pages 153-157.

Monday, March 11, 2013

Illinois Association of Ophthalmology

Dr Brown lectured this past weekend at the annual meeting for Illinois Association of Ophthalmology at Rosemont.  Dr Brown presented, on behalf of OMIC, reviewing with Physicians best practices of Doctor to Doctor communications and patient care.

Sunday, January 6, 2013

Cigna Contract Renewed for 3 years

Happy to announce that our contract with Cigna has been extended for at least 3 years.  There will be NO lapse in coverage and will continue our agreement through Rush.


Rush Press Release: 

We are pleased to report that Aetna and Rush have reached agreement on a new three-year contract. This means that there will be no lapse of in-network health insurance coverage for anyone with Aetna insurance who comes to Rush System for Health hospitals or Rush Health physicians. The existing rates will remain in effect under new agreements. More details on the new contract will be communicated in the coming days.
Aetna has withdrawn its termination letter that would have been effective Dec. 31, 2012.
We are pleased that we have been able to reach an agreement that is mutually satisfactory to both Aetna and Rush. This is a major accomplishment considering that we have been negotiating with Aetna since the end of 2011.Thank you to the Rush Health team and other senior leaders for their continued dedication and tireless work to collaborate on the agreement.
We look forward to continuing our long-standing relationship with Aetna and are extremely pleased that our Aetna patients can continue to receive full service at Rush and from Rush physicians.
Aetna will be sending a communication to its members and employers shortly and Rush Health also will be mailing letters to our active patients.
As a reminder, beginning January 1, 2013, Rush will partner with Cigna/Allegiance in the administration of the medical benefit plan for Rush employees. (Aetna will continue to administer our medical benefits through the end of 2012.)
We appreciate your patience as we worked through these issues with Aetna and were able to provide a positive outcome for all involved. Should you have any questions, please contact your Rush Health Provider Services Consultant at (312) 942-4061.
Kathy Najarian
Vice President Contracting
Rush Health