Through quarterly meetings, our Medical Policy Council assists in assessing our medical policies, use of technologies, quality improvement, and outcomes analysis. Council members include independent clinical experts from active practices who have trained or have appointments at leading institutions.
Their expertise spans a variety of ophthalmic specialties, including cataract surgery, corneal disease, refractive surgery, glaucoma, vitreo-retinal disorders (including diabetic eye disease), pediatric ophthalmology, strabismus, oculoplastic reconstructive surgery, and medical ethics.
The Council is chaired by our Chief Medical Officer, Dr. Mark Ruchman. Elizabeth Klunk, Senior Vice President of Medical Management, and Dr. Fred McMillan, Senior Medical Director, also attend. Each meeting is reported to our Utilization Management Committee for review and implementation.
Their expertise and independent judgment is a unique component of the value we bring to our health plan clients.
Dr. Mark Ruchman
Chief Medical Officer
Cornea and External Disease, Ophthalmic Consultants of Long Island (NY)
Cataract Surgery, Massachusetts Eye and Ear Infirmary / Harvard Medical School
Retinal Surgery, Harkness Eye Institute / Columbia University Medical School
Comprehensive Optometry, Levin Eyecare (MD)
Comprehensive Ophthalmology, University of Maryland
Glaucoma, Wilmer Eye Institute / Johns Hopkins Medical Institutions and University of Michigan
Comprehensive Optometry, Prime Eye Care PC (AZ)
Glaucoma, Ophthalmic Consultants of Long Island (NY)
Pediatric Ophthalmology and Medical Ethics, Wilmer Eye Institute / Johns Hopkins Medical Institutions
LASIK and Cataract Surgeon, Eye Center of Texas