SKYGEN USA Companies

 

OUR VISION

To reduce cost for government payers and managed care organizations by providing integrated and flexible solutions within a single, cohesive eye care delivery system.

Scion Dental

Ocular

State & Federal

State & Federal Agencies

Access unparalleled experience in delivering integrated eye care solutions designed specifically for government payers.

Managed Care Organizations

Managed Care Organizations

Choose an experienced partner proven to deliver increased efficiencies and cost containment for eye care benefit programs.

Our Leadership

John Schaak

John Schaak

President

As President of Ocular Benefits, John Schaak is responsible for ensuring the company’s payer clients continue to receive the innovative thinking, efficiency and high value of an integrated vision benefit management solutions organization. This includes continuing to leverage its unique technology, the Enterprise System, to significantly reduce the costs of delivering vision benefits.

Mr. Schaak brings extensive leadership experience to his position, including filling a similar role as President of Scion Dental, another SKYGEN USA company. Prior to joining Ocular Benefits, he was a Partner with the national law firm Quarles & Brady. Mr. Schaak is an experienced speaker who, among other things, has addressed national insurance industry conferences to share his vision of “The Insurance Company of the Future.” He is also actively involved in initiatives to reduce instances of fraud, waste, and abuse, especially as they affect children receiving care through Medicaid programs.

Mr. Schaak serves on the Board of Directors for the Wells Street Academy, which is a school for children with special needs. During his time as a practicing attorney, he also created and oversaw an award-winning truancy court program that continues to provide pro bono legal assistance to students.

Mr. Schaak has been listed on the Wisconsin Super Lawyers, Rising Stars list multiple times. He holds a Juris Doctorate from Marquette University Law School. He earned a Bachelor of Science Degree in Political Science and Criminal Justice with a minor in Sociology from the University of Wisconsin Oshkosh.

Mark Borca

Mark Borca

Vice President of Business Development

As Vice President of Business Development for Ocular Benefits, Mark Borca is the initial point of contact for new clients and prospects, with responsibility for ensuring the company continues to grow its revenue and client base. He is also responsible for making current clients aware of new product offerings that will help them increase revenue, become more efficient, and serve their members more effectively.

Mr. Borca has been performing in this capacity for Ocular Benefits since the first company was founded in 2013. His 20 years’ total experience in benefit management, with a specialty in government programs that includes provider network contracting, client management, provider compensation, and risk management strategies, gives him a unique understanding of the challenges clients face in an increasingly difficult market. Additionally, the extensive knowledge and experience he has accumulated about Medicaid managed care programs, at Ocular Benefits, Scion Dental, and previously at Doral Dental, makes him an invaluable asset throughout the business development cycle.

Over the past 20 years, Mr. Borca has proven his ability to deliver results across a variety of roles. It is what makes him ideally suited to working as a strong advocate for both Ocular Benefits and its clients.

Gail Buenger

Gail Buenger

Vice President of Operations 

As Vice President of Operations, Gail Buenger is focused on enhancing Ocular Benefits’ efficiency as a provider of integrated vision benefit management solutions to ensure the organization continues to provide high value to its payer clients while acting as good stewards of taxpayer dollars. This role encompasses oversight of the operational functions within Ocular Benefits, including client services, provider relations, claims and administration, and the call center.

Ms. Buenger is uniquely suited to these responsibilities as a result of her background as an accomplished healthcare operational business leader with experience in driving change and organizational growth. This experience includes filling a similar role as Vice President of Operations for Scion Dental, another SKYGEN USA company. Before joining Ocular Benefits, she was Director/Chief Integration Officer of the Revenue Cycle Solution practice within the Healthcare Division at Navigant Consulting, Inc., a global professional services firm. She also spent 13 years with Aurora Healthcare, a leading regional healthcare delivery system in Milwaukee, Wisconsin, where she held a series of positions that included being Aurora’s first Director of Corporate Compliance, Regional Vice President of Operations, and Chief of Staff to the Chief Operating Officer.

Ms. Buenger holds a Juris Doctorate from Marquette University Law School, as well as a certificate in alternative dispute resolution. She earned her Bachelor of Science from the University of Wisconsin-Milwaukee. She is a Board Member for The Guest House of Milwaukee, a non-profit that provides shelter, housing, education, employment, and health-related services to the homeless in Milwaukee, and previously served as an appointed community member of the Ozaukee County Health System and Human Service Board.

Frequently Asked Questions

To help you find the information you need quickly, we've collected answers to some of the most frequently asked questions about Ocular Benefits.  Click on a question to have the answer drop down below.

How is Ocular Benefits able to reduce overall cost?

Our operations are built on a state-of-the-art technology platform developed by our sister company, Wonderbox Technologies. The Enterprise System is flexible, customizable, and designed to efficiently administer managed eye care programs. Our solution brings automation to claims management, provider credentialing, network management, utilization management and other administrative functions. We accept full health plan delegation for these functions.

Do you have flexibility with reimbursement models?

Yes. We currently administer many different fee models ranging from traditional fee-for-service to full-risk capitation with many variations and reimbursement hybrids. We will customize the medical delivery and fee model to meet the specific needs of the health plan or payer.

How can Ocular Benefits compete in the fast-paced retail environment?

We offer a unique, web-based portal for providers to manage administrative tasks associated with patient care with accuracy and efficiency. Our portal enables providers to verify specific patient benefits, submit claims for eye exams and enter prescription information. They’re also able to order vision supplies, such as eye glasses and contact lens, for members at the point of purchase. Our system transmits all of this information directly to a designated lab for fulfillment.

How can Ocular Benefits help improve our HEDIS scores?

Our solution provides several strategies that lead to a healthier member population and improved health plan performance, including wellness programs, access to preventative tests and prevention of redundant tests as well as comprehensive, customizable reporting.

Can you really create a paperless process?

Yes. The Enterprise System is designed to support paperless workflows through web-based architecture, built-in document management system, and fully integrated self-service web portals. Our paperless environment is one of the fundamental ways we maintain low administrative costs.

What steps do you take to prevent fraud?

All providers complete a fraud prevention training course. In addition, we leverage our innovative technology platform for further analysis of fraud circumvention and to detect utilization outliers.

Related Services

Our sister companies are proud leaders in the delivery of specialty benefit management through state-of-the-art technology and best-in-class benefit administration.

Ocular Benefits, LLC

W140 N8981 Lilly Rd.
Menomonee Falls, WI 53051
info@skygenusa.com

  • SKYGEN USA
  • Wonderbox Technologies
  • Scion Dental
  • Vestica Healthcare
  • Ocular Benefits
  • American Therapy Administrators
  • Hylis Pharmacy Solutions
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