Diego A. Bognolo, M.D. serves as the Medical Director at Freedom Health and Optimum Healthcare, where he plays a pivotal role in shaping the quality and efficiency of care for Medicare Advantage Plans. With extensive expertise in Medicare and Medicaid coverage determination guidelines, Dr. Bognolo...
Diego A. Bognolo, M.D. serves as the Medical Director at Freedom Health and Optimum Healthcare, where he plays a pivotal role in shaping the quality and efficiency of care for Medicare Advantage Plans. With extensive expertise in Medicare and Medicaid coverage determination guidelines, Dr. Bognolo is adept at navigating the complexities of appeal procedures, including Administrative Law Judge Hearings. His current responsibilities encompass managing pre-certifications, concurrent reviews, and credentialing processes, ensuring that the healthcare services provided meet the highest standards of quality and compliance.
Dr. Bognolo's leadership in Utilization Management is instrumental in optimizing patient care while maintaining cost-effectiveness for the plans he oversees. His commitment to quality of care is reflected in his proactive approach to addressing grievances and appeals, where he leverages his deep understanding of case management to resolve issues efficiently. Additionally, his background as a Physician Adviser at Florida Hospital of Tampa (formerly University Community Hospital) has equipped him with a comprehensive perspective on hospital operations and patient care pathways.
With a specialty in thoracic and cardiovascular surgery, Dr. Bognolo brings a unique clinical insight that enhances his administrative capabilities. His skills in healthcare management and medical translations further enrich his contributions, allowing him to communicate effectively across diverse teams and stakeholders. As he continues to lead key projects aimed at improving healthcare delivery, Dr. Bognolo remains dedicated to advancing the standards of care within the Medicare Advantage landscape, ensuring that patients receive the best possible outcomes.
