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The Sevana Health Platform

Eight integrated modules built for Medicare Advantage compliance teams. Validate universes, track CPE findings, manage incidents, and prove implementation, from one platform.

FEATURED

AI Policy & Procedure Intelligence

Cross-references new CMS memos against your entire P&P library using AI. Surfaces likely-affected policies for your team to review, explains why, and ranks by impact level.

AI-Powered Analysis
Surface likely-affected policies for review in minutes
Impact Ranking
High, Medium, Low prioritization for each affected policy
One-Click Remediation
Create tasks and route to Compliance Work Plan in seconds
Full Audit Trail
From memo arrival to completed policy update
Minutes
Not days
Trace
Every change
Defend
Every audit

AI Policy Analysis

AI-Powered
New CMS Memo Detected
HPMS-2026-0142: MA Network Adequacy Updates
Analyzing against 47 policies...
Affected Policies Found: 5
Provider Network Access PolicyHigh
Direct reference to updated access standards
Member Grievance ProceduresMedium
References grievance timeline changes
Quality Improvement PlanLow
Minor terminology alignment needed
3 remediation tasks ready to create
FLAGSHIP

CMS Universe Scrubber

Automates validation of ODAG, CDAG, FA, SNPCC, and CPE files. Catches the errors that become IDS findings before your data reaches CMS.

1,600+ Validation Rules
Comprehensive checks aligned with CMS specifications
Row-by-Row Validation
Detailed analysis of every data point
Instant Evidence Packages
Audit-ready documentation in seconds
Prevent IDS Audit Findings
Catch errors before CMS does
Save
Hours of manual review
Prevent
IDS findings
Validate
All 5 CMS protocols

CMS File Validation

Processing
ODAG_H5521_2026.csv2.3 MB
✓ 12,456
Valid Rows
✗ 23
Errors
⚠ 156
Warnings
Row 1,234: Invalid Contract ID
Missing required field
!
Row 456: Date Format
Should be CCYY/MM/DD

Risk Assessment

Conduct formal risk assessments that meet CMS and regulatory requirements. Proactively address compliance risks.

Entire Risk Lifecycle
From identification to mitigation and monitoring
CMS Requirements Built-in
Aligned with regulatory standards
Risk Scoring Matrix
Automated risk prioritization
Mitigation Tracking
Monitor corrective actions to completion
Identify
Risks proactively
Track
Mitigation efforts
Meet
CMS requirements

Risk Matrix

Impact →
Low
Medium
High
High
2
5
Med
3
4
Low
8
Critical: Data Breach Risk9.2
High: Audit Non-Compliance7.5
Low: Documentation Gaps3.1

Compliance Work Plan

Translates CPE findings into ongoing monitoring tasks. Ensures corrective actions are completed and evidenced.

CPE Finding Translation
Convert audit findings into actionable tasks
Automated Workflows
Streamline task assignment and tracking
Evidence Management
Centralized documentation repository
Progress Dashboards
Real-time visibility into compliance status
Close
Audit findings faster
Automate
Task management
Prove
Compliance efforts

CPE Work Plan

Q3 2026
CPE Finding: Network AdequacyHigh Priority
Update provider directoryCompleted
Conduct geo-access analysisCompleted
Submit corrective action planIn Progress
CMS validation reviewPending
50% CompleteDue: Sep 15
CPE Finding: Member CommunicationsMedium
8
Tasks
3
Complete
21
Days Left
15 Active Work Plans
73% On Track

Compliance Metrics

Collects monthly and quarterly compliance metrics across every contract, from the business owners who actually have the data. Executive-ready reporting without the spreadsheet chase.

Monthly & Quarterly Cadence
Operational metrics monthly, training and oversight quarterly
Business-User Ownership
Each functional area submits its own numbers
Automated Reminders
Follow-ups fire without compliance chasing email threads
Multi-Plan Rollup
Cross-contract reporting for boards and committees
Collect
From business owners
Remind
Automatically
Report
Executive-ready

Monthly Metrics - June 2026

Plan H3800
Enrollment / Disenrollment
Total Membership
12,847
# Total EDVs
218
Part D Grievances
Received This Month
37
Submitted byMember Services Lead
14/16
Areas Submitted
2
Reminders Pending

Incident Management System

Manages Compliance, Privacy, and Fraud incidents. Includes breach assessment and ensures HIPAA compliance.

FWA Detection
Fraud, Waste, and Abuse tracking
Breach Assessment
HIPAA-compliant breach evaluation
Investigation Workflows
Structured incident resolution
Regulatory Reporting
Automated compliance notifications
Respond
To incidents faster
Document
Every action
Ensure
HIPAA compliance

Active Incidents

3 Critical
INC-2026-001
Potential HIPAA Breach
Privacy2 hours ago
Status
Investigating
INC-2026-002
FWA Alert: Unusual Billing
Fraud1 day ago
Status
In Review
12
This Month
8
Resolved
4
Pending

Guidance Distribution System

Distributes regulatory guidance and collects acknowledgments. Ensures updates reach the right personnel.

CMS Memo Tracking
Stay current with regulatory updates
HPMS Notices
Automated distribution of critical notices
Implementation Proof
Document compliance with new requirements
Acknowledgment Tracking
Ensure staff awareness and compliance
Distribute
Updates instantly
Track
Acknowledgments
Prove
Implementation

Latest CMS Guidance

HPMS Memo: 2026 Part C Updates
Published 2 days ago
142/150 Acknowledged
95% Complete
!
Urgent: Model of Care Deadline
Action required by Aug 30
45/150 Acknowledged
30% Complete
Distribution Stats
23
Memos This Month
87%
Avg. Acknowledgment

Policies & Procedures

Facilitates policy review with task-based assignments. Provides comprehensive revision tracking.

Task-Based Assignments
Structured policy review process
Revision Tracking
Complete version control and history
User Accountability
Track who reviewed and approved
Automated Reminders
Never miss a review deadline
Maintain
Current policies
Track
All revisions
Ensure
Accountability

Policy Review Status

HIPAA Privacy Policy
v3.2 • Next review: Oct 2026
Current
Code of Conduct
v2.8 • Next review: Aug 2026
Review
FWA Prevention
v1.9 • Next review: Sep 2026
Update
5 policies require review this quarter

See the Platform in Action

A 30-minute walkthrough mapped to the universes you submit, the CPE findings you track, and the policies your team owns.