Know Which Policies Need Updating the Moment CMS Guidance Arrives
Sevana's AI automatically cross-references new HPMS memos against your entire P&P library, identifies affected policies, explains why, and ranks each by impact level. What used to take days now takes minutes.
CMS Is Auditing Everyone Now
CMS expanded its audit program from 60 plans per year to all 550 eligible contracts annually. Health plans can no longer afford to rely on spreadsheets and institutional memory to track which policies are affected by new guidance.
The Manual Process
- Days of manual review for each new CMS memo against dozens of policies
- Reliance on institutional knowledge that walks out the door with staff turnover
- No audit trail proving you assessed the impact of new guidance
- Missed policy updates that become audit findings
With Sevana AI
- Instant cross-reference of each memo against your full P&P library
- AI explains why each policy is affected, ranked by impact level
- One-click remediation tasks assigned and tracked through Compliance Work Plan
- Complete audit trail from memo arrival to policy remediation
How It Works
From CMS memo to completed policy update, the entire workflow stays inside the platform.
New CMS Memo Arrives
A new HPMS memo or CMS guidance document is received through the Guidance Distribution module. The memo is automatically queued for AI analysis.
AI Cross-References Your P&P Library
Advanced AI analyzes the memo content against the health plan's entire policies and procedures library, identifying which specific policies may need to be updated based on the new guidance.
Impact Assessment & Ranking
Each affected policy is ranked as High, Medium, or Low impact. The AI explains exactly why the policy may need updating, giving compliance staff the context they need to prioritize.
Review & Create Remediation Tasks
Compliance staff review the AI findings, confirm which policies need updating, and create remediation tasks in seconds. Tasks are automatically routed to the Compliance Work Plan with assigned owners, due dates, and full traceability.
Track to Completion
Every step is tracked and documented. From the arrival of the CMS memo to the final policy update, you have a fully documented, assigned, and auditable remediation workflow.
Built Into the Platform You Already Use
AI Policy Intelligence isn't a separate tool. It connects directly to the modules your compliance team already works in.
Guidance Distribution
New CMS memos flow in and trigger AI analysis automatically.
Policies & Procedures
Your P&P library is the knowledge base the AI analyzes against.
Compliance Work Plan
Remediation tasks are tracked, assigned, and completed here.
Who It's For
Compliance Officers
Stay ahead of regulatory changes without manual memo-by-memo review.
Policy Owners
Know exactly which of your policies need attention and why.
Health Plan Leaders
Demonstrate audit defensibility across your entire compliance program.
Multi-State Operators
Scale policy management across multiple plans without scaling headcount.
Stop Manually Matching CMS Memos to Policies
See how AI Policy Intelligence can give your compliance team the speed and traceability they need.