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AI-Powered Regulatory Change Intelligence

Know Which Policies to Review the Moment CMS Guidance Arrives

When new HPMS memos arrive, Sevana surfaces likely-affected policies and routes them to the right SMEs. Your team brings the judgment; the platform captures every disposition, every rationale, and the memo-to-policy traceability auditors expect.

AI
Powered Analysis
3
Impact Levels
Min
Not Days

Operational Traceability Matters More Than Ever

Under CMS's evolving approach to Compliance Program Effectiveness, sponsors must be prepared to demonstrate how compliance requirements are monitored, evaluated, and translated into operational action. AI Policy Intelligence helps teams connect new CMS guidance to policy review and documented remediation.

Without a coordinated system

  • Disposition lives in inboxes. Memos route to SMEs via email and shared folders; status is scattered across people.
  • Inconsistent interpretation. Different SMEs read the same memo differently; the inconsistency surfaces during audit, not before.
  • Traceability reconstructed under pressure. When CMS asks for the memo-to-policy-to-implementation chain, the team rebuilds it from emails and SharePoint.
  • Gaps surface as findings. Memos that needed action but did not get it are sometimes discovered cold by the auditor.

With Sevana

  • AI suggests, SMEs decide. AI surfaces likely-affected policies and prior dispositions, giving your SMEs a faster starting point. They keep the judgment.
  • Structured dispositions, captured once. Memos route to the right SMEs with structured forms for disposition and rationale, so the artifact builds as work happens.
  • Action routes to Work Plan. When a disposition calls for a policy update, Compliance Work Plan picks it up with assigned owners, due dates, and the originating memo linked.
  • Traceability built in. Memo-to-policy-to-implementation chain is one click away when CMS asks, not a reconstruction project.

How It Works

From CMS memo to completed policy update, the entire workflow stays inside the platform.

1

New CMS Memo Arrives

A new HPMS memo or CMS guidance document is received through the Guidance Distribution module. The memo is quickly queued for AI analysis.

2

AI Suggests Likely-Affected Policies

Based on the memo's content and how similar memos have been dispositioned before, the AI suggests which policies are likely affected and why. A starting point for your SMEs, not a final answer.

3

SMEs Review and Disposition

The right SMEs see the memo alongside the AI's suggestions. They confirm scope using their own judgment and record a structured disposition (no action, monitor, or update needed) with rationale. The audit artifact builds as they work.

4

Action Routes to Compliance Work Plan

When a disposition calls for a policy update, the action routes to Compliance Work Plan with assigned owners, due dates, and the originating memo linked. No re-keying. No lost context.

5

Traceability Built In

Every memo, every disposition, every action and its closure date sits in one place. When CMS asks how memo X led to operational change Y, the chain is one click away.

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 quickly trigger AI analysis.

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.

Part of Regulatory Intelligence

AI Policy Intelligence sits inside a broader regulatory change workflow

See how it fits with Guidance Distribution for intake, Policies & Procedures for the library, and the memo-to-policy-to-implementation traceability auditors expect.

See the full solution

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.