Compliance Metrics

Monthly and Quarterly Metrics Across Every Plan

Collect compliance metrics across every H-contract, assign ownership to the business users who actually have the data, and produce executive-ready reports without chasing spreadsheets over email.

Monthly
Operational Metrics
Quarterly
Training & Oversight
Multi-Plan
Contract Rollup
Monthly Metrics - April 2026
Plan H3800
Enrollment / Disenrollment
Total Membership
12,847
# Total EDVs
218
# Total RACs
94
Part D Grievances
Received This Month
37
Submitted by
Member Services Lead

Stop Chasing Spreadsheets at Month End

Compliance teams need recurring metrics from across the organization: enrollment, grievances, TRR, MOC training, network adequacy. The data lives with business owners, not compliance. Most plans manage this with email threads, attached spreadsheets, and follow-up reminders that get lost.

Without a Structured Process

  • Compliance chases business owners every month for the same metrics
  • No single source of truth when an executive asks for last quarter's numbers
  • Rolling up across H-contracts means manual copy-paste into a master sheet
  • No audit trail showing who submitted what and when

With Sevana Health

  • Each metric is owned by a named business user who gets the reminder directly
  • One place to look for current and historical metrics across every contract
  • Branded executive reports generated on demand for board and leadership review
  • Full submission history with timestamps and submitter identity for audit support
Features

Built for the Reality of Multi-Contract MA Operations

From monthly enrollment numbers to quarterly MOC training completion, capture every recurring compliance metric in one structured place.

Monthly Metric Collection

Capture enrollment, disenrollment, EDVs, RACs, TRR, Part D grievances, and other monthly operational measures by H-contract. Pre-configured for the metrics MA plans actually track.

Quarterly Metric Collection

Track MOC training completion, network adequacy, vendor oversight, and other quarterly measures. Same workflow as monthly, scoped to the right cadence and owners.

Multi-Contract Support

Manage every H-contract from a single interface. Tabbed navigation lets compliance staff move between plans without losing context. Reports roll up across contracts automatically.

Area Assignment

Compliance assigns each metric category to the business owner closest to the data. Member Services owns enrollment numbers, Quality owns MOC training, Operations owns TRR. Ownership is explicit.

Automated Reminders

Owners receive email reminders before each due date. Compliance gets a single view of what's still outstanding instead of chasing individual people for status.

Executive-Ready Reports

Download branded monthly and quarterly reports that consolidate every contract on one sheet. Drop directly into board packets or committee materials without re-formatting.

How It Works

A repeatable cycle that runs itself once the metrics and owners are set up.

1

Define Metrics & Assign Owners

Compliance configures the metrics that matter for each contract and assigns each functional area to the business user who has the data.

2

Owners Submit Each Period

Business owners receive a reminder, log in, and enter their numbers. Compliance sees real-time submission status across every contract and every metric.

3

Review & Export Reports

Compliance reviews submissions, generates the consolidated report, and shares with leadership. Historical data stays available for trend analysis and audit support.

Who It's For

Designed for the people who own recurring compliance reporting and the executives who need to see the numbers.

Compliance Officers

Stop chasing spreadsheets. See submission status across every plan in one place and produce committee-ready reports on demand.

Operations Leaders

Owners of enrollment, TRR, and grievance metrics get a focused submission interface instead of monthly spreadsheet requests.

Quality & Training Teams

Report MOC training completion, provider oversight, and quality measures on a quarterly cadence without rebuilding the report each time.

Executives & Board

Receive consistent, branded monthly and quarterly dashboards. Compare across contracts and across periods without ad-hoc requests.

Ready to Take the Manual Work Out of Monthly Reporting?

See how Sevana Health turns compliance metrics from a recurring fire drill into a structured, owner-driven workflow that runs itself.