Formal Risk Assessments That Meet CMS Requirements
Medicare Advantage and Part D plans must conduct formal risk assessments as part of their compliance program. Manage the entire risk lifecycle from identification through mitigation and monitoring in one structured platform.
The Challenge of Managing Compliance Risk
CMS expects Medicare Advantage and Part D organizations to maintain a formal risk assessment process as a core element of their compliance program. Without structure, risks fall through the cracks.
Without a Formal Process
- Risks tracked in spreadsheets with no accountability or ownership
- No standardized scoring makes it hard to prioritize what matters most
- Mitigation actions go untracked with no follow-through or evidence
- Audit findings reveal gaps in documentation and risk assessment coverage
With Sevana Health
- Structured risk register with clear ownership and accountability
- Consistent scoring methodology using likelihood and impact ratings
- Corrective actions tracked from assignment through completion with evidence
- Audit-ready reports generated on demand for CMS and internal reviews
Everything You Need to Manage Compliance Risk
A purpose-built platform for healthcare compliance risk assessments, designed around the requirements that CMS and OIG expect from Medicare Advantage and Part D organizations.
Complete Risk Lifecycle Management
Manage risks from initial identification through assessment, mitigation planning, corrective action, and ongoing monitoring in a single workflow.
CMS-Aligned Framework
Built around OIG compliance program guidance and CMS regulatory requirements, so your risk assessment process aligns with what auditors expect to see.
Risk Scoring Matrix
Prioritize risks using a structured scoring methodology based on likelihood and impact ratings. Focus resources on the risks that matter most to your organization.
Mitigation Action Tracking
Assign corrective actions, set deadlines, track progress, and attach evidence of completion. Every mitigation step is documented and auditable.
Department-Level Risk Ownership
Route risks to responsible departments and individuals with clear accountability. Risk owners receive assignments and are tracked through resolution.
Audit-Ready Documentation
Generate comprehensive risk assessment reports on demand. Produce the documentation CMS auditors expect, including risk registers, scoring summaries, and mitigation status.
Three Steps to Structured Risk Management
A straightforward process that takes your organization from ad-hoc risk tracking to a formal, documented risk assessment program.
Identify & Assess
Catalog risks across compliance domains using structured templates. Score each risk based on likelihood and potential impact to your organization.
Assign & Mitigate
Route risks to responsible owners with defined corrective action plans. Set deadlines, assign tasks, and establish clear expectations for resolution.
Monitor & Report
Track mitigation progress across the organization. Generate audit-ready documentation showing your risk assessment process and outcomes.
Built for Healthcare Compliance Teams
Designed for the people responsible for managing compliance risk across Medicare Advantage and Part D organizations.
Compliance Officers
Maintain oversight of the entire risk landscape and demonstrate program effectiveness to leadership and regulators.
Risk Management Teams
Conduct structured assessments, manage the risk register, and track mitigation activities across the organization.
MA Organizations
Meet CMS compliance program requirements with a formal risk assessment process that covers all operational areas.
Part D Plan Sponsors
Document and manage risks specific to Part D operations, including pharmacy network, formulary, and claims processing.
Ready to Formalize Your Risk Assessment Process?
See how Sevana Health can help your organization build a structured, audit-ready risk assessment program that meets CMS expectations.