Pasena provides a compliance platform for health plans that automates tracking of mandates, generates policies, regulation summaries, and audit‑ready gap analyses. The system delivers real‑time monitoring, reporting, and instant alerts on Medicaid, Medicare, commercial, and NCQA regulatory changes, reducing administrative workload. By centralizing compliance data and recommendations, Pasena helps health insurers maintain continuous compliance and focus on member care.
Funding
Funding not disclosed
Founders
Product
Problem
Health insurers must continuously monitor and comply with a complex, constantly changing set of regulations across Medicaid, Medicare, commercial plans, and NCQA standards. Manual tracking of these mandates is labor‑intensive, prone to errors, and can leave organizations vulnerable to audit findings and penalties.
Solution
Pasena offers a cloud‑based compliance platform that automates the ingestion of regulatory updates and provides real‑time monitoring of an insurer’s adherence status. The system generates up‑to‑date alerts, auto‑creates policy documents, regulation summaries, and comprehensive reports, reducing the need for dedicated compliance staff. Built‑in gap analysis tools identify missing controls, and the platform delivers actionable audit recommendations to keep the organization audit‑ready at all times. By centralizing all compliance data, Pasena enables health plans to maintain full regulatory adherence while focusing resources on member care.
Target Audience
Primary customers are health insurance carriers and managed care organizations that must meet Medicaid, Medicare, commercial, and NCQA compliance requirements.
Features
- Automated import of Medicaid, Medicare, commercial, and NCQA regulations as soon as they are released
- Real‑time compliance monitoring dashboard with instant alerts for regulatory changes
- Auto‑generated policy documents, regulation summaries, and customizable compliance reports
- Gap analysis engine that highlights missing controls and suggests remediation steps
- Audit recommendation module that produces ready‑to‑use audit materials and checklists
- Centralized repository for all compliance data, accessible to multiple stakeholder roles