Insights Module
Last updated February 5, 2026
The Public Datasets section of the Insights Module provides a preview of external oversight and compliance reports related to health plans. These datasets allow users to explore regulatory findings, audits, corrective actions, and survey results in a single, searchable interface.
How to Use Public Datasets
- Select a dataset from the list to view all available records.
- Use table controls (search, sort, filter) to explore records.
- Open individual records to review summaries, findings, or linked source documents (when available).
Note: Data shown here reflects publicly available information and may not represent the most current status of a health plan.
Available Datasets
CMS Enforcement Actions
Records of enforcement actions issued by the Centers for Medicare & Medicaid Services (CMS) against Medicare and Medicaid plans.
Includes:
- Sanctions and civil monetary penalties
- Compliance actions and notices
- Affected plan types and dates
DHCS Audit Reports
Audit findings published by the California Department of Health Care Services (DHCS).
Includes:
- Program and financial audits
- Identified deficiencies
- Required corrective actions
DHCS CAP Reports
Corrective Action Plan (CAP) reports issued or monitored by DHCS.
Includes:
- Required remediation steps
- Compliance timelines
- Resolution status (when available)
DMHC Survey Reports
Survey and examination reports from the California Department of Managed Health Care (DMHC).
Includes:
- Routine and focused surveys
- Operational and regulatory findings
- Consumer protection and access issues
What This Data Is (and Isn’t)
This data is:
- Publicly sourced
- Useful insight for trend analysis and risk awareness
This data is not:
- A comprehensive compliance determination
- A substitute for internal audits or official regulatory communication