Individual Health Plan Provider Networks For Third Quarter 2018

Quarterly data from July through September 2018 details individuals participating in health plan networks. The dataset is collected by the New York State Department of Health from Medicaid, Commercial, and Exchange plans, including managed care and PPO/EPO plans.

Use Cases

• Analyze provider network composition by mapping `Plan Name` against `Primary Specialty` and `State`.
• Assess geographic accessibility of care by clustering providers using `Latitude` and `Longitude` coordinates.
• Identify multilingual providers for specific patient populations by filtering on `Language 1` through `Language 6` columns.
• Examine network participation indicators like `HARP Indicator` and `NYSoH SHOP Network Indicator` fields across different plan types.

Strengths

• Contains geospatial coordinates (`Latitude`, `Longitude`) for location-based analysis.
• Includes multiple network participation indicators for Medicaid, Commercial, and Exchange plans.

Limitations

• Data is limited to a single quarter (Q3 2018), offering only a snapshot in time.
• Row count and sample size are unknown, limiting assessment of statistical power.
• Potential for geographic bias as data is specific to New York State health plans.

Provenance

Source

health.data.ny.gov

Collection Method

Collected quarterly by the New York State Department of Health from health plans.

Time Range

July through September 2018

Freshness

Quarterly collection, but data is from 2018 and last updated in 2019.

Geography

New York State, United States