New York Health Plan Provider Networks for Q1 2019

Quarterly data from the New York Department of Health details over 30 columns of information on individual healthcare providers participating in Medicaid, Commercial, and Exchange plan networks. It covers the first quarter of 2019, sourced from managed care and PPO/EPO plans. The dataset includes indicators for specific insurance networks, provider gender, languages spoken, and facility affiliations.

Use Cases

• Analyze network composition by plan type using columns like 'Commercial Provider Indicator', 'FIDA Indicator', and 'NYSOH Standard Essential Health Plan (EP) Indicator'.
• Assess multilingual provider availability for patient matching by examining 'Language 1' through 'Language 7' columns.
• Map provider affiliations and service locations via 'Hospital Affiliation Operating Certificate' and 'Provider Location Facility Operating Number' fields.
• Study gender distribution within insurance networks using the 'Provider’s Gender' column.

Strengths

• Contains over 30 distinct columns detailing provider attributes and plan participation.
• Covers three major insurance plan types: Medicaid, Commercial, and Exchange.

Limitations

• Data is limited to a single quarter (Q1 2019), offering no longitudinal view.
• Sample size and row count are unknown, making statistical reliability unclear.
• Geographic coverage is restricted to New York State providers.

Provenance

Source

New York State Department of Health.

Collection Method

Collected quarterly from health plans including managed care and PPO/EPO plans.

Time Range

January through March 2019.

Freshness

Quarterly collection, but data is from 2019.

Geography

New York State, USA.