New York State Health Plan Provider Networks for Q3 2019

Quarterly data from July through September 2019 details health facilities and ancillary service providers participating in plan networks. The New York State of Health (NYSoH) collected this information from Medicaid, Commercial, and Exchange plans, including managed care and PPO/EPO plans. It covers hospitals, labs, home care agencies, and other institutional providers.

Use Cases

• Analyze network composition by comparing the presence of specific provider types (e.g., hospitals, labs) across different Plan Names.
• Assess geographic service coverage by mapping provider locations using Servicing County columns against plan networks.
• Identify plans with specific service offerings by filtering on Service columns (e.g., Service 6 through Service 25).
• Track provider participation across multiple plans using the Provider Network Data System Identification Number.

Strengths

• Data covers multiple plan types: Medicaid, Commercial, and Exchange plans.
• Includes over 20 specific data columns for detailed provider and service analysis.
• Collected on a quarterly basis, allowing for temporal tracking of network changes.

Limitations

• Data is from a single quarter (Q3 2019) and is not current.
• Sample data is unavailable, preventing assessment of data distribution or quality.
• Key metrics like total row count and geographic coverage breadth are unknown.

Provenance

Source

New York State of Health (NYSoH).

Collection Method

Collected quarterly from health plans (Medicaid, Commercial, Exchange).

Time Range

July 2019 through September 2019.

Freshness

Last updated December 2019; collected quarterly for Q3 2019.

Geography

State of New York, USA.