Institutional Provider Network Data: New York Health Plan Participation, Q1 2021

NYSoH quarterly data shows which health facilities and ancillary service providers participated in Medicaid, Commercial, and Exchange plan networks from January through March 2021. The dataset includes 31 columns, such as various 'Service' indicators and plan-specific flags like 'Medicaid Advantage Indicator' and 'HARP Indicator'. It is published by health.data.ny.gov and was last updated on the platform in March 2025.

Use Cases

• Analyze network participation by service type using columns like Service 3, Service 5, and Service 24.
• Compare provider inclusion across different insurance programs using Commercial Non-MCO Medical Indicator 3, Medicaid Advantage Indicator, and NYSOH Standard Essential Health Plan Indicator.
• Track quarterly changes in plan offerings for specific populations using Quarter/Year, FIDA Indicator, and HARP Indicator.

Strengths

• Data is collected quarterly from multiple plan types (Medicaid, Commercial, Exchange), providing regular snapshots.
• Includes 31 distinct columns for detailed analysis of services and plan indicators.
• Published by a state health department (NYSoH) via health.data.ny.gov, suggesting an official source.

Limitations

• Row count and dataset size are unknown, which may limit suitability assessment.
• Column names like 'Service 5' and 'Commercial Non-MCO Medical Indicator 3' are non-descriptive and require a data dictionary for interpretation.
• Freshness should be verified; the underlying data is from Q1 2021, though metadata was updated in 2025.

Provenance

Source

New York State Department of Health (NYSoH), published via health.data.ny.gov.

Collection Method

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

Time Range

January 2021 through March 2021 (Q1 2021).

Freshness

Underlying data covers Q1 2021; metadata last updated 2025-03-28.

Geography

New York State, United States.