Managed Care Institutional Provider Network Data: March 31, 2017

The primary purpose for the Provider Network Data System is to collect data needed to evaluate the provider networks including physicians, hospitals, labs, home health agencies, durable medical equipment providers, etc., for all types of health plans in New York State. Beginning in 2017, the PNDS includes Medicaid Managed Care (MMC), HIV Special Need Plans (SNP), Health and Recovery Plans (HARP), Child Health Plus (CHP), Programs of All-Inclusive Care for the Elderly (PACE), Non-PACE Managed Long-Term Care (MLTC) plans, Qualified Health Plans (QHP), Essential Plans (EP), and commercial plans (commercial plan reporting will be incomplete until Q2 2017). This dataset reflects institutional provider data. Provider Network Data System information is self-reported by health plans. The PNDS data dictionary can be found at http://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf. To use the NYS Provider & Health Plan Look-Up Tool, click on the following link, https://pndslookup.health.ny.gov/.

该提供商网络数据系统的主要目的是收集评估纽约州各类健康计划中包括医师、医院、实验室、家庭健康机构、耐用医疗设备提供商等提供商网络所需的数据。自2017年起，PNDS（提供商网络数据系统）涵盖了包括医疗保险管理护理（MMC）、HIV特殊需求计划（SNP）、健康与康复计划（HARP）、儿童健康加（CHP）、全面护理老年人计划（PACE）、非PACE长期护理管理（MLTC）计划、合格健康计划（QHP）、基本计划（EP）以及商业计划（商业计划的报告将不完整，直至2017年第二季度）。本数据集反映了机构提供商数据。提供商网络数据系统信息由健康计划自行报告。PNDS数据字典可在以下链接找到：http://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf。要使用纽约州提供商与健康计划查找工具，请点击以下链接：https://pndslookup.health.ny.gov/。