Managed Care Institutional Provider Network Data: September 30, 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. 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/ .

Provider Network Data System（提供者网络数据系统）之主要宗旨在于搜集评估纽约州各类健康计划所涉及的提供者网络所需数据，包括医生、医院、实验室、家庭健康服务机构、耐用医疗设备提供商等。自2017年起，PNDS纳入了医疗补助管理护理（Medicaid Managed Care, MMC）、HIV特殊需求计划（Special Need Plans, SNP）、健康与康复计划（Health and Recovery Plans, HARP）、儿童健康加计划（Child Health Plus, CHP）、全面护理老年人计划（Programs of All-Inclusive Care for the Elderly, PACE）、非PACE管理长期护理计划（Non-PACE Managed Long-Term Care, MLTC）、合格健康计划（Qualified Health Plans, QHP）、基本计划（Essential Plans, EP）以及商业计划。本数据集反映的是机构提供者数据。提供者网络数据系统信息由健康计划自行报告。PNDS数据字典可在以下网址查阅：http://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf。欲使用纽约州提供者与健康计划查找工具，请点击以下链接：https://pndslookup.health.ny.gov/ 。