Managed Care Individual Provider Network Data: December 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 individual 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（供应商网络数据系统）之主要职能在于收集所需数据，以评估纽约州各类健康计划的供应商网络，包括医生、医院、实验室、家庭健康机构、耐用医疗设备提供商等。自2017年起，PNDS数据系统涵盖了医疗补助管理护理（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）。该数据集反映了个别供应商的数据。供应商网络数据系统的信息由健康计划自行报告。PNDS数据字典可在http://www.health.ny.gov/health_care/managed_care/docs/dictionary.pdf找到。欲使用纽约州供应商与健康计划查找工具，请点击以下链接，https://pndslookup.health.ny.gov/ 。