ClaimsDX

The ClaimsDX product suite from Skein Health consists of an innovative and flexible set of modules that allow organizations to visualize an act upon utilization management opportunities identified in historical claims data. Unlike other tools, ClaimsDX is ready to use “out of the box”, with episode groupers, categorizations for diagnoses and procedures, and a host of other configurable variables already built-in, eliminating months of requirements gathering and configuration. And while this allows your teams to benefit immediately, ClaimsDX is also flexible enough to allow for re-definition and custom benchmarking based on your organization’s needs.

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Focused

Unlike marketers of other data visualization tools, Skein Health is solely devoted to helping health plans, ACOs, and other risk-bearing entities identify opportunities, reduce medical spend, and increase quality.

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easy to implement

The ClaimsDX system is installed on your IT infrastructure, and we provide scripting to import claims data in simple standard formats on a schedule you define.  Data is then grouped and processed in the ClaimsDX database, and used to populate the ClaimsDX modules for visualization and drill down.  All graphs can easily be exported for easy inclusion in reports, presentations, and other documentation.

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Ready to go

The Skein Health ClaimsDX product suite allows you benchmark performance, dive into drivers of performance, and identify high-yield opportunities on day 1.  Your teams will be able to easily and intuitively explore potential problem areas across diagnostic categories, providers, and contracts, down to the individual member/claim level.