Closing the Health Equity Gap: Reducing TCoC by 23%
Engaging Members Through Shared Identity and Trust
Overview
Reema Health’s unique approach, built on shared identity and advanced predictive technology, successfully engaged a previously unreachable population driving significant healthcare cost reductions. Reema’s approach led to a 11% reduction in inpatient hospitalizations, a 22% decrease in emergency department visits, and a 23.4% reduction in total cost of care after accounting for regression to the mean. These outcomes highlight the power of addressing social determinants and delivering hyperpersonalized support, ultimately achieving a 3:1 ROI for the health plan.
Challenge
Traditional engagement strategies struggle to connect with the most vulnerable and highcost members, particularly those who face social and behavioral health barriers. A national health plan identified a subset of their members as “unreachable” and sought an innovative solution to engage them effectively.
Together, Reema and the health plan established the following objectives:
Increase engagement with hard-to-reach members
Close social determinant gaps
Enroll these newly engaged members into additional health plan programs
Reduce overall healthcare costs for these newly engaged members
Reema's Approach
Reema solved this challenge by combining high-touch, in-person support with our datadriven platform to drive meaningful connections and outcomes with members.
COMMUNITY GUIDES
Reema’s Community Guides live in the communities they serve, ensuring direct, in-person engagement with members. Unlike conventional outreach models that rely on call centers, digital self-service, or case managers with limited local ties, Reema’s approach eliminates barriers such as cost, transportation, and distrust, leading to faster, more effective problem resolution.
REEMA’S PLATFORM
Guides use Reema’s technology platform to prioritize outreach, track engagement, and optimize follow-ups. Predictive analytics and proprietary algorithms ensure Guides focus on high-risk, high-cost members, improving efficiency and maximizing impact. Further, Reema’s platform enables precision engagement at scale, increasing caseload capacity while maintaining high-touch support. This human + technology model outperforms traditional engagement and care management methods, driving sustained member participation, measurable cost reductions, and a proven ROI for health plans.
Control Group Analysis
To assess Reema’s impact on the health plan’s population, a third party actuarial group conducted a difference-in-differences analysis, comparing members engaged by Reema to a matched control group that remained under traditional health plan outreach. The study tracked 3,000 members over 24 months, analyzing their healthcare utilization in the 12 months before and after Reema’s involvement. The matched control group was evaluated over the same time period. By measuring the difference in outcomes between these groups, the analysis quantifies Reema’s impact and results.
Results
Twelve months after hiring Reema, our health plan partner is seeing a 3:1 ROI.
These results demonstrate significant cost savings alongside measurable improvements in member health, stability, and long-term engagement.
3:1
Return on investment after 12 months
KEY FINDINGS:
11%
reduction in inpatient hospitalizations
22%
reduction in emergency department visits
23%
reduction in TCoC
43.6%
engagement rate
By leveraging Reema’s data-driven, community-based model, hard-to-reach, high-risk populations receive timely, personalized support, reducing costly interventions and driving better health outcomes.
About Reema
Reema is transforming how people navigate the gaps between health care and social care using technology and Community Guides who share identity with the members we serve. Reema’s approach improves healthcare experiences, which leads to higher member engagement and a reduction in costs.
