How Reema Works
Reema Health delivers community-based care navigation through a structured, fully managed engagement model. Health plans define priority populations, and Reema executes outreach directly through its trained Community Guides.
The model is designed to engage members who are unreachable through traditional phone-first or digital-only strategies.
Step 1: Identify and Prioritize Members
Reema works with health plans to define target populations based on clinical, behavioral, and social risk factors.
In addition to plan-provided member lists, Reema supports:
- Data-informed prioritization
- Identification of disengaged or hard-to-reach members
- Stratification based on engagement risk
- Ongoing refinement of target cohorts
This ensures outreach is focused on members most likely to benefit from community-based engagement.
Step 2: Deploy Community Guides
Reema recruits, hires, and trains Community Guides who are locally embedded in the communities they serve.
Community Guides are:
- Employed directly by Reema
- Trained in structured engagement and navigation workflows
- Supported by centralized operational oversight
- Equipped with technology for coordination and reporting
Health plans are not responsible for staffing, training, or managing field engagement.
Step 3: Conduct Hybrid, Community-Based Outreach
Reema uses a hybrid engagement model that combines:
- Phone outreach
- Text and digital communication when appropriate
- In-person engagement within the community
Community Guides escalate to in-person outreach when members cannot be reached through traditional methods or when relationship-building requires direct engagement.
This layered approach increases successful contact rates while preserving efficiency.
Step 4: Navigate Care and Close Needs Gaps
Once engaged, Community Guides work directly with members to remove barriers to care and close identified gaps.
This may include:
- Scheduling and completing follow-up appointments
- Improving medication adherence
- Supporting behavioral health engagement
- Addressing transportation, housing, or social instability
- Reconnecting members to primary or specialty care
The focus is practical follow-through, not just education or referral.
Step 5: Track Outcomes and Report Performance
Reema tracks engagement activity, gap closure, and utilization indicators through structured operational systems.
Health plans receive reporting on:
- Engagement rates
- Clinical and social needs gaps identified and closed
- Follow-up completion
- Quality measure alignment
- Economic impact indicators
This provides transparency into both activity and measurable outcomes.
Why the Model Works
Reema’s effectiveness is driven by:
- Local workforce deployment
- Hybrid engagement strategy
- Persistent outreach
- Structured operational oversight
- Clear accountability for results
Community-based care navigation succeeds because it addresses the structural and behavioral barriers that prevent traditional outreach models from reaching high-need members.
Interested in learning more? Contact us or visit reemahealth.com.
