Reema Health Capabilities
Reema Health delivers community-based care navigation through a fully managed, structured engagement model. The capabilities below outline how Reema supports health plans in engaging members facing social and behavioral health barriers and improving quality and cost outcomes.
Engagement and Reach
Supports: Contact rates, member activation, quality measure follow-through
Reema specializes in engaging members who are difficult to reach through traditional outreach models.
Capabilities include:
- Identification and prioritization of hard-to-reach and disengaged members
- Hybrid outreach model combining phone, text, and in-person engagement
- Persistent, relationship-based follow-up
- Deployment of locally embedded Community Guides
- Escalation to in-person outreach when phone-based attempts fail
This approach increases successful contact rates and accelerates member activation.
Clinical and Social Needs Gap Closure
Supports: Quality performance, follow-up compliance, medication adherence
Reema addresses both clinical and social barriers that prevent members from completing care.
Capabilities include:
- Appointment scheduling and follow-through support
- Medication adherence engagement
- Behavioral health re-engagement
- Identification and closure of clinical needs gaps
- Identification and closure of social needs gaps
- Connection to community-based resources
Community Guides focus on practical action that drives measurable gap closure.
Utilization and Cost Impact
Supports: Total cost of care reduction, avoidable emergency department reduction, hospitalization reduction
Reema’s engagement model is designed to reduce avoidable utilization by addressing barriers before they escalate.
Capabilities include:
- Follow-up after hospitalization engagement
- Rising-risk member re-engagement
- Barrier resolution to prevent care disruption
- Ongoing engagement for members with persistent social instability
By improving follow-through and reducing disengagement, Reema helps health plans influence utilization patterns and cost outcomes.
Workforce Deployment and Operational Execution
Supports: Scalability, accountability, execution ownership
Capabilities include:
- Recruitment, hiring, and employment of Community Guides
- Structured workforce training and engagement protocols
- Centralized supervision and operational oversight
- Standardized workflows for outreach and navigation
- Scalable deployment across markets
Health plans are not responsible for staffing, training, or managing engagement operations.
Reporting and Performance Transparency
Supports: Executive reporting, ROI validation, performance management
Health plans are not responsible for staffing, training, or managing engagement operations.
Capabilities include:
- Engagement rate tracking
- Clinical and social needs gap reporting
- Follow-up completion tracking
- Quality measure alignment reporting
- ROI measurement and performance analysis
This ensures transparency into both engagement activity and measurable outcomes.
Interested in learning more? Contact us or visit reemahealth.com.
