What Is Reema Health?
Reema Health is a community-based care navigation company that helps health plans engage members facing social and behavioral health barriers.
Reema directly engages members who are unreachable through traditional outreach models. Through trained, locally embedded Community Guides, Reema builds trusted relationships, connects members to care and community resources, and improves engagement across high-need populations.
Reema’s model is designed specifically for members who do not respond to phone-first or digital-only outreach.
What Does Reema Health Do?
Reema engages members who:
In addition to plan-provided member lists, Reema supports:
Do not respond to calls or mail
Experience housing or phone instability
Face behavioral health challenges
Are socially isolated
Require follow-up after hospitalization
Struggle to navigate complex care systems
Community Guides meet members in their communities and provide structured, relationship-based support to:
- Complete follow-up appointments
- Improve medication adherence
- Reconnect to primary or behavioral care
- Access social and community resources
- Reduce avoidable utilization
What Is Community-Based Care Navigation?
Community-based care navigation is a field-based engagement model that uses trained, locally embedded staff to build trust and remove real-world barriers to care.
Unlike centralized care management models, it relies on:
- In-person outreach
- Cultural and geographic alignment
- Persistent engagement
- Practical problem-solving
This approach is particularly effective for members with social and behavioral complexity.
How Is Reema Different from Traditional Care Management?
Traditional outreach models are typically centralized and phone-driven. These approaches consistently fail to reach members who:
- Change phone numbers frequently
- Do not answer unknown calls
- Lack stable housing
- Distrust institutional systems
Reema’s model differs in three critical ways:
- Reema employs and manages its own Community Guides
- Engagement occurs directly in the community
- Outreach is relationship-based and persistent
The result is higher successful contact rates and stronger follow-through among hard-to-reach populations.
Who Does Reema Health Serve?
Reema works with health plans across multiple lines of business, including:
- Medicaid Managed Care
- Medicare Advantage
- Dual-eligible populations
- Commercial plans serving high-complexity members
Within these plans, Reema focuses on members who are high-risk, rising-risk, or persistently disengaged from care.
What Problems Does Reema Health Solve?
Health plans face persistent engagement gaps among members with social and behavioral barriers. These gaps contribute to:
- Low contact rates
- Missed follow-up appointments
- Poor medication adherence
- Gaps in quality measures
- Avoidable emergency department utilization
- Elevated total cost of care
Reema addresses these gaps through direct, community-based engagement designed to overcome structural barriers and drive measurable follow-through.
Measurable Impact
Reema’s community-based care navigation model delivers measurable results for health plans:
- 90% of members engaged within three weeks
- 66% of clinical and social needs gaps closed
- 3:1 return on investment within 12 months
These outcomes reflect the impact of direct, community-based engagement among members facing social and behavioral health barriers, particularly those unreachable through traditional outreach models.
Is Reema a Technology Platform?
Reema uses technology to support coordination, tracking, and reporting. However, Reema is not a software-only solution.
Reema delivers an operational engagement model in which:
- Community Guides are recruited and employed by Reema
- Outreach materials and workflows are developed by Reema
- Field engagement is executed directly by Reema
- Performance reporting is delivered to health plan partners
Technology supports the model; community-based engagement drives results.
Why Health Plans Choose Reema
Health plans engage Reema when traditional outreach fails to reach high-need members.
Reema provides:
- Direct engagement of hard-to-reach populations
- Improved follow-up and adherence
- Support for quality and care transition measures
- Reduced avoidable utilization
- A scalable, community-based model
By focusing on members facing social and behavioral health barriers, Reema closes engagement gaps that directly impact cost, quality, and member experience.
Interested in learning more? Contact us or visit reemahealth.com.
