Every Medicaid plan carries a list of high-risk members who’ve moved, changed numbers, or don’t answer calls they don’t recognize. A Wisconsin Medicaid plan handed that list to Reema Health, whose Community Guides are hired from members’ own neighborhoods to find them and bring them to care.*
33%
Fewer BH inpatient admissions
24.6%
Lower total cost of care
17%
Lower ED spend
Wisconsin Medicaid · Engaged members compared with matched members.*
Care management works when members can be reached. The ones who can’t be reached are often the ones most likely to end up in the ED or hospital. In one study of 43,000+ high-risk Medicaid members, 61% never engaged with the care management offered to them.1
In Wisconsin, the savings didn’t come from members using less care. They came from members using different care. Once a Community Guide reached them, engaged members used more outpatient behavioral health care than matched members. Their behavioral health hospital admissions and ED spend went down as steady, proactive care replaced episodic crisis care.
Community Guides know these neighborhoods firsthand: how to reach people when a phone number stops working, which local resources actually have room, and where members feel comfortable meeting in person. Members are more likely to open up to someone who understands their world, and that trust is what turns a first contact into real engagement.
Guides start with what the member wants help solving, and together they agree on next steps. When members see progress on something that matters to them, Guides earn the trust to keep the conversation going.
When a ride falls through or a benefits question stalls care, the member has someone familiar to call. Community Guides, Care Teams and Reema’s in-house behavioral health team all work from one shared platform. When a Guide notices something is off, the behavioral health team already has the full picture and can step in early.
Each time a problem arises, Guides show members how to handle it next time, from booking their own ride to knowing who to call before a hard day turns into an ED visit. The goal is members who can navigate their plan with confidence long after Reema steps back.
Reema contracts as an in-network provider and bills through claims. Each month, you’re billed only for members who had a real conversation, an agreed next step and progress on that step.
We’ll walk you through the full Wisconsin study and what it could mean for your members.