Reema Health raises $19M to expand outreach to hard-to-reach Medicaid members

Reema Health, a business using software to partner with health plans and engage hard-to-reach members to improve health outcomes, announced Tuesday it has raised $19 million in a Series B round led by LRVHealth and Optum Ventures.

The company said the funding will support expansion into more markets and development of new programs, including maternal health services targeted at Medicaid managed care organizations (MCOs). Reema, founded in Minneapolis, reported it expanded from four to 14 markets over the past year and plans to enter three additional states in early 2026.

Reema positions itself as an alternative to call centers and remote case management. Its “community guides” live in the neighborhoods they serve and conduct in‑person outreach, while a proprietary platform and predictive analytics direct guides toward members deemed high‑risk and likely to generate a return through preventive care and plan engagement.

“Member engagement has always been a critical driver of health plan performance, especially for Medicaid MCOs” said Ellen Herlacher, Partner at investor LRVHealth.

Reema cited an independent analysis by actuarial firm Havarti Risk that tracked roughly 3,000 members over 24 months and attributed to its program a 22% drop in emergency department visits and a 23% reduction in total cost of care for a national health plan. Havarti’s analysis also reported a 3.2x return on investment for the plan in the first 12 months after Reema’s involvement. “The results are clear. Reema delivered significant cost savings along with measurable improvements in member health, stability and long-term engagement,” said Keith Passwater, Havarti’s CEO and a former chief actuary at Elevance.

Medicaid MCOs have increasingly looked for ways to control utilization and costs while navigating state budget pressures and shifting enrollment. Outreach and social‑needs interventions that improve primary care use and reduce emergency visits are a focus for plans seeking to lower total cost of care. Reema’s model targets members whom plans have struggled to engage through traditional channels.

The company is adding maternal health programs, an area of rising attention given maternal morbidity and disparities among Medicaid beneficiaries. Uptake by large Medicaid MCOs and integration with existing care management workflows will likely be key to sustained growth.

“Medicaid plans are in a challenging position where budget cuts will shrink enrollment to a sicker member mix with higher per member costs. That’s why they need Reema more than ever,” said Justin Ley, Reema Health Co-Founder and CEO.