How Toyin Ajayi Discovered Her Business Idea and Turned it into a $10 Billion, US based, Fast Growing Company


Dr Toyin Ajayi and her team founded Cityblock Health to provide affordable healthcare to lower-income and marginalized communities.


Cityblock Health is a tech-driven healthcare company that provides human-centered primary care, behavioral health, and social care to persons who have been historically marginalized in the healthcare system, primarily people who are receiving their health insurance through Medicaid.



Dr. Ajayi was inspired to create Cityblock Health by her observation of the persistent underserving of low-income individuals and exclusion of vulnerable people in existing healthcare system 


She became frustrated by the systemic issues that she began experimenting with ways to extend her care like giving out her cell phone number, making house calls, being available to explain medications. 

That idea grew into Cityblock where that level of personalized care is scaled


Cityblock is driven by the goal of providing high-quality holistic care at a lower cost. They do this by partnering with local community-based organizations, by building a network of physicians, and by working with insurance providers to help its members get access to primary care, behavioral health care and social services. 



The company started in low-income neighborhoods in Brooklyn, New York, and has spread across to Connecticut, Massachusettes, Washington, D.C, etc

Cityblock Health teamed with Blue Cross and Blue Shield of North Carolina to provide care to Medicaid and Medicare Advantage members in the state.

The collaboration includes new clinics across the state that are available to Blue Cross NC's Standard Plan and MA members in Charlotte, Greensboro, Winston-Salem, High Point and Fayetteville.



Cityblock business model is essentially a giant risk-sharing experiment. The company takes Medicaid patients from its customer insurers in exchange for a lump sum payment to manage their care.

 If it delivers high quality care at a lower cost, the insurer gets a piece of the savings and Cityblock gets to keep the rest. In the opposite scenario, Cityblock is on the hook for any cost overruns.

The successful execution of Dr Ajayi and her team has enabled the company attain $10 billion market valuation and $1 billion investors backing

Cityblock has over 75,000 members. And is driven by the goal to attract and serve 10 million members by 2030

Data from its first member cohort pointed to a 15% reduction in emergency room visits and a 20% reduction in in-patient hospital stays. 

While delivering these outcomes, Cityblock is experiencing 3x year-over-year revenue growth.


Cityblock is cementing its wins by entering into more partnerships with large Medicaid insurers in other states in its expansion drive to extend its services to 10 millions people by year 2030.

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