Addressing all the barriers to good health is a problem worth solving.

Addressing all the barriers to good health is a problem worth solving.

We founded Cityblock because health is the issue of our lifetime. Be it skyrocketing illness, the increasing disparity gap, or the massive toll on our economy, the impacts of poor health and dysfunctional healthcare are everywhere.

Traditional approach:

Our healthcare system is failing our families, communities, and society.

It’s bad. We know. We are clinicians, social workers, policy-makers, and administrators, as well as caregivers, family members, and patients ourselves. Healthcare costs are soaring, but not in ways that lead to better health.

Our approach:

We can build something better.

By shifting the care balance toward prevention and community support, we know we can make populations healthier. Key to making this happen will be creating a new culture of care delivery that returns the patient to the center of the health system.

Traditional approach:

Non-medical factors account for more than 60% of a person’s health outcomes.

Logistical concerns, such as unreliable transportation and lack of access to childcare, can result in missed medical appointments. Economic hurdles, such as limited access to healthy food and anxiety over financial stress, all significantly worsen health outcomes. And social issues, such as lack of support and follow-up care, can hinder progress for patients struggling with diabetes, addiction, or asthma.

Our approach:

We want to bring the widest possible lens to health.

By providing members with care teams to address medical, behavioral, economic, and social factors, and by making our teams readily available within day-to-day community life, we believe we can significantly improve outcomes.

What care really costs.

The existing hospital-based acute care system is designed to be reactive rather than proactive. But such care is expensive, often unnecessarily so.

A $10,000 hospital stay could cover the cost of any of these services:

An average hospital stay is $10,000

120

Hours with a psychiatrist

230

Primary care visits

500

Hours with a community care worker

600

Rides to-and-from appointments

Preventive care covers more and keeps people out of the hospital to begin with.

Traditional approach:

Innovation has not reached those who need it most.

Too often, healthcare innovation targets only those those with more ability to pay. Their interests are what fuel change, as they are more empowered to speak up when services aren't meeting their needs. Over the past five years, more than $2 billion has been spent in employer and Medicare markets, while Medicaid, a $500 billion industry, remains largely ignored. This has to change.

Our approach:

We’ve assembled a multidisciplinary team to focus explicitly on driving innovations targeted at populations with the greatest need.

These challenges require cross-sector collaboration and system transformation. We've brought together doctors, operations experts, social workers and engineers committed to innovating in care delivery in the Medicaid space.

Traditional approach:

Health outcomes in the US are worse than those of other developed countries, particularly when it comes to underserved urban communities.

Despite having the largest per capita healthcare expenditure compared to other countries, the United States has one of the highest rates of obesity, diabetes, and cancer, as well as a lower life expectancy. Racial and ethnic minorities and lower-income individuals, in particular, face large disparities in access to and use of healthcare, as well as in health outcomes.

Our approach:

We will address the root causes of poor health.

Research suggests that the reason for this apparent paradox is America’s relative under-investment in social support. We want to change this by investing in addressing underlying social needs as part of providing medical care—we believe that tackling the roots of health is the only way to ensure true wellbeing.

Traditional approach:

The cost of healthcare is skyrocketing.

Because provider compensation has historically rewarded doing more without a focus on outcomes, patients often don't get the preventive support that they need to avoid high-cost illnesses. For example, simple lifestyle interventions such as healthy eating and exercise can enable weight loss that delays and even prevents the onset of diabetes, a disease that costs the US $176 billion per year.

Our approach:

We can find ways to drive down cost and improve the quality and experience of care.

Through shared-profit partnerships with payers and hospital systems, we can redirect healthcare spending toward preventive measures, making care better and people more healthy. This will also significantly reduce costs, leading to the sustainability of Medicare and Medicaid.

“When I was 22, I experienced first-hand the immense fragmentation, chaos, and poor communication that is so common in our health system.

After falling down a flight of stairs, I had a traumatic brain injury and spent three years legally blind. Fortunately, as a medical student, I had access to compassionate, world-class care and my vision has recovered. As a visually impaired individual, however, the health care system failed to give me the support I needed. I was asked to carry my paper medical records from appointment to appointment. I had to fight for access to disability support, to push the members of my care teams to exchange information, and to ensure that I didn't fall through the cracks. Even though I was the patient, I was the glue that held my system together. It was frustrating, disempowering, and exhausting. And I was lucky; I was someone from a family that taught me great health literacy and provided some financial means, so I had an unprecedented level of access. But the experience woke me up. Since then, I've devoted my life and my work to ensuring that the healthcare system does better for members of my family and my community.”

“When I was 22, I experienced first-hand the immense fragmentation, chaos, and poor communication that is so common in our health system.