Cityblock Health Releases Third Annual Report,Spotlighting the Challenges and Solutions for Dually Eligible Beneficiaries
BROOKLYN,N.Y., Jan. 14, 2025 — Cityblock Health, a leading value-based healthcare provider specializing in Medicaid and dually eligible populations, has unveiled its third annual report, Spotlight on the Dual Eligible Landscape. This comprehensive report underscores the growing complexities faced by individuals eligible for both Medicare and Medicaid,while showcasing Cityblock’s innovative approach to delivering integrated,compassionate care.
The number of dually eligible beneficiaries in the U.S. has surged by nearly 25% from 2016 to 2024, a trend expected to continue. As this population grows, healthcare providers face mounting pressure to deliver care that not only improves health outcomes but also reduces costs. Cityblock’s unique care model, designed specifically for these complex populations, has emerged as a critical solution.
Key insights from the Report
Table of Contents
the spotlight on the Dual Eligible Landscape report highlights several critical findings:
- Cityblock’s Footprint: 86% of Cityblock’s members are Medicaid or dually eligible beneficiaries, with 41% of all care visits involving dually eligible individuals. Notably, over 69% of these members have identified behavioral health needs, underscoring the importance of integrated care models.
- Navigating Dual Systems: Dually eligible individuals often struggle to navigate the disjointed Medicare and Medicaid systems. Cityblock’s person-centered approach integrates clinical,behavioral health,and social care,addressing these challenges head-on.
A Model for Integrated Care
Cityblock’s care model is the only purpose-built solution tailored to the needs of dually eligible populations. By combining clinical expertise with behavioral health and social support, the institution has demonstrated significant improvements in health outcomes and cost efficiency.
For example, a recent study published in NEJM Catalyst revealed that Medicaid and dually eligible patients enrolled in Cityblock’s behavioral health program experienced an 11.5% reduction in total cost of care and a 19.7% decrease in inpatient utilization [[2]]. These results validate the effectiveness of Cityblock’s value-based care approach, which contrasts sharply with traditional fee-for-service models that often lead to increased costs for payers.
The Growing Need for Compassionate Care
The report also emphasizes the importance of addressing the social determinants of health, which play a significant role in the well-being of dually eligible populations. Cityblock’s integrated care model ensures that members receive not only medical treatment but also support for housing, food security, and other social needs.
“The complexities faced by dually eligible individuals require a holistic approach,” the report states.“Cityblock’s model is designed to meet these needs, delivering efficient, personalized, and impactful care.”
A Look Ahead
As the number of dually eligible beneficiaries continues to rise, Cityblock’s scalable and integrated approach positions it as a leader in value-based care. The organization’s commitment to addressing the medical, behavioral, and social needs of this population sets a new standard for healthcare delivery.
For more details on Cityblock’s innovative care model and the full Spotlight on the Dual eligible Landscape report, visit their official website [[1]].
Key Highlights from Cityblock’s Report
| Metric | Data |
|————————————-|——————————————-|
| Percentage of Medicaid/dually eligible members | 86% |
| Care visits with dually eligible members | 41% |
| Dually eligible members with behavioral health needs | >69% |
| Reduction in total cost of care (behavioral health program) | 11.5% [[2]] |
| Decrease in inpatient utilization | 19.7% [[2]] |
Cityblock Health’s latest report not only sheds light on the challenges faced by dually eligible populations but also offers a roadmap for delivering compassionate, effective care. As the healthcare landscape evolves, Cityblock’s innovative approach serves as a beacon of hope for millions of Americans navigating the complexities of dual eligibility.
The push for Integrated Care: How Cityblock is Transforming Healthcare for Dually Eligible Individuals
In the United States, 90% of dually eligible individuals—those enrolled in both Medicare and Medicaid—face a fragmented healthcare system. These individuals, often among the most vulnerable populations, must navigate conflicting coverage rules, multiple providers, and complex eligibility requirements. This disjointed approach frequently leads to poor health outcomes and soaring costs. However, a shift toward integrated care models is gaining momentum, with organizations like Cityblock Health leading the charge.
the Challenges of Dual Eligibility
Dually eligible individuals represent a unique and complex segment of the healthcare system. They often grapple with chronic conditions, behavioral health challenges, and unmet social needs.Despite their high healthcare utilization,the lack of coordination between Medicare and Medicaid often leaves them underserved.
“For 90% of dually eligible individuals in the U.S., this is not the case,” the report states. “They’re faced with juggling different coverage rules, providers, and eligibility requirements, which can lead to poor outcomes and high costs.”
This fragmentation underscores the urgent need for a more unified approach to care delivery.
A Market Shift Toward Integration
Recent policy changes are driving the healthcare market toward integrated care models.The Centers for Medicare & Medicaid Services (CMS) has mandated that all Medicare-Medicaid Plans (MMPs) transition to Dual-Eligible Special Needs Plans (D-SNPs) by 2026.This move reflects a growing recognition of the importance of integration in addressing the needs of dually eligible populations.
Cityblock Health, a pioneer in this space, has been at the forefront of this shift since its inception. The organization’s full-stack, integrated provider and technology platform is uniquely designed to support health plans in delivering high-quality, unified care to this population.
Cityblock’s Scalable Approach
Cityblock’s model is built on trust,engagement,and community. By fostering strong relationships with members, the organization has achieved an industry-leading 81% engagement rate. This high level of engagement is critical in guiding dually eligible individuals through their care journeys and eliminating the uncertainty that frequently enough accompanies fragmented systems.“Cityblock’s ability to build strong,trusting relationships has improved its efforts to guide dually eligible recipients through their care,” the report highlights.
The organization’s approach goes beyond clinical care. By partnering with community-based organizations, Cityblock addresses social determinants of health, such as housing instability and food insecurity, which are often root causes of poor health outcomes. This holistic strategy has led to improved member health, increased retention, and significant cost savings.
Proven Impact
Cityblock’s results speak for themselves. The organization has demonstrated meaningful reductions in avoidable hospital readmissions and a lower total cost of care. Currently serving over 100,000 members, Cityblock partners with four of the top five national Medicaid health plans and several health systems across 15 cities in seven states.
| Key Metrics | Cityblock’s Impact |
|——————————-|————————————–|
| Engagement Rate | 81% (industry-leading) |
| Members served | 100,000+ |
| Avoidable Hospital Readmissions | Significant reductions |
| Total Cost of Care | Reduced |
A Vision for the Future
Cityblock’s success has not gone unnoticed. The organization has been named to Fast Company’s list of innovative companies, a testament to its groundbreaking approach to healthcare delivery.
For health plans and providers looking to navigate the complexities of dual eligibility,Cityblock offers a scalable solution that prioritizes integration,engagement,and community partnership.
To learn more about Cityblock’s transformative approach,download the full report here.
—
Cityblock Health is redefining what it means to deliver care to one of the most at-risk populations in the U.S. By bridging the gap between clinical care and social needs, the organization is setting a new standard for integrated healthcare. As the market continues to shift toward unified care models, Cityblock’s innovative approach serves as a blueprint for improving outcomes and reducing costs for dually eligible individuals.
Cityblock Health: Revolutionizing Healthcare Through Innovation
Cityblock Health, a trailblazer in the healthcare industry, has once again been recognized for its groundbreaking approach to delivering care. The company has been named to the prestigious World’s 50 Most innovative Companies list and consistently ranks among CNBC’s Disruptor 50.These accolades highlight Cityblock’s commitment to transforming healthcare for underserved communities through technology,personalized care,and innovative business models.
A New Era of Healthcare
cityblock Health is redefining how healthcare is delivered,particularly for Medicaid and lower-income Medicare populations. By combining technology with a human-centered approach,the company addresses the unique needs of its members,ensuring access to high-quality,affordable care.
“All medical services are provided by licensed physicians and health care practitioners employed by Cityblock Medical Practice,P.A. Cityblock Health, inc. provides management and administrative services to Cityblock Medical Practices,” the company states. This dual structure allows Cityblock to streamline operations while maintaining a focus on patient-centered care.
Recognition on the Global Stage
Cityblock’s inclusion in the World’s 50 Most Innovative Companies list underscores its impact on the healthcare landscape. The company’s innovative model integrates primary care, behavioral health, and social services, creating a holistic approach to health and wellness.
Additionally, its consistent ranking on CNBC’s Disruptor 50 list highlights its ability to challenge traditional healthcare systems and deliver measurable results. For a deeper dive into Cityblock’s business model, watch the 2024 CNBC Disruptor 50 video, where Cityblock’s CEO breaks down the business of healthcare.
key Innovations Driving Success
Cityblock’s success lies in its ability to leverage technology to improve care delivery. The company uses data analytics and proprietary platforms to identify gaps in care,predict health risks,and tailor interventions to individual needs. This proactive approach not only improves health outcomes but also reduces costs for patients and payers alike.
Table: Cityblock Health at a Glance
| Aspect | Details |
|————————–|—————————————————————————–|
| Founded | 2017 |
| Focus | Medicaid and lower-income Medicare populations |
| Services | Primary care, behavioral health, social services |
| Recognition | World’s 50 Most Innovative Companies, CNBC Disruptor 50 |
| Website | www.cityblock.com |
A Call to Action for a Healthier Future
Cityblock Health’s innovative approach serves as a model for the future of healthcare. By prioritizing underserved communities and leveraging technology, the company is bridging gaps in care and improving lives.
To learn more about Cityblock Health and its transformative work, visit www.cityblock.com.
Cityblock Health is not just a disruptor—it’s a beacon of hope for a more equitable and effective healthcare system.
26l%253Den%2526o%253D4308111-1%2526h%253D3859383402%2526u%253Dhttps%25253A%25252F%25252Fc212.net%25252Fc%25252Flink%25252F%25253Ft%25253D0%252526l%25253Den%252526o%25253D4308111-1%252526h%25253D3859383402%252526u%25253Dhttps%2525253A%2525252F%2525252Fc212.net%2525252Fc%2525252Flink%2525252F%2525253Ft%2525253D0%25252526l%2525253Den%25252526o%2525253D4308111-1%25252526h%2525253D3859383402%25252526u%2525253Dhttps%252525253A%252525252F%252525252Fc212.net%252525252Fc%252525252Flink%252525252F%252525253Ft%252525253D0%2525252526l%252525253Den%2525252526o%252525253D4308111-1%2525252526h%252525253D3859383402%2525252526u%252525253Dhttps%25252525253A%25252525252F%25252525252Fc212.net%25252525252Fc%25252525252Flink%25252525252F%25252525253Ft%25252525253D0%252525252526l%25252525253Den%252525252526o%25252525253D4308111-1%252525252526h%25252525253D3859383402%252525252526u%25252525253Dhttps%2525252525253A%2525252525252F%2525252525252Fc212.net%2525252525252Fc%2525252525252Flink%2525252525252F%2525252525253Ft%2525252525253D0%25252525252526l%2525252525253Den%25252525252526o%2525252525253D4308111-1%25252525252526h%2525252525253D3859383402%25252525252526u%2525252525253Dhttps%252525252525253A%252525252525252F%252525252525252Fc212.net%252525252525252Fc%252525252525252Flink%252525252525252F%252525252525253Ft%252525252525253D0%2525252525252526l%252525252525253Den%2525252525252526o%252525252525253D4308111-1%2525252525252526h%252525252525253D3859383402%2525252525252526u%252525252525253Dhttps%25252525252525253A%25252525252525252F%25252525252525252Fc212.net%25252525252525252Fc%25252525252525252Flink%25252525252525252F%25252525252525253Ft%25252525252525253D0%252525252525252526l%25252525252525253Den%252525252525252526o%25252525252525253D4308111-1%252525252525252526h%25252525252525253D3859383402%252525252525252526u%25252525252525253Dhttps%2525252525252525253A%2525252525252525252F%2525252525252525252Fc212.net%2525252525252525252Fc%2525252525252525252Flink%2525252525252525252F%2525252525252525253Ft%2525252525252525253D0%25252525252525252526l%2525252525252525253Den%25252525252525252526o%2525252525252525253D4308111-1%25252525252525252526h%2525252525252525253D3859383402%25252525252525252526u%2525252525252525253Dhttps%252525252525252525253A%252525252525252525252F%252525252525252525252Fc212.net%252525252525252525252Fc%252525252525252525252Flink%252525252525252525252F%252525252525252525253Ft%252525252525252525253D0%2525252525252525252526l%252525252525252525253Den%2525252525252525252526o%252525252525252525253D4308111-1%2525252525252525252526h%252525252525252525253D3859383402%2525252525252525252526u%252525252525252525253Dhttps%25252525252525252525253A%25252525252525252525252F%25252525252525252525252Fc212.net%25252525252525252525252Fc%25252525252525252525252Flink%25252525252525252525252F%25252525252525252525253Ft%25252525252525252525253D0%252525252525252525252526l%25252525252525252525253Den%252525252525252525252526o%25252525252525252525253D4308111-1%252525252525252525252526h%25252525252525252525253D3859383402%252525252525252525252526u%25252525252525252525253Dhttps%2525252525252525252525253A%2525252525252525252525252F%2525252525252525252525252Fc212.net%2525252525252525252525252Fc%2525252525252525252525252Flink%2525252525252525252525252F%2525252525252525252525253Ft%2525252525252525252525253D0%25252525252525252525252526l%2525252525252525252525253Den%25252525252525252525252526o%2525252525252525252525253D4308111-1%25252525252525252525252526h%2525252525252525252525253D3859383402%25252525252525252525252526u%2525252525252525252525253Dhttps%252525252525252525252525253A%252525252525252525252525252F%252525252525252525252525252Fc212.net%252525252525252525252525252Fc%252525252525252525252525252Flink%252525252525252525252525252F%252525252525252525252525253Ft%252525252525252525252525253D0%2525252525252525252525252526l%252525252525252525252525253Den%2525252525252525252525252526o%252525252525252525252525253D4308111-1%2525252525252525252525252526h%252525252525252525252525253D3859383402%2525252525252525252525252526u%252525252525252525252525253Dhttps%25252525252525252525252525253A%25252525252525252525252525252F%25252525252525252525252525252Fc212.net%25252525252525252525252525252Fc%25252525252525252525252525252Flink%25252525252525252525252525252F%25252525252525252525252525253Ft%25252525252525252525252525253D0%252525252525252525252525252526l%25252525252525252525252525253Den%252525252525252525252525252526o%25252525252525252525252525253D4308111-1%252525252525252525252525252526h%25252525252525252525252525253D3859383402%252525252525252525252525252526u%25252525252525252525252525253Dhttps%2525252525252525252525252525253A%2525252525252525252525252525252F%2525252525252525252525252525252Fc212.net%2525252525252525252525252525252Fc%2525252525252525252525252525252Flink%2525252525252525252525252525252F%2525252525252525252525252525253Ft%2525252525252525252525252525253D0%25252525252525252525252525252526l%
