And how to fix it, with the founder of Cityblock.
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Tuesday, November 18, 2025
Cityblock Health’s unicorn founder explains why health care is broken—and how to fix it


Did you know that Fortune’s Term Sheet newsletter has a podcast? Term Sheet, by my colleague Allie Garfinkle, covers everything you need to know in the world of dealmaking. If you haven’t checked out the new podcast, this recent episode is a great place to start.

Allie sits down with Toyin Ajayi, the cofounder and CEO of Cityblock Health. Cityblock is at the center of some of the most complex business and political challenges in the U.S. right now; the health care company serves Medicaid and low-income Medicare beneficiaries, especially in urban communities—which are expected to be the hardest hit by cuts to Medicaid. Plus Cityblock is one of very few unicorn startups founded and led by a Black woman.

“Health care is not working for anyone in the system,” Ajayi says. Patients, doctors, payers—no one is happy.

You can listen to their conversation to learn more about why—and how to fix it—on platforms like Spotify. Or watch via YouTube below!

Emma Hinchliffe
emma.hinchliffe@fortune.com

The Most Powerful Women Daily newsletter is Fortune’s daily briefing for and about the women leading the business world. Subscribe here.

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