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Cityblock Health’s unicorn founder explains why health care is broken—and how to fix it

Emma Hinchliffe
By
Emma Hinchliffe
Emma Hinchliffe
Most Powerful Women Editor
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Emma Hinchliffe
By
Emma Hinchliffe
Emma Hinchliffe
Most Powerful Women Editor
Down Arrow Button Icon
November 18, 2025, 11:04 AM ET
Cityblock Health founder Toyin Ajayi in conversation with Fortune's Allie Garfinkle on the Term Sheet podcast.
Cityblock Health founder Toyin Ajayi in conversation with Fortune's Allie Garfinkle on the Term Sheet podcast. Fortune

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.

Recommended Video

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.

ALSO IN THE HEADLINES

ByHeart infant formula had known problems before its botulism outbreak. Federal investigators found safety violations, including building leaks and dead bugs, before the company shut down a manufacturing plant. New York Times

British media platform Sky Sports tried to reach female fans—and failed. It shut down a new channel after just three days; viewers called its videos patronizing and sexist. The content included videos like one of a Manchester City player scoring a goal with the caption "how the matcha + hot girl walk combo hits." CNN

Larry Summers is "deeply ashamed" of his relationship with Jeffrey Epstein. The Harvard professor, former president of the university, and former Treasury secretary had emailed the late convicted sex offender and his "wing man" for advice on pursuing a romantic relationship with a woman he called a mentee. He said he's stepping back from public commitments but will still teach. CNN

Fidji Simo outlines her vision for ChatGPT. The former Instacart CEO joined OpenAI in August to make ChatGPT more lucrative as CEO of applications. She's working from home during a relapse of the condition POTS (women's health is another of her passions), but has already made her presence known at the company. One of her roles is to "minimize the risk" that OpenAI tries to do too many things at once as it expands. Wired

ON MY RADAR

Jeff Bezos and Lauren Sánchez to fund Met Gala The Times

How Oura is capitalizing on the Gen Z woman's wellness obsession Vogue Business

How women over 30 are rewriting the single mom narrative in America NPR

PARTING WORDS

"The reason why I keep working with female directors is because they want the full story."

— Hamnet actor Jessie Buckley on why she works with female directors—even though she hasn't made it a conscious priority 

This is the web version of MPW Daily, a daily newsletter for and about the world’s most powerful women. Sign up to get it delivered free to your inbox.
About the Author
Emma Hinchliffe
By Emma HinchliffeMost Powerful Women Editor
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Emma Hinchliffe is Fortune’s Most Powerful Women editor, overseeing editorial for the longstanding franchise. As a senior writer at Fortune, Emma has covered women in business and gender-lens news across business, politics, and culture. She is the lead author of the Most Powerful Women Daily newsletter (formerly the Broadsheet), Fortune’s daily missive for and about the women leading the business world.

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