CityBlock's focus on underserved communities has led them on quite the journey - over half a billion dollars raised and a multi-billion dollar valuation. At some point or another, however, profitability is expected to follow rapid expansion, and recent layoffs at CityBlock puts emphasis on their focus of achieving profitability and limiting costs. However, Medicaid expansion/coverage has been shown to be more tricky than Medicare advantage - it will be critical to monitor how CityBlock continues to navigate these challenges moving forward. (August 2023)