Cityblock Health has agreed to acquire Homeward Health in an all-stock transaction, alongside a $116 million Series E funding round led by General Catalyst. 

Cityblock, whose whole-person care model involves value-based contracts integrated across medical, behavioral health and social care, is also expanding its Long-Term Services and Supports (LTSS) offering in all 11 states where it is operating.


Homeward was founded in 2022 by several former executives of Livongo, including Jennifer Schneider, M.D., as CEO, with an initial $20 million investment from General Catalyst.

At the time, the company said it would deliver a hybrid model of technology and services in order to increase access to primary care and specialty services in rural settings, beginning with cardiology. Homeward employs a multidisciplinary care team, available both virtually and on the ground via mobile care units, with in-home remote monitoring. 

Homeward gave this example: Under a traditional care delivery model, a patient suffering from heart failure is often diagnosed only after they arrive in the emergency room. Homeward said it was working to redesign this typical patient journey using a sequence of more proactive measures, including remote patient monitoring to detect the signs of a heart problem early; followed quickly by an in-home visit to test, diagnose and treat the problem; followed by virtual visits until the issue is resolved.

Homeward has raised more than $70 million in funding and secured partnerships to serve Medicare beneficiaries across Michigan and Minnesota.


In a blog post about the acquisition, Toyin Ajayi, M.D., CEO and co-founder of Cityblock, said her company serves almost 200,000 members across the country, and its annualized revenue is $2.2 billion—up 77% year-over-year, and more than four times what it was at the company’s last fundraise in 2021. 

Ajayi elaborated on the synergies and complementary nature of Cityblock and Homeward’s mocdels. She noted that Homeward has rural care expertise and has built a rural-first Medicare Advantage model that has deep ties with plans like Blue Cross Blue Shield of Michigan. 

“Like Cityblock, Homeward went after a space with the biggest challenges in our health system at a time when the stakes couldn’t be higher, where funding challenges and rural provider access shortages have resulted in a desperate need for care, particularly among the most vulnerable and hard to reach populations,” Ajayi wrote. “And they did the work of figuring out how to engage populations in relationships tailored to their needs and capable of improving access, cost, and outcomes. Homeward has built a company that when combined with Cityblock’s deep experience serving urban Medicaid and dual-eligible populations, means we now have the scale and capability to reach deeper to serve the nation’s 120 million people receiving government-funded healthcare.

“We think the answer to funding pressures in government programs isn’t to retreat from them—it’s to get radically better and more efficient at delivering outcomes for the people who depend on taxpayer-funded healthcare.”

David Raths is a Contributing Senior Editor for Healthcare Innovation, focusing on clinical informatics, learning health systems and value-based care transformation. He has been interviewing health system CIOs and CMIOs since 2006.

 Follow him on Twitter @DavidRaths