What You Should Know
- Cityblock Health announced a major expansion in North Carolina to deliver its 24/7 wrap-around care model to nearly 20,000 Humana Medicare Advantage and dual-eligible beneficiaries across 50 counties.
- Effective July 1, 2026, the partnership supports complex, hard-to-reach populations, including Dual Eligible Special Needs Plan (D-SNP) members, partial dual-eligibles, and Low-Income Subsidy (LIS) recipients.
- Cityblock’s model provides 24/7 in-person and virtual care coordination spanning primary, urgent, behavioral, clinical pharmacy, and social care in close partnership with existing primary care providers and Humana care teams.
- The partnership leverages Cityblock’s AI-native technology platform to unify real-time clinical, claims, and social data to drive targeted, point-of-care interventions and reduce administrative friction.
Bridging Health Plan Benefits and Field-Based Execution
Cityblock Health has partnered with Humana to bring its 24/7 wrap-around care model to nearly 20,000 Medicare Advantage and dual-eligible members across 50 counties in North Carolina. Initiated on July 1, 2026, the collaboration focuses on Humana Dual Eligible Special Needs Plan (D-SNP) beneficiaries, individuals with partial dual eligibility, and Medicare Advantage Low-Income Subsidy (LIS) recipients who manage complex chronic conditions.
Dual-eligible beneficiaries routinely struggle with fragmented healthcare systems, navigating conflicting Medicare and Medicaid benefit structures that frequently lead to missed preventive care, uncoordinated social supports, and avoidable emergency department utilization. Cityblock’s model addresses these care gaps by embedding multidisciplinary care teams directly into the member’s daily environment.
The North Carolina deployment pairs Cityblock’s care delivery infrastructure with Humana’s regional health plan operations:
- Multimodal Wrap-Around Scope: Delivers 24/7 in-person and virtual care coordination across primary care, urgent care intervention, behavioral health services, clinical pharmacy, and social care supports.
- Primary Care & Health Plan Alignment: Operates alongside members’ existing primary care physicians (PCPs) and Humana’s internal care management teams rather than disrupting established provider relationships.
- AI-Native Data Fusion: Utilizes Cityblock’s proprietary technology platform to integrate real-time clinical, historical claims, and social determinants of health (SDOH) data into a unified, actionable view for field care teams.
- Scalable National Framework: Establishes a foundational, single-state deployment model designed to validate operational data flows and clinical approaches before expanding into additional regional health plan footprints.
“Our model serves Humana’s dual-eligible and Medicare Advantage members to deliver better health outcomes across the state,” said Mike Roaldi, President of Cityblock Health. “This is an important step toward bringing Cityblock’s high-touch model to more people across the country.”
