Alignd brings a unique combination of clinical, financial and analytical skills to bear on the pressing challenges in our health system. Our ambition is a patient-centred and compassionate health system. We offer comprehensive financing solutions for the optimal care of patients. Our approach aligns the incentives of all stakeholders (patients, providers and medical schemes) to deliver patient-centred, value-based healthcare.
Our solutions bring together multiple components (benefit design, provider network, patient support, data analytics and a value-based payment mechanism) into a coherent framework.
Perhaps more than in any other area of healthcare, the status quo in palliative care is benefiting no one. The incentives generated by a hospital plan to seek care in an acute setting creates a perverse situation in which patients are dying in hospital when they want to die at home, and where dying at home would have been cheaper for their medical scheme. The lack of meaningful palliative benefits or an established way of paying palliative practitioners means practitioners are not being fairly reimbursed and often cannot afford to dedicate themselves to palliative practice full time.
We believe there is a huge opportunity in palliative care to improve patients’ experience at the end of life, substantially reduce costs for schemes, and fairly reward palliative practitioners for the highly skilled services they provide.
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Palliative care focuses on improving the quality of life for patients with life-threatening illnesses and their families. Its ethos is based on the understanding that treating patients doesn’t mean just treating their disease; it means treating the patient as a whole and providing physical, psychosocial and spiritual support to alleviate pain and suffering. Palliative care is an extra layer of support and doesn’t stand in opposition to curative care; the two often co-exist side-by-side with the balance shifting over time.
There are so many misaligned incentives in the palliative care space: the Alignd.Palliative solution can empower practitioners and reduce costs without compromising quality. Participating in our comprehensive, value-based solution for palliative care means better outcomes for your patients, streamlined processes, time saved, improved reimbursement for you, getting back your autonomy as the expert and cost savings for medical schemes.
Most patients indicate a wish to die at home, but in the South African private sector they are more likely to die in an intensive care or high care unit, frequently receiving aggressive, invasive and non-beneficial care. The consequence for funders is the high cost of care at the end-of-life. It is estimated that the medical scheme industry spent close to R12 billion in 2017 on patients in the last year of life. Alignd.Palliative is an easy-to-implement and innovative managed care solution that will save money and give patients a greater say in the managing of serious illnesses.
Effecting change in a complex environment requires perspective on the system as a whole, a rigorous diagnosis of what is wrong, and a coherent hypothesis about how those problems can be solved. It also requires discerning and pragmatic judgement about what can and cannot be changed, in both the short and longer term. We take a long view of where we want the system to go and develop a clear-sighted strategy for how we get there.