Alignd.Palliative

Palliative Care.

Alignd.Palliative is a comprehensive and easy-to-implement, value-based solution offered to medical schemes, which unlocks funding for palliative care. It resolves all of the barriers currently standing in the way of improved access to palliative care. It covers benefit design, a provider network and patient support, and is underpinned by a value-based contracting model and the pragmatic use of recent advances in technology and data analytics.

Summary of the Alignd offering for palliative care*

*Initially only for patients with advanced stage or metastatic cancer

Benefit  Design

  • The benefit is designed around evidence-based clinical entry criteria and is not time-based ie it is not only limited to the last two weeks of life.
  • The benefit is designed to ensure early introduction to the concept of palliative care, and to allow for a shift between disease-directed and palliative care over the disease trajectory, when cure or remission is no longer a realistic outcome.

 Provider Network

  • There is a provider network of palliative care multi-disciplinary teams.
  • We support doctor-to-doctor telephone peer support in areas without access to palliative care multi-disciplinary teams.
  • We work closely with sub-acute facilities and hospice in-patient units in each area to facilitate seamless transition to home-based care.

Patient Support

  • We communicate with patients and their families about their eligibility for the benefit and the cover they can access.
  • We also ensure that patients are connected with expert palliative care practitioners.
  • Where medically necessary, we facilitate access to additional benefits.

Value-based contracting

  • The multi-disciplinary teams are paid a daily global professional fee.
  • Payment to the teams depends on the key patient outcomes.
  • We facilitate the process of doctors and teams contracting with medical schemes.

Data Analytics

  • We proactively identify beneficiaries who might be eligible for the benefit.
  • There is ongoing monitoring of cost and quality outcomes.
  • We use analytics to refine and improve the product and services we offer.

If you are a medical scheme representative or medical practitioner and would like a member of the Alignd.Palliative team to tell you more, send us an email to info@alignd.co.za

What Is Palliative Care?

The word palliate means “make, a disease or its symptoms, less severe without removing the cause”

  • Palliative care is specialised medical care for people with serious illness, focused on providing relief from symptoms and stress.
    The goal is to improve quality of life for both the patient and the family.
  • Palliative care is provided by a specially trained team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support.
  • Palliative care, almost by definition, puts the patient at the centre of the care being delivered; it is essential to hear what the patient and their family really want and to attend to all of their needs as human beings (physical, emotional, spiritual).
  • Palliative care doesn’t stand in opposition to curative care; the two often co-exists side-by-side with the balance shifting over time.
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“Our most cruel failure in how we treat the sick and the aged is the failure to recognise that they have priorities beyond merely being safe and living longer. The chance to shape one’s story is essential to sustaining meaning in life; that we have the opportunity to refashion our institutions, our culture, and our conversations in ways that transform the possibilities for the last chapters of everyone’s lives.”

Atul Gawande
Being Mortal: Medicine and What Matters in the End

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Healthcare costs in the last year of life are more than three times higher than in the second last year of life.