Why We Exist.

“What if we could improve outcomes, save money and give doctors back their autonomy?”


The Problem.

No one is happy with our current health system.

In the private sector we face challenges of inadequate medical scheme coverage, a trust deficit between funders and providers of care, and a system of paying for care that encourages unaffordable increases in cost.

Our vision is a compassionate and sustainable health system. We believe individual patients, the population as a whole and providers of care at the front line of the health system all deserve better. But we also know that an unaffordable health system is not a sustainable one, and that difficult trade-offs are unavoidable. We understand that incentives in the system must be designed to manage the inter-relationship between cost and quality: to ensure enduring access and ongoing improvement.


The Institute for Health Improvement (IHI) articulates a Triple Aim of better care for patients, improved population health and
lower per-capita costs.

Don Berwick, former President and CEO of IHI, says: “I simply do not believe the Triple Aim is accessible in a fee-for-service system”.  We agree with him. We think that new ways of paying for care are central to achieving patient-centred and cost-effective healthcare.

In order for the system to thrive we need a shared sense of purpose. Our ambition is to see a health system where trust is matched by accountability, and patients’ interests are paramount.

What is value-based contracting?

Value-based healthcare is where healthcare is provided with the overarching goal of value for a patient. Under value-based care contracts, providers are rewarded for helping patients improve their quality of life in an evidence-based way. Value-based care differs from a fee-for-service approach, in which providers are paid based on the amount of healthcare services they deliver. The “value” in value-based healthcare is derived from measuring health outcomes against the cost of delivering the outcomes.

Alignd believes that improved financing and contracting mechanisms can achieve a win-win-win in healthcare.

Alignd Goals.


Improved outcomes

  • Better quality and evidence-based care.
  • Improved autonomy and dignity for patients.
  • Improved continuity of care across settings.
  • Improved coordination of care.

Reduced cost

  • Reduced unnecessary hospitalisations and non-beneficial care.
  • More cost-effective provision of care.
  • Reduced medical scheme contributions and increased affordability of medical scheme coverage.

Fair reimbursement

  • Improved reimbursement and greater autonomy for healthcare providers.
  • Increased palliative care-trained healthcare professionals
  • More innovation in care delivery.
  • Rewarding work in multi-disciplinary teams.