Alignd

What Alignd does

Alignd is a South African value-based healthcare company operating as an accredited managed care organisation, founded in Cape Town in 2019 (per company history records) and serving private medical scheme members nationwide. Its core offering, the Alignd.Palliative programme, delivers multi-disciplinary palliative care (doctors, nurses, social workers, spiritual counsellors) to patients diagnosed with advanced or metastatic cancer, providing home-based care, symptom management, advance care planning and end-of-life support from diagnosis onward rather than only at end of life. Supporting components include the Remote Access Care Plan (peer-to-peer palliative specialist support for patients in outlying areas via their chosen GP) and the Advance Care Plan (a structured tool for documenting end-of-life preferences). The care model is delivered through a national network of contracted palliative practitioners and a dedicated in-house clinical, claims, enrolment and operations team of approximately 30+ employees.

The technology stack centres on the Signapps care-coordination platform, a mobile and web messenger that enables secure, real-time communication and data sharing across the multi-disciplinary team, the patient and family. The contracting layer is the company's principal point of differentiation: a bundled professional fee with outcomes-based payment incentivises value over activity, with tiered fees across care settings and a defined endpoint that aligns patient, provider and medical scheme incentives. Pricing for eligible members of partner schemes (Fedhealth, Bonitas, Discovery Health, Medscheme/AfroCentric) is at no extra cost, with the programme funded from scheme benefits.

Alignd operates a B2B2C go-to-market in which it contracts directly with medical schemes as channel partners and receives referrals from oncologists, GPs, the schemes themselves or directly from patients and families; nearly 2,000 families had accessed the programme via the Medscheme partnership by October 2022 and 6,000+ patients had been served cumulatively by late 2024. The company monetises through managed-care service contracts paid by medical schemes rather than per-claim reimbursement.

Name

Alignd

Legal name

Alignd

Website

https://alignd.co.za

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

11–50 employees

Short description

Alignd is a South African value-based care company that delivers multi-disciplinary palliative care to private medical scheme members with advanced cancer, contracting directly with schemes such as Fedhealth, Bonitas, Discovery Health and Medscheme as an accredited managed care organisation.

Ownership category

akta.pro rank

Product category

Palliative Care Services

NAICS

Home Health Care Services (62161), Services for the Elderly and Persons with Disabilities (62412)

SIC

Services-Home Health Care Services (8082), Services-Health Services (8000)

akta.pro primary industry

Community-Based Palliative Care (Home-Based Non-Hospice) (HLADAHAH)

akta.pro secondary industries

Palliative Care (Home-Based) Providers (HLAFAEAD), Specialty Palliative Care (e.g., oncology, CHF/COPD, dementia) (HLADAHAJ), End-of-Life Planning & Hospice/Palliative Care Coordination (HLADALAL), Hospital-Based Palliative Care (Inpatient Consult Services) (HLADAHAG)

Keywords

• Palliative care services
• Value-based care
• Managed care organisation
• Care coordination platform
• Medical scheme benefits

Headquarters

HQ city

Cape Town

HQ country

South Africa

HQ region

Africa

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Medical Scheme Contracts: Alignd generates revenue by contracting with medical schemes (such as Fedhealth, Bonitas, Discovery Health) to provide value-based palliative care services. Medical schemes pay for comprehensive palliative care benefits that Alignd delivers through its network of healthcare providers. The model is accredited by the Council for Medical Schemes as a managed care organisation.
2. Value-Based Payment Mechanism: Rewards healthcare providers according to outcomes rather than activities. The bundled professional fee for multi-disciplinary teams includes outcomes-based payment incentivising value and continuous improvement.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels6 records

Core offering

Alignd provides value-based palliative care services to patients with advanced or metastatic cancer through a B2B2C model, contracting directly with South African medical schemes (Fedhealth, Bonitas, Discovery Health, Medscheme) to offer comprehensive palliative care benefits. The Alignd.Palliative programme delivers multi-disciplinary team care (palliative-trained doctors, nurses, social workers), home-based care, symptom management, advance care planning, and emotional support from diagnosis through end of life, supported by a care coordination technology platform.

Product overview

Alignd is a value-based healthcare company offering a unified palliative care programme called Alignd.Palliative, designed for patients with advanced or metastatic cancer. The core product integrates multi-disciplinary team care (palliative-trained doctors, nurses, social workers), home-based care delivery, symptom management, and advance care planning. Supplementary offerings include the Remote Access Care Plan for patients in outlying areas and an Advance Care Plan tool for documenting end-of-life preferences. The company operates as a managed care organisation accredited by the Council for Medical Schemes, partnering with medical schemes to provide coverage from diagnosis.

Differentiator

Problem solved

Functional benefit

Brands

• Alignd.Palliative: The Alignd Palliative Care Programme - a comprehensive care programme providing value-based palliative care for patients with advanced cancer, offered through partnerships with medical schemes.

Products and services

• Alignd.Palliative Care Programme Comprehensive value-based palliative care programme offered to medical scheme members diagnosed with advanced or metastatic cancer. Delivered through multi-disciplinary teams (palliative care trained doctors, nurses, social workers) and includes home-based care, symptom management, counselling for patient and family, advance care planning, follow-up consultations, and emotional and spiritual support from diagnosis through end of life. Available to eligible Fedhealth, Bonitas, and Discovery Health members at no extra cost.
• Remote Access Care Plan Care programme for patients in outlying or remote areas that enables the patient's chosen GP to deliver the majority of palliative care services, with peer-to-peer support from a palliative care trained doctor and collaboration with the treating oncologist and other involved practitioners.
• Advance Care Plan Planning tool that helps patients discover, clarify, and communicate what is important to them towards the end of life, including healthcare preferences, decision-makers, treatment priorities, and end-of-life wishes.

Quantifiable outcome

• Nearly 2,000 families have accessed Alignd palliative care services through Medscheme partnership
• +4 more outcomes

Named customers4 records

Segments3 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration1 record

Feature3 records

Partnerships

Eight partnerships are on record, tiered core, major and minor.

• Medscheme/AfroCentric GroupcoreStrategic or Co-development Partner · 13 October 2022Medscheme, a subsidiary of AfroCentric Group (South Africa's largest JSE-listed and black-owned healthcare group), partnered with Alignd to give members of Medscheme clients access to the Alignd Palliative Care Programme on diagnosis of advanced cancer at no extra cost. Through this partnership, nearly 2,000 families have accessed coordinated, value-based palliative care services.
• Fedhealth Medical SchemecoreChannel Partner/ Reseller/ Distributor · 13 October 2022Fedhealth has offered the Alignd Palliative Care Programme enabled by Medscheme for two years. Members receive comprehensive palliative care and support on diagnosis of a serious cancer, with the ability to be cared for at home if they choose, avoiding costly and often unnecessary treatments and hospitalisations near end of life.
• CANSA (Cancer Association of South Africa)majorStrategic or Co-development Partner · 6 July 2022CANSA partnered with Alignd to improve access to palliative care for cancer patients. The partnership allows CANSA to share resources, and continue to educate and advocate for quality palliative care for cancer patients. CANSA recognizes Alignd's patient-centered approach to increasing access to palliative care.
• Bonitas Medical FundcoreChannel Partner/ Reseller/ DistributorBonitas partnered with Alignd to provide ongoing palliative care coverage for members from diagnosis of serious cancer, recognizing the positive impact of including comprehensive palliative care cover as part of their health plan.
• Discovery HealthcoreChannel Partner/ Reseller/ DistributorDiscovery Health extended their Advance Illness Benefit to include palliative care on diagnosis of a serious illness, covering ongoing palliative care. This represents growing recognition of the value of early palliative care access.
• SignappscoreTechnology or IntegrationAlignd partnered with Signapps, a South African tech business that developed Signapps Care, a care-coordination platform. This platform is a core component in the delivery of Alignd's value-based care model, providing secure mobile messenger and web applications for healthcare professionals to collaborate and share confidential patient data in real-time.
• Palprac (Association of Palliative Care Practitioners of South Africa)majorStrategic or Co-development PartnerAlignd works in partnership with Palprac, which has compiled clinical guidelines for providing palliative care during COVID-19. Alignd palliative care teams work alongside Palprac members who have specialized palliative care training.
• Chariot HealthminorStrategic or Co-development PartnerChariot Health, founded by Dr Cameron Bruce, provides a platform that allows palliative care practitioners (doctors, nurses, social workers, physiotherapists, dietitians) to work in teams in a coordinated way in the community. Dr Bruce is a network doctor contracted with Alignd.

Scale indicators9 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Thyme Care: US-based value-based care company focused on oncology patients, providing care navigation and wraparound support including palliative care through partnerships with health plans. Directly comparable to Alignd's oncology-anchored, value-based palliative model.
• Aspire Health (BrightSpring Health Services): US palliative care provider operating as a managed-care-style organisation contracting with health plans to deliver home and community-based palliative services. Closely comparable delivery and contracting model to Alignd's.
• Capital Caring Health: US non-profit palliative and hospice care provider offering multi-disciplinary, value-based advanced illness care to health-plan members. Comparable to Alignd in scope of services and payer-aligned delivery model.
• Landmark Health (Optum): US in-home, value-based medical care provider for complex, poly-chronic and seriously ill patients, contracted with health plans. Highly comparable to Alignd's home-based, multi-disciplinary, value-based serious-illness model.
• Contessa Health (Amedisys): US provider of home-based and palliative care services delivered through risk-based contracts with health plans. Comparable value-based, payer-contracted, home-based palliative care model to Alignd.
• Iris Plans: US company offering advanced care planning and palliative care services to health plan members, structured as a payer-aligned, value-based offering. Mirrors Alignd's Advance Care Plan plus multi-disciplinary palliative bundle.

Broad incumbents

• Carelon Health (Elevance Health): Value-based care services arm of Elevance Health providing complex and advanced illness care including palliative services to health plan members. Operates as a payer-affiliated incumbent with overlapping capabilities to Alignd at much larger scale.
• DispatchHealth: US in-home, high-acuity medical care provider operating under value-based contracts with health plans and risk-bearing entities. Comparable in payer-contracted, value-based, home-based advanced illness care model.

Others

• VitalTalk: US non-profit focused on training clinicians in serious illness communication and palliative care skills. Adjacent rather than directly competitive — comparable mission area to Alignd's clinical quality backbone.

Emerging players

• Chariot Health: South African platform enabling palliative care practitioners to work in coordinated community teams, with its founder contracted as an Alignd network doctor. Directly comparable technology and clinical model in the same South African market.

Market position

Strengths5 records

Weaknesses6 records

Competitive moat6 records

Key risks7 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/alignd-za
• Instagraminstagram.com/alignd.palliative

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Alignd