We prevent unnecessary hospital visits, admissions, or procedures from happening at all.
Value-based home & community care · South Africa
Optimizing care where it matters most — at home.
Our technology platform and care model prevent unnecessary hospital visits, admissions, and care costs — helping South Africa's highest-risk members live healthier, more independent lives where they belong.
01The need
South Africa's most vulnerable patients leave hospital into a gap.
No consistent care pathway. No monitoring. No professional support at home. So high-risk members cycle back into hospital — and everyone pays for it.
0%
of South Africa's population is public-health-dependent and uninsured.
R0bn
the annual economic burden of preventable illness and readmission.
0%
of deaths are caused by non-communicable diseases — conditions home-based care can help manage.
02Why Sikhaya exists
Sikhaya takes its name from ikhaya — the isiZulu and isiXhosa word for home — because home is where we believe care belongs. We optimise the delivery of home and community-based care for South Africa's highest-risk populations, so every member receives the right level of care at home, avoids unnecessary hospital visits and their costs, and lives a healthier, more independent life.
We don't deliver home-based services — we optimise them, making the work of those who do more targeted, efficient, and cost-effective.
03What makes us different
Proven in the US. Rebuilt for South Africa.
Our model delivered quantifiable results at scale in the United States — fewer hospitalisations, lower costs, better outcomes. We've adapted it to South Africa's schemes, networks, and communities.
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01
Data before crisis
Predictive risk stratification identifies rising-risk members and matches each person to the right level of home-based care.
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02
Skin in the game
Commercial structures that put our fees at risk against agreed outcome targets.
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03
Prevention, not hospital care
We reduce the cost of unnecessary hospital visits, admissions, and care by preventing them — using assistive technology and daily support to maximise each member's independence.
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04
Optimisation, not duplication
We make the work of the clinicians and care workers who deliver home-based services more targeted, efficient, and cost-effective.
04Our services
Care for every stage of the journey.
Optimised Home & Community-Based Care (HCBS)
Sikhaya optimises the delivery of home-based services, making them more targeted, efficient, and cost-effective. Every member receives a cellular-enabled tablet that connects them to physicians, nurses, pharmacists, and social workers, with check-in frequency matched to their risk profile across physical, behavioural, and social health.
Chronic Disease Management
Daily support for members living with chronic conditions — medication adherence tracking, personalised care plans, remote monitoring, and coordination with treating doctors and scheme disease management programmes.
Hospital-to-Home Transitions
Structured step-down support after discharge. We monitor recovery, verify follow-up care in the home, and intervene early — reducing readmissions in the critical weeks after a hospital stay.
Palliative & End-of-Life Care
Support coordinated home palliative pathways focused on comfort, dignity, and quality of life — pain management support, care transition and end-of-life planning tools, verified in-home delivery, and support for families.
Workforce Wellness
Support workplace-based screening, counselling, and early-intervention programmes for employers — identifying rising health risks in the workforce years before they become crises, with 24/7 support for employees.
Solutions for Medical Schemes
A single accountable partner for population health — predictive risk stratification, care coordination, electronic visit verification, claims-ready billing integration, and outcomes dashboards that quantify cost savings and utilisation shifts.
05How it works
One member. One team. One platform.
Four pillars of integrated care connect the clinicians and care workers around each member — preventing avoidable hospital care and building independence at home.
24/7 Member Support
A tablet in every member's home connects them to an interdisciplinary care team, day and night.
Clinical Decision Support
Predictive models determine the right level of care for each member and flag utilisation patterns before crises occur.
Electronic Visit Verification
Real-time confirmation that members receive the services they need, meeting South African regulatory requirements for in-home care.
Data Aggregation
Rich HCBS datasets drive continuous improvement in care protocols and transparent outcomes reporting for partners.
06The member journey
From enrolment to prevention, in three steps.
01
Enrol & assess
We identify high-risk members with your scheme or employer and assess each person's physical, behavioural, and social health needs.
02
Connect
A cellular-enabled tablet arrives in the member's home — connecting them to their care team, and their health signals to the platform.
03
Care & prevent
Care teams reach the right member at the right moment, guided by the platform. Every service is verified, measured, and reported.
07Mission & values
A South Africa where quality healthcare reaches every home, where no one cycles in and out of hospital for want of support in their community, and where health systems pay for outcomes, not volume.
Ubuntu
We treat every member's home as a place of dignity, and every family, caregiver, and community health worker as part of the care team.
Outcomes over volume
We measure ourselves by health outcomes and put our fees at risk against them. If our members don't do better, we haven't done our job.
Innovation with purpose
We enable world-class home and community-based care through advanced technology, predictive analytics, and AI — while keeping clinicians in charge of every decision.
Integrity & trust
We protect member data under POPIA, verify every visit, and report transparently to our partners.
08Who we serve
Built for medical schemes. Open to the whole system.
Medical schemes
Cut the cost of unnecessary hospital visits and admissions among your highest-risk members — with fees at risk against agreed outcomes, verified delivery, and outcomes dashboards built for scheme decision-making.
Start the conversation →People at home
Care that helps you stay healthy, independent, and at home — with a team that knows your whole story.
And an open invitation: we welcome conversations from across the healthcare system, wherever preventing avoidable hospital care creates value.
09Our platform
Purpose-built for community care in South Africa.
Mobile-first for the country's connectivity realities. Configurable to each partner's population, priorities, and systems. POPIA-aligned security with continuous vulnerability monitoring.
Care coordination
Case management, scheduling, referral intake with OCR, POPIA-compliant telehealth, and iOS & Android apps for care teams.
Clinical & AI
AI-generated treatment plans reviewed and approved by clinicians, AI note summarisation, configurable assessments, and medication management.
Scheme management
Claims submission and reconciliation, provider credentialing support, quality gap closure, and HL7 interoperability.
Reporting & compliance
Outcomes dashboards, cost-savings analysis, and population-level reporting for scheme and state partners.
10Partner with us
Ready to cut avoidable hospital costs?
If you fund or manage care for a population, we'd love to show you what home-based care can do — starting with the members who need it most.