April 2026

This quarter, we will be launching a subscription plan offering for regular clients. This service provides access to up to three (3) standard referrals per year, and unlimited general advice. Add-on services are charged separately.

Fees:

Dependents may include: children under 18 (you must be their legal guardian), a spouse, an elderly parent (65+), someone who you are a registered caregiver for.

March 2026

🔗 Bridges or Bottlenecks? How The Middleman Became The System & How To Redesign It.

This deep dive explores the role of intermediaries in Africa, exploring three models: agent-first, platform, and hybrid. An argument is made that hybrid models are uniquely placed to build agency, and strengthen systems.

Below is an excerpt:

Why did Horizon Health Network enter the market as an intermediary if intermediaries are the problem? The longer I’ve worked on this problem, the more I’ve realised that the intermediary issue isn’t about individuals behaving badly. It’s more structural than that; a symptom of agency that’s been redistributed so widely that no one feels responsible for the full picture. Clinicians, patients, payers, and facilitators each optimise for different factors and in doing so, collect fragments of information. They rarely have enough information or context to act decisively (or ethically for that matter). In that gap, intermediaries thrive. They become translators between actors who have stopped speaking the same language. But rather than being a zero-sum game, agency is a design choice. The more we build systems that assume users can’t self-advocate, the more we guarantee they won’t. That’s why I think the next generation of health platforms in Africa will be about rebuilding agency across the chain, so continuity of care stops depending on who shouts loudest or pays first.”

January 2026

January has been a busy month at Horizon Health Network. We: