SHA partners with healthcare providers to boost universal coverage, tackle fraud in Kenya

The move comes amid rising concerns over healthcare fraud and persistent financing gaps that continue to limit access to services.
In a bid to improve healthcare delivery and tackle systemic challenges, the Social Health Authority (SHA) has partnered with both private and public providers to strengthen universal health coverage and guarantee uninterrupted medical services across the country.
The move comes amid rising concerns over healthcare fraud and persistent financing gaps that continue to limit access to services.
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In a statement on Tuesday, the authority reiterated its commitment to working with healthcare stakeholders to establish a unified, transparent and sustainable system that benefits all Kenyans.
The announcement followed a strategic meeting in Nairobi, chaired by the SHA chairperson and attended by representatives from the Kenya Healthcare Federation (KHF) and the Kenya Association of Private Hospitals (KAPH).
Stronger partnerships
During the meeting, the associations stressed the importance of stronger partnerships and proactive measures to address systemic issues, including sustainable healthcare financing. According to SHA, the discussions underscored a shared commitment to maintaining seamless health services nationwide.
To ensure continuous dialogue, SHA revealed that it will now hold bi-monthly meetings with healthcare federations.
“This increased frequency of provider engagement forums will ensure a continuous flow of communication and proactive problem-solving,” the authority said.
The meeting also focused on securing the Public Officers Medical Scheme, with SHA unveiling a new working arrangement to sustain the payment system and guarantee uninterrupted healthcare for public officers.
“This initiative ensures that services remain accessible, as budgetary allocations are made available,” the authority added.
Provider-specific concerns
SHA further pledged to continue addressing provider-specific concerns through active engagement with federations, while also honouring contracts with individual health facilities. It noted that this dual approach is designed to resolve issues more efficiently and transparently.
Both KHF and KAPH reaffirmed their commitment to collaborative problem-solving and conflict resolution, highlighting the importance of partnership in overcoming sector challenges.
The authority also announced plans for a joint initiative to combat healthcare fraud. The programme will leverage the anti-fraud framework developed by the Ministry of Health and insurance companies, recognising the crucial role of providers in safeguarding resources and promoting integrity.
“The Social Health Authority remains confident in its partnerships and its ability to achieve its mandate of universal health coverage. By working hand-in-hand, SHA and healthcare providers are building a resilient, responsive and equitable healthcare system that serves all Kenyans without interruption,” the Authority said.
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