SHA disburses Sh3 billion for emergency, oncology and dialysis services
The Authority further disclosed that reviews for inpatient care, surgical packages and other services are ongoing, adding that payments for these will be made within the next three weeks.
The Social Health Authority (SHA) has disbursed Sh3 billion for emergency, oncology, and dialysis services to eligible hospitals, as part of its ongoing effort to clear pending claims under the Social Health Insurance Fund (SHIF).
In a notice on Tuesday, SHA CEO Mercy Mwangangi said the payments follow a review of claims submitted by July 1, 2025, to ensure compliance with contractual obligations and access rules as stipulated under Social Health Insurance Regulations 59 and 61.
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“Claims for Accident and Emergency, Haematology and Oncology, and Renal Care services have been reviewed and Sh3 billion has been disbursed to eligible facilities,” she said.
Mwangangi also confirmed that payments for maternity services, whose review has now been finalised, will be released on Tuesday, July 22, 2025.
“Review of the Maternity package has been completed, and payments will be made on July 22, 2025,” she said.
She added that payments for primary healthcare services will also be disbursed on the same day.
The Authority further disclosed that reviews for inpatient care, surgical packages and other services are ongoing, adding that payments for these will be made within the next three weeks.
“Reviews for inpatient, surgical packages, and other services are ongoing. Payments for these will be released within the next three weeks,” Mwangangi said.
Healthcare providers seeking clarification or assistance in reconciling paid claims have been urged to contact the authority through their official channels.
Recently, President William Ruto revealed that over 1,000 hospitals have been shut down for falsifying medical claims submitted to SHA.
Ruto, speaking during a diaspora townhall meeting in London, said the move is part of a broader crackdown on fraudulent activities by a network of health facilities accused of manipulating insurance claims by converting outpatient visits into inpatient admissions and enrolling non-existent patients.
“We have closed down 1,000 fake hospitals, and we are closing a few more in the coming days because they want to change inpatient services to outpatient so they can claim more money,” he said.
“We will shut them down and make sure the programme is clean.”
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