Social Health Insurance Fund (SHIF) scheme Stories

Accountants raise concerns after whistleblower loses job at SHA
Lucy Mumbi  |  Oct 01, 2025

CPA Andrew Kipkirui Rotich, Deputy Director of Forensic Audit & Risk Assurance, reportedly lost his position following a court-ordered review of the r...

Government to enrol all prisoners in SHA by December to combat disease outbreaks
Lucy Mumbi  |  Sep 29, 2025

Correctional Services Principal Secretary Salome Beacco said the plan is aimed at curbing the spread of disease in prisons while ensuring inmates have...

‘Pay cash or go without care’: Kenya’s growing healthcare access crisis
Charity Kilei  |  Sep 27, 2025

SHA's outpatient package is painfully inadequate. While inpatient care is covered, the more frequent outpatient treatments, crucial for long-term reco...

Religious leaders demand release of SHA funds to hospitals, warn patients’ health is at risk
Lucy Mumbi  |  Sep 25, 2025

The ACK leadership said the piling debts have forced several hospitals to suspend services, leaving patients stranded.

MoH rolls out new overseas treatment framework under SHI
Maureen Kinyanjui  |  Sep 20, 2025

The framework was developed following a thorough review by the Benefits Package and Tariffs Advisory Panel (BPTAP), which identified services eligible...

Ministry of Health gazettes list of 36 medical services unavailable in Kenya
Maureen Kinyanjui  |  Sep 20, 2025

Health Cabinet Secretary Aden Duale said the list was compiled in consultation with relevant stakeholders under the Social Health Insurance Regulation...

MPs raise alarm over 'failing' digital health system in Kenya
Lucy Mumbi  |  Sep 19, 2025

The MPs said the automation process has repeatedly failed to meet its intended goals of reducing fraud and easing service delivery.

Fraud drains Kenya’s pension and health insurance funds, citizens left struggling
DW News  |  Sep 17, 2025

Kenya's pension and health insurance systems were meant to bring people dignity in old age. But fraud, delays and broken promises have left retirees a...

SHA set to roll out AI-powered system to cross-check prescriptions, says Mwangangi
Maureen Kinyanjui  |  Sep 17, 2025

CEO Mercy Mwangangi said the tool is not only a strategy to strengthen SHA’s rollout but will also play a key role in protecting patients’ health and...

1,118 clinics suspected of fraud as SHA collections hit Sh70 billion - Mwangangi
Maureen Kinyanjui  |  Sep 17, 2025

Mercy Mwangangi revealed that the authority has already rejected Sh10.7 billion in claims deemed fraudulent out of a total of Sh80 billion submitted b...

Students at risk as 85 per cent of schools lack insurance - AKI report
Maureen Kinyanjui  |  Sep 12, 2025

According to the study, many schools also lack basic safety equipment such as fire extinguishers, emergency exits, perimeter walls, and updated record...

Government halts overseas medical referrals under SHA to curb abuse by cartels
Lucy Mumbi  |  Sep 11, 2025

The move follows revelations of widespread abuse of the scheme by cartels and unregulated foreign hospitals.

CoG Health Committee Chair urges patients to report doctors sending them to private clinics for profit
Lucy Mumbi  |  Sep 10, 2025

Council of Governors (CoG) Health Committee Chair Muthomi Njuki said the trend is becoming widespread, with some doctors using public hospitals to bui...

How hospitals trick inspectors, SHA into paying millions for ghost services
Lucy Mumbi  |  Sep 09, 2025

Oluga said some little-known facilities, including those linked to powerful figures, had received millions of shillings for questionable services, a r...

Over 2,000 people denied SHA services daily due to ID, phone mismatch - PS Oluga
Lucy Mumbi  |  Sep 08, 2025

Oluga said the challenge has left thousands of Kenyans, particularly young people and low-income earners, unable to benefit from SHA because their SIM...

Government releases Sh4 billion for public servants' medical cover under SHA
Lucy Mumbi  |  Sep 08, 2025

The release of the funds comes after last month, the Kenya Healthcare Federation (KHF) warned that private hospitals across the country would no longe...

MPs slam Ministry of Health over SHA failures, demand urgent reforms
Lucy Mumbi  |  Sep 04, 2025

MPs raised concerns that Kenyans are struggling to access services despite being registered under the new scheme, citing delays in claims, stalled aut...

Ruto announces government to pay SHA contributions for 1.5 million Kenyans from next week
PCS  |  Sep 02, 2025

The President also said he would soon meet governors and MPs so that they, too, can pay for close to another one million Kenyans.

Ruto to hospitals: We will not pay pending medical claims without verification
Lucy Mumbi  |  Aug 31, 2025

The President said hospitals opposing verification are essentially trying to protect corrupt practices.

Private hospitals warn of collapse, propose liability forms for patients as SHA debts hit Sh33 billion
Lucy Mumbi  |  Aug 31, 2025

Under the plan, private hospitals will notify patients, their guardians or agents when payments remain outstanding beyond contractual timelines.

Duale defends SHA amid mounting pressure, fraud allegations by MPs
Charity Kilei  |  Aug 27, 2025

Duale rejected claims that the SHA is corrupt, arguing that the very fraud MPs accuse it of is being exposed by the system itself.

'Crack the whip': Bunge La Wananchi demands action on SHA fraud
Barack Oduor  |  Aug 26, 2025

The group lauded the decision of the Social Health Authority to suspend several health facilities across various counties, temporarily cutting them of...

COTU threatens to quit SHA board, cites lack of autonomy
Lucy Mumbi  |  Aug 26, 2025

COTU boss Francis Atwoli, accused the Ministry of Health and the Digital Health Authority of exercising undue influence over SHA, saying this has crip...

SHA suspends 45 health facilities amid crackdown on fraudulent claims
Lucy Mumbi  |  Aug 26, 2025

The suspended facilities are spread across 17 counties, with Mandera bearing the highest number at nine.

PS Oluga warns of health facilities faking staff, equipment to obtain licenses
Rachael Mutabasi  |  Aug 26, 2025

Dr Oluga noted that some facility operators manipulate the system by temporarily presenting qualified personnel and equipment during inspections to se...

Maraga calls for EACC probe SHA over ghost hospitals scandal
Lucy Mumbi  |  Aug 26, 2025

His remarks follow mounting public outcry over revelations that billions of shillings may have been siphoned off to non-existent facilities, while man...

Over 700 private hospitals face collapse as SHA, NHIF debts hit Sh76 billion
Lucy Mumbi  |  Aug 21, 2025

RUPHA says payment delays have forced some hospitals to abandon the Social Health Insurance Fund system and revert to cash-only payments.

Health unions accuse insurers of sabotaging, disrupting care at Nairobi Hospital
Barack Oduor  |  Aug 19, 2025

The unions, led by the Kenya Medical, Pharmacists and Dentists Union(KMPDU), poked holes at claims made by insurance companies against the management...

Ruto acknowledges SHA, housing project have damaged his approval ratings
Lucy Mumbi  |  Aug 18, 2025

Ruto said the challenges he faces are self-imposed, insisting that these difficult decisions are necessary for Kenya’s long-term development.

Nairobi Hospital suspends fee hike after insurance pushback
Rachael Mutabasi  |  Aug 16, 2025

Leading insurance companies had temporarily suspended services at the hospital, citing a sharp increase in treatment costs that followed the hospital’...

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