National Health Insurance Fund Stories

MPs demand urgent talks between SHA and healthcare providers over transition bottlenecks
Maureen Kinyanjui  |  Aug 01, 2025

Rural and Urban Private Hospitals Association of Kenya (RUPHA) chair Brian Lishenga urged the government to embrace a hybrid digital health approach t...

Eastleigh residents urged to register for SHA during opening of Globcare Hospital
Abdirahman Khalif  |  Jul 30, 2025

Globcare Hospital is expected to offer a wide range of medical services, including a surgical theatre, CT scan, DEXA scan, maternity care, X-ray, dial...

Senators slam SHA over "punitive" full-year contribution rule, cite constitutional violations
Lucy Mumbi  |  Jul 23, 2025

The legislators have described the policy as punitive, demanding an immediate intervention from the Ministry of Health.

SHA disburses Sh3 billion for emergency, oncology and dialysis services
Lucy Mumbi  |  Jul 22, 2025

The Authority further disclosed that reviews for inpatient care, surgical packages and other services are ongoing, adding that payments for these will...

IRA deregisters 20 insurance brokers over non-compliance
Maureen Kinyanjui  |  Jul 18, 2025

The deregistration was carried out in accordance with Section 196(A) of the Insurance Act, which provides the legal framework for removing brokers fro...

Health CS Aden Duale grilled over failure to deliver care for invisible disability patients
Lucy Mumbi  |  Jul 15, 2025

Health Cabinet Secretary Aden Duale defended the government, highlighting the Disability Medical Assessment and Categorisation Guidelines (2022), whic...

SHA eases hospital cash strain with two-phase claims payment
Maureen Kinyanjui  |  Jul 15, 2025

The development follows persistent complaints from a section of health providers about payment delays, which they say have disrupted service delivery...

Kenyans concerned over SHA premiums, confusion on dependents, and unclear Lipa Pole Pole model
Charity Kilei  |  Jul 06, 2025

Contributions to the SHA are made through payroll deductions for formally employed individuals, direct payments from those in the informal sector, and...

From NHIF to SHA: Kenya’s struggle to overcome health insurance fraud, boost affordability
Charity Kilei  |  Jun 30, 2025

The Ethics and Anti-Corruption Commission (EACC) has unearthed internal fraud schemes involving ghost services and unauthorized system access.

Government shuts down 31 hospitals for SHA fraud
Lucy Mumbi  |  Jun 29, 2025

Health Cabinet Secretary Aden Duale condemned the trend, stating that it undermines public trust in the universal health coverage programme and would...

Insurance Regulatory Authority reveals firms rejected Sh658 million in claims in first quarter of 2025
Maureen Kinyanjui  |  Jun 27, 2025

The amount marks a 77.6 per cent increase from the Sh370.93 million worth of claims turned down in a similar period last year.

SHIF's 2.75 per cent deduction remains in effect, Duale says, despite Judge Mwita labelling it illegal
Charity Kilei  |  Jun 23, 2025

Health Cabinet Secretary Aden Duale clarified that the Ministry respects the court process but emphasised that it did not invalidate the deductions.

High Court Judge Mwita says 2.75 per cent SHIF deductions from salaried employees illegal
Carolyne Kubwa  |  Jun 23, 2025

Justice Chacha Mwita on Monday ruled that the law states that only income tax is withheld from gross income; therefore, no other deductions can be mad...

SHA under fire: Kenyans decry annual payments, link to Hustler Fund raises alarm
Charity Kilei  |  Jun 11, 2025

Data from the State Department for Micro, Small, and Medium Enterprises (MSMEs) released in September shows more than 50 per cent of Hustler Fund borr...

Hospitals threaten to shut surgical theatres over six-month SHIF payment delays
Lucy Mumbi  |  Jun 08, 2025

RUPHA has revealed that nearly six months after performing critical surgeries between April and May, many hospitals have yet to receive reimbursements...

Government launches flexible health insurance payment plan to boost access for informal sector
Lucy Mumbi  |  Jun 01, 2025

Known as Lipa SHA Pole Pole or Lipa SHA Mos Mos, the system allows Kenyan households, especially those in the informal sector, to pay their annual hea...

World Bank urges scrapping of SHIF deductions for low-wage workers, cites threats to UHC goals
Bashir Mbuthia  |  May 27, 2025

A recent World Bank report states that the 2.75 per cent SHIF payroll deduction places a financial strain on low-income workers and small businesses.

Kenya launches panel to review health benefit tariffs, promote equity and cost-effective care
Charity Kilei  |  May 26, 2025

The committee will conduct thorough reviews, analyse Kenya’s disease burden, and provide expert recommendations to inform policy decisions grounded in...

Broken promises? MPs grill firms behind teachers’ health cover over delays, limited access to care
Maureen Kinyanjui  |  May 22, 2025

MPs grilled officials from Medical Administrators Kenya Ltd and Bliss Healthcare after teachers reported widespread service complaints under a cover t...

Ministry of Health wants Treasury to deduct health workers’ dues directly to fix access delays
Lucy Mumbi  |  May 11, 2025

The move follows outrage from doctors who say they are unable to access services despite monthly deductions.

New Bill seeks to penalise biased insurers with Sh5 million fine, jail term or de-registration
Maureen Kinyanjui  |  Apr 28, 2025

The penalties are intended to ensure that individuals in the insurance industry are held accountable for biased behaviour, especially toward vulnerabl...

Only 1.4 million informal workers enrolled in SHIF, says Health CS Duale
Maureen Kinyanjui  |  Apr 18, 2025

This number is in sharp contrast to the formal sector, where 4.9 million individuals are actively making contributions.

Former Health CAS Mercy Mwangangi appointed CEO of Social Health Authority
Maureen Kinyanjui  |  Apr 11, 2025

Mwangangi, a specialist in health financing and policy, brings over 15 years of experience in areas such as universal health coverage, institutional r...

Health CS Duale inaugurates NHIF task force to audit pending claims worth Sh33 billion
Charity Kilei  |  Apr 07, 2025

The committee, chaired by James Masiro, comprises professionals from the private sector, county governments, and the Social Health Authority (SHA) and...

Six months after SHIF rollout, Kenyans continue to face challenges in accessing healthcare
Charity Kilei  |  Apr 06, 2025

While SHA has made promises to improve the healthcare system, including new commitments by Health CS Aden Duale, some experts believe the rollout was...

Health CS Duale vows to ensure SHA settles hospital claims by the 14th of each month
Lucy Mumbi  |  Apr 01, 2025

According to the Ministry, SHA has already settled claims amounting to Sh24 billion, with an additional Sh2.1 billion paid under the primary health ca...

Health CS Aden Duale forms 19-member committee to review pending NHIF claims
Lucy Mumbi  |  Mar 30, 2025

The NHIF Pending Medical Claims Verification Committee will be responsible for determining the legitimacy of outstanding medical claims accumulated be...

Duale: SHA will expose NHIF fraud, lead to private clinics closures
Maureen Kinyanjui  |  Mar 28, 2025

PS Kimtai accused private healthcare providers of attempting to blackmail both the government and the public by withholding services.

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