Social Health Insurance Fund (SHIF) scheme Stories

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.

Senate Bill seeks to end detention of patients, bodies over unpaid bills
Maureen Kinyanjui  |  Mar 28, 2025

If passed, the Bill would provide a legal framework to ensure that patients and bodies are not held over financial disputes, compelling health facilit...

Government disburses Sh22 billion to settle SHIF pending bills
Maureen Kinyanjui  |  Mar 27, 2025

NDIC stated that the payments have played a crucial role in ensuring the continuity of healthcare services and alleviating financial pressures on faci...

Government disburses Sh22 billion under SHIF to hospitals countrywide
Maureen Kinyanjui  |  Mar 27, 2025

A breakdown of the disbursement shows that faith-based organizations received Sh3.5 billion, public hospitals were allocated Sh7.2 billion, and privat...

Employers face penalties for late SHA remittance
Maureen Kinyanjui  |  Mar 20, 2025

Failing to contribute or making unauthorised deductions from employees could result in fines up to Sh2 million, imprisonment for up to three years, or...

SHA is distancing itself from NHIF liabilities, warn rural private hospitals
Rachael Mutabasi  |  Mar 19, 2025

According to RUPHA Chairperson Dr. Brian Lishenga, SHA's reluctance to fully acknowledge NHIF's outstanding debts has placed hospitals in limbo, despi...

18 million registered for SHA but only 4 million contributing, report reveals
Maureen Kinyanjui  |  Mar 19, 2025

Senators questioned how the government plans to sustain the programme with such a funding shortfall.

Private hospitals call for dialogue with Health Ministry over unpaid claims
Rachael Mutabasi  |  Mar 18, 2025

PS Kimtai had threatened to shut down private healthcare facilities over concerns raised about unsettled claims under the National Health Insurance Fu...

Private hospitals face license revocation over SHA compliance
Maureen Kinyanjui  |  Mar 18, 2025

PS Kimtai criticised hospitals that have halted services, accusing them of using the situation to pressure the government.

Hospitals and insurers among NHIF creditors as debt accumulates to Sh25.8 billion
Maureen Kinyanjui  |  Mar 07, 2025

A key concern raised in the report was the 2.7 million unverified hospital-related claims, making it difficult to determine NHIF's actual outstanding...

Private hospitals maintain MAKL service suspension despite resuming SHA services
Lucy Mumbi  |  Mar 06, 2025

RUPHA maintained that services under Medical Administrator Kenya Limited (MAKL) will remain suspended due to unresolved financial concerns.

Faith-based health providers issue 14-day ultimatum to govt over Sh10 billion claims
Barack Oduor  |  Mar 06, 2025

They threatened they will not offer services to patients seeking the services using the Social Health Authority (SHA) and will resort to cash services...

Parliament can decide on fate of Sh104.8bn SHA contract - Auditor General
Maureen Kinyanjui  |  Mar 05, 2025

Gathungu maintained that her role is limited to auditing and that Parliament must take action.

Health CS Barasa being "scapegoated" for SHIF failures - Senator Nyutu
Lucy Mumbi  |  Mar 03, 2025

Nyutu warned that the failures in the health sector were not necessarily a result of the CS’s performance but rather deep-rooted structural problems.

President Ruto: Social Health Authority will work despite experiencing challenges
Eastleigh Voice Reporter  |  Mar 02, 2025

Ruto emphasised that SHA aims to provide medical coverage for all Kenyans, regardless of their financial status.

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