Health insurance,Social Health Insurance,Social Health Insurance Fund Stories

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’...

Counties urged to ditch costly overseas benchmarking tours amid fiscal constraints
Alfred Onyango  |  Aug 15, 2025

Keprecon Chief Executive Director Fred Were underscored the urgency of investing directly in health systems instead of spending millions on internati...

Senate faults SHA over delayed Sh8 billion payment to families of deceased civil servants
Maureen Kinyanjui  |  Aug 12, 2025

Among the affected is the family of a senior government dentist who died treating Covid-19 patients and is still owed Sh29.9 million five years after...

The harsh reality of maternity leave, breastfeeding challenges for Kenya’s informal workers
Charity Kilei  |  Aug 10, 2025

In Kenya, exclusive breastfeeding rates for infants under six months have stalled at around 60 per cent for the past decade—below the 70 per cent glob...

Eight insurance firms suspend cover at Nairobi Hospital over soaring treatment costs
Maureen Kinyanjui  |  Aug 09, 2025

The firms involved include Madison Insurance, First Assurance, Minet, Old Mutual, Britam, AAR, CIC, and Pacis Insurance.

MCAs to pay NSSF Tier II contributions after senate rejects exemption
Maureen Kinyanjui  |  Aug 06, 2025

Initially introduced in the Senate in February last year by Majority Leader Aaron Cheruiyot, the Bill seeks to set up a new pension plan for MCAs whil...

New report warns 19 counties without proper disease testing facilities
Maureen Kinyanjui  |  Aug 05, 2025

The findings come from a joint study by the African Institute for Development Policy and Global Solutions for Diagnostics and Laboratory Systems.

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...

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