Social Health Insurance Fund (SHIF) scheme Stories

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...

Insurance fraud up 45% in Q3 2024, motor industry lead surge - regulator
Alfred Onyango  |  Mar 25, 2025

Most cases emanated from the motor industry, with fraudulent motor accidents recording 16 cases, up from two in the previous corresponding quarter.

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...

Capitalise on microinsurance for underserved to boost insurance coverage - IRA
Alfred Onyango  |  Mar 05, 2025

The call to refocus on microinsurance comes at a critical time when climate-related disasters are becoming more frequent and severe, further exacerbat...

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.

Garissa boda boda operators call for action against fraudulent insurance firms
Issa Hussein  |  Mar 05, 2025

He explained how some insurance companies were reluctant to provide policy documents to clients, reducing their chances of claiming compensation later...

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.

Hospitals warn SHA’s secretive reimbursement model could hurt healthcare quality
Lucy Mumbi  |  Mar 02, 2025

Medical Services Principal Secretary Harry Kimtai dismissed claims of secrecy, assuring that the government is implementing safeguards to prevent abus...

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