Health insurance,insurance,Insurance fraud,insurance premiums,Insurance Regulatory Authority,insurance underwriting Stories
The findings suggest that cost and knowledge gaps remain significant hurdles to expanding insurance coverage across the surveyed nations and the regio...
CPA Andrew Kipkirui Rotich, Deputy Director of Forensic Audit & Risk Assurance, reportedly lost his position following a court-ordered review of the r...
They added that a PwC forensic audit commissioned by MUA cleared her of any wrongdoing, stating there was no evidence of intentional concealment or di...
Correctional Services Principal Secretary Salome Beacco said the plan is aimed at curbing the spread of disease in prisons while ensuring inmates have...
SHA's outpatient package is painfully inadequate. While inpatient care is covered, the more frequent outpatient treatments, crucial for long-term reco...
The ACK leadership said the piling debts have forced several hospitals to suspend services, leaving patients stranded.
According to the latest Insurance Regulatory Authority (IRA) report, total claims and policyholder benefits across general, long-term, and micro-insur...
In the first half of 2025 alone, the Insurance Fraud Investigation Unit (IFIU) received 85 reports of fraudulent claims, 45 of which involved motor in...
The framework was developed following a thorough review by the Benefits Package and Tariffs Advisory Panel (BPTAP), which identified services eligible...
Health Cabinet Secretary Aden Duale said the list was compiled in consultation with relevant stakeholders under the Social Health Insurance Regulation...
The MPs said the automation process has repeatedly failed to meet its intended goals of reducing fraud and easing service delivery.
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...
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...
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...
According to the study, many schools also lack basic safety equipment such as fire extinguishers, emergency exits, perimeter walls, and updated record...
The move follows revelations of widespread abuse of the scheme by cartels and unregulated foreign hospitals.
Council of Governors (CoG) Health Committee Chair Muthomi Njuki said the trend is becoming widespread, with some doctors using public hospitals to bui...
Oluga said some little-known facilities, including those linked to powerful figures, had received millions of shillings for questionable services, a r...
Oluga said the challenge has left thousands of Kenyans, particularly young people and low-income earners, unable to benefit from SHA because their SIM...
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 raised concerns that Kenyans are struggling to access services despite being registered under the new scheme, citing delays in claims, stalled aut...
The President also said he would soon meet governors and MPs so that they, too, can pay for close to another one million Kenyans.
The President said hospitals opposing verification are essentially trying to protect corrupt practices.
Under the plan, private hospitals will notify patients, their guardians or agents when payments remain outstanding beyond contractual timelines.
Duale rejected claims that the SHA is corrupt, arguing that the very fraud MPs accuse it of is being exposed by the system itself.
The group lauded the decision of the Social Health Authority to suspend several health facilities across various counties, temporarily cutting them of...
COTU boss Francis Atwoli, accused the Ministry of Health and the Digital Health Authority of exercising undue influence over SHA, saying this has crip...
The suspended facilities are spread across 17 counties, with Mandera bearing the highest number at nine.
Dr Oluga noted that some facility operators manipulate the system by temporarily presenting qualified personnel and equipment during inspections to se...
His remarks follow mounting public outcry over revelations that billions of shillings may have been siphoned off to non-existent facilities, while man...
