NHIF Stories

Hospitals warn of collapse as Sh76 billion in health claims remain unpaid
Rachael Mutabasi  |  Sep 05, 2025

The association described SHA’s financing model as unsustainable, noting that the authority collects about Sh5.4 billion monthly but generates claims...

State agencies owe Sh6 billion in unpaid statutory deductions, Treasury warns
Maureen Kinyanjui  |  Sep 05, 2025

Unremitted contributions to the Social Health Insurance Fund (SHIF) rose sharply to Sh125.62 million, compared with Sh76.45 million in the previous ye...

Ministry of Health submits over 1,180 files exposing healthcare fraud to DCI for prosecution
Lucy Mumbi  |  Sep 01, 2025

According to the Ministry, the 1,188 files represent the culmination of these enforcement efforts. SHA’s submissions include facilities with proven fr...

Auditor General flags Sh678 million losses at KNH from NHIF, Linda Mama contracts
Lucy Mumbi  |  Sep 01, 2025

In her report for the financial year ending June 2024, Gathungu said the hospital was forced to continue bearing deficits as reimbursements under both...

MPs launch probe into kidney transplants on foreign nationals in Eldoret hospitals
Maureen Kinyanjui  |  Aug 29, 2025

The National Assembly’s Departmental Committee on Health demanded full disclosure of all transplants, including names, nationality, and contacts of re...

SHA under fire: How Kenya’s health insurance reform is repeating NHIF’s mistakes
Charity Kilei  |  Aug 28, 2025

Major public hospitals are shutting down key services or barely staying afloat, while millions of Kenyans are left without reliable access to care. Wh...

UHC staff turn heat on CoG Chair Muthomi Njuki, demand impeachment
Rachael Mutabasi  |  Aug 27, 2025

In a strongly worded response, the UHC workers described Njuki’s comments as “reckless and insensitive”, accusing the Tharaka Nithi County governor of...

SHA denies wiring Sh20 million to ghost hospital in Homa Bay, confirms payment to Nyandiwa Level 4
Lucy Mumbi  |  Aug 22, 2025

In a statement on Friday, SHA Chief Executive Officer Mercy Mwangangi described the reports as misleading and damaging, insisting that Nyandiwa has be...

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...

Private hospitals give Duale two weeks to settle NHIF arrears
Maureen Kinyanjui  |  Aug 15, 2025

Rural and Urban Private Hospitals Association of Kenya (RUPHA) said the government had failed to honour President William Ruto’s March 5 directive to...

High Court quashes Aden Duale's NHIF pending bills verification committee
Joseph Ndunda  |  Aug 13, 2025

Nakuru-based activist Dr Magare Gikenyi had filed a petition before the court to invalidate the committee, and Justice Nyakundi granted the orders sou...

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...

Over 23 million Kenyans registered for SHA, but more than 17 million aren’t contributing to the fund
Charity Kilei  |  Aug 10, 2025

Private hospitals are increasingly rejecting SHA coverage for civil servants and demanding cash payments, a repeat of the NHIF era when delayed paymen...

No gratuity for contract UHC workers transitioning to permanent terms, PS Oluga declares
Rachael Mutabasi  |  Aug 06, 2025

The Principal Secretary for Medical Services, Dr Ouma Oluga said the transition constitutes continued service rather than termination, which is the le...

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...

SHA announces 65 job vacancies as 225 former NHIF staff remain in limbo
Maureen Kinyanjui  |  Jul 29, 2025

In the notice, SHA urged qualified individuals to apply online or submit their applications physically to its headquarters on Ragati Road, Nairobi, by...

Court rules ex-NHIF staff to retain salaries after SHA transition
Maureen Kinyanjui  |  Jul 26, 2025

The decision came after a petition filed by some former NHIF workers who wanted the court to intervene and stop a reduction of their salaries followin...

UHC: MPs back motion seeking to compel civil servants to use public hospitals
Lucy Mumbi  |  Jul 24, 2025

The motion seeks to compel the Ministry of Health to fully implement the Kenya Universal Health Coverage Policy 2020–2030 and to develop a framework t...

EduAfya audit uncovers 'ghost students', Sh2.3 billion overpayment
Maureen Kinyanjui  |  Jul 17, 2025

EduAfya programme was launched in 2018 under the National Education Sector Strategic Plan, with the aim of increasing access and equity in secondary e...

Four years on: Auditor General Nancy Gathungu still locked out of NHIF claims system
Maureen Kinyanjui  |  Jul 17, 2025

The administrators of NHIF’s outsourced e-claims system refused to grant auditors access to log files, key records that could confirm whether medical...

NHIF staff face fresh vetting for SHA jobs as court upholds open hiring mandate
Lucy Mumbi  |  Jul 13, 2025

In his judgment, Justice Byrum Ongaya clarified that the key concern was not job loss, but whether the transition followed due process.

Ministry of Health cracks down on bed sharing in public hospitals, labels it fraud
Rachael Mutabasi  |  Jul 08, 2025

Health CS Aden Duale warned that hospitals admitting patients beyond their licensed bed capacity will be held accountable. He stated that any claims i...

KNH issues strict SHA admission guidelines to combat billing fraud
Lucy Mumbi  |  Jul 08, 2025

In a notice, the institution said it requires a strict three-step verification process, warning that SHA will not cover inpatient costs if admission i...

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...

SHA: Government shuts 1,400 private hospitals over fraud
Rachael Mutabasi  |  Jul 05, 2025

Health CS Aden Duale urged the public to remain vigilant and report any instances of malpractice, service denial, or fraudulent claims through the tol...

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.

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.

SHA in crisis: Former NHIF staff in limbo amid Sh9bn retirement gap and court blow to hiring plan
Maureen Kinyanjui  |  Jun 10, 2025

More than 1,800 workers from NHIF were absorbed into SHA, and many who are nearing or past retirement age had hoped for a retirement package.

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