NHIF Stories

Two months on, government yet to settle NHIF claims for private hospitals despite Ruto promise
Eastleigh Voice Reporter  |  Apr 27, 2025

At the time of NHIF's closure in October 2024, hospitals had raised claims totalling Sh33 billion, accumulated between July 2022 and September 2024.

Government ends SHA funds misuse with direct payments to hospitals, says CS Duale
Maureen Kinyanjui  |  Apr 23, 2025

Duale said some counties had been using the funds for other purposes, like paying staff, which left many health facilities without basic medicines and...

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...

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...

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...

Experts urge accountability in healthcare billions to ensure Kenyans get quality services
Charity Kilei  |  Mar 23, 2025

Beyond Kenya, experts at the conference emphasised the need for African nations to develop self-sustaining healthcare financing strategies rather than...

Government to audit employers defaulting on SHA contributions in bid to boost revenue
Lucy Mumbi  |  Mar 19, 2025

Last month, the Health Ministry reported that 18,988,530 Kenyans had registered for SHA, but concerns over its effectiveness persist.

Hospitals, patients suffer after government ignored NHIF warnings
Lucy Mumbi  |  Mar 09, 2025

Rupha has revealed that the government ignored the warnings, leading to hospitals grappling with financial instability and system failures.

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...

MPs expose how former NHIF officials colluded with hospitals to siphon Sh828 million
Lucy Mumbi  |  Mar 07, 2025

The report was released at a time when President William Ruto announced that the government would fully settle claims of up to Sh10 million owed to he...

More than half of NHIF members defaulted on contributions
Maureen Kinyanjui  |  Mar 06, 2025

An NHIF Board Exit Report from November 2024 reveals that out of 16.2 million registered members, only 7.1 million were actively contributing.

State to clear NHIF debts for hospitals with claims of Sh10 million and below
Lucy Mumbi  |  Mar 05, 2025

It added that the Cabinet Secretary will gazette the verification committee within a week to oversee the process.

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.

SHA collected Sh20.9bn, disbursed Sh18.2bn in claims since October 2024- Ministry
Maureen Kinyanjui  |  Feb 27, 2025

According to the ministry, Sh16.97 billion of the funds went toward Social Health Insurance Fund (SHIF) claims, while Sh1.33 billion was allocated to...

Revealed: Government owes Sh10 billion to healthcare providers
Lucy Mumbi  |  Feb 25, 2025

Speaking on the financial obligations, Ingasira acknowledged the outstanding payments but emphasised that efforts are being made to clear them.

Hospitals directed not to turn away emergency cases after SHA cover suspension
Lucy Mumbi  |  Feb 23, 2025

RUPHA said new admissions under SHA or Medical Administrators Kenya Limited will only proceed if the cover provider guarantees upfront payment.

Crisis looms as Ombudsman gives SHA seven days to settle Sh30bn hospital arrears
Maureen Kinyanjui  |  Feb 22, 2025

RUPHA, citing the crippling financial strain, announced that its members would no longer offer credit-based services due to the government's failure t...

Unresolved SHIF challenges leave Kenyans frustrated as system failures hinder access to healthcare services
Charity Kilei  |  Feb 13, 2025

A major point of contention is the new scientific means-testing system, which determines individual contributions based on 2.75 per cent of a person’s...

NHIF shutdown: Only 815 out of 1,737 employees to join SHA
Lucy Mumbi  |  Feb 11, 2025

Health Principal Secretary Harry Kimtai informed the committee that suitability tests for ex-NHIF staff transitioning to SHA would begin before the en...

Health organisations decry poor cancer care services, urge government to act
Maureen Kinyanjui  |  Feb 06, 2025

Many cancer patients who previously depended on NHIF coverage are now burdened with out-of-pocket expenses.

Healthcare costs rise by 3.3 per cent, putting pressure on household budgets
Maureen Kinyanjui  |  Feb 04, 2025

These rising expenses are pushing many low and middle-income families into tough situations, often forcing them to make difficult decisions about thei...

Ex-NHIF staff face uncertainty as SHA transition process begins
Maureen Kinyanjui  |  Jan 24, 2025

SHA Acting Chief Executive Officer, Robert Ingasira, confirmed that the vetting process for staff retention is currently in progress.

Gachagua questions Sh104 billion SHA expenditure, faults 'rushed' move to replace NHIF
Maureen Kinyanjui  |  Jan 23, 2025

While criticising the SHA project, which has faced challenges since its rollout in October of last year, Gachagua described it as rushed and poorly im...

Insurance firms providing cover for police officers face scrutiny over failure to settle claims
Lucy Mumbi  |  Jan 20, 2025

The unpaid claims, which include group life benefits, group personal accident, and work injury benefits act claims, relate to police officers and thei...

Hope for learners as government announces plans to revive EduAfya medical scheme
Maureen Kinyanjui  |  Jan 16, 2025

Parents and education stakeholders are hopeful that reviving EduAfya will bridge the healthcare gap for students, ensuring they can access medical ser...

Less than 50 per cent of healthcare facilities reimbursed by SHA – Report
Lucy Mumbi  |  Jan 06, 2025

The survey, carried out between December 24 and December 31, 2024, reached 243 healthcare facilities across 63 SHA branches.

Confusion and concerns persist as Kenyans struggle with new social health insurance scheme
Charity Kilei  |  Jan 04, 2025

While the government has maintained that SHIF is functioning effectively, many Kenyans are still frustrated and eager for the system's issues to be ad...

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