NHIF audit Stories

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...

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.

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...

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.

Former NHIF officials face fresh probe over alleged Sh828 million fraud
Maureen Kinyanjui  |  Nov 26, 2024

MPs have called on the EACC to look into the alleged financial mismanagement and irregular payments made under the National Health Scheme Benefit.

NHIF under scrutiny over Sh368 million in excess payments due to 'typing errors'
Lucy Mumbi  |  Jul 02, 2024

Gathungu noted that the NHIF attributed the overpayments to "typing errors" by hospital clerks but failed to provide proof of recovering the excess pa...

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