SHA claims Stories

Private hospitals to suspend SHA services from Monday over Sh76 billion debt
Lucy Mumbi  |  Sep 21, 2025

The facilities will stop serving patients under the scheme after the government failed to respond to their demands within the notice period that expir...

MoH rolls out new overseas treatment framework under SHI
Maureen Kinyanjui  |  Sep 20, 2025

The framework was developed following a thorough review by the Benefits Package and Tariffs Advisory Panel (BPTAP), which identified services eligible...

Teachers to shift to SHA medical scheme from December 1, says TSC
Maureen Kinyanjui  |  Sep 19, 2025

Appearing before the National Assembly’s Committee on Education, acting TSC CEO Eveleen Mitei said the transition has been in planning since May 2025.

RUPHA exposes flaws in SHA’s multi-billion digital health systems
Maureen Kinyanjui  |  Sep 18, 2025

The statement underscores a growing unease among health stakeholders about SHA reforms, highlighting a lack of accountability in systems funded with b...

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...

40 health facilities suspended over fraudulent SHA claims
Charity Kilei  |  Aug 08, 2025

Health Cabinet Secretary Aden Duale stated that the action follows a comprehensive audit and forensic review of claims submitted by facilities flagged...

Court suspends NHIF claims audit taskforce operations
Carolyne Kubwa  |  May 13, 2025

Justice Reuben Nyakundi issued a conservatory order restraining the committee from compiling any reports, issuing recommendations, or undertaking any...

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...

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.

Stay ahead of the news! Click ‘Yes, Thanks’ to receive breaking stories and exclusive updates directly to your device. Be the first to know what’s happening.