SHA fraud Stories
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.
The association says the National Treasury and county governments have yet to allocate the funds required under the Social Health Insurance Act 2023.
The unions warned that the scheme remains vague, lacks transparency and could jeopardise access to essential health services.
The facilities will stop serving patients under the scheme after the government failed to respond to their demands within the notice period that expir...
Appearing before the National Assembly’s Committee on Education, acting TSC CEO Eveleen Mitei said the transition has been in planning since May 2025.
The MPs said the automation process has repeatedly failed to meet its intended goals of reducing fraud and easing service delivery.
The statement underscores a growing unease among health stakeholders about SHA reforms, highlighting a lack of accountability in systems funded with b...
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...
The move follows revelations of widespread abuse of the scheme by cartels and unregulated foreign hospitals.
Recently, the SHA suspended 45 health facilities across multiple counties, declaring that they would not be entitled to any benefits under the Social...
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...
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.
According to the Ministry, the 1,188 files represent the culmination of these enforcement efforts. SHA’s submissions include facilities with proven fr...
Article 152 of the Constitution allows a member of the National Assembly, supported by at least one-quarter of all MPs, to propose a motion requiring...
Duale rejected claims that the SHA is corrupt, arguing that the very fraud MPs accuse it of is being exposed by the system itself.
Speaking at State House on Wednesday, Ruto revealed that nearly 1,000 health facilities have been closed for fraudulent activity and pledged that all...
The group lauded the decision of the Social Health Authority to suspend several health facilities across various counties, temporarily cutting them of...
Health Cabinet Secretary Aden Duale stated that the action follows a comprehensive audit and forensic review of claims submitted by facilities flagged...
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...
