SHIF Stories

We’re paying, but still suffering: Patients urge SHA to expand outpatient cover
Charity Kilei  |  May 04, 2025

The Social Health Authority was rolled out with the ambitious goal of achieving Universal Health Coverage, a cornerstone of Kenya’s health reform agen...

MPs, state officials could be forced to use public hospitals under proposed healthcare reforms
Maureen Kinyanjui  |  May 01, 2025

The policy would also ensure that top officials no longer enjoy medical privileges at the taxpayer’s expense, a move that could save the government mi...

Four feared dead as makeshift video cafe collapses into septic tank in Bamburi
Farhiya Hussein  |  Apr 21, 2025

The café had been constructed above the aged septic tank, which caved in under the weight of the occupants.

Only 1.4 million informal workers enrolled in SHIF, says Health CS Duale
Maureen Kinyanjui  |  Apr 18, 2025

This number is in sharp contrast to the formal sector, where 4.9 million individuals are actively making contributions.

Duale says 20,000 Kenyans joining SHIF daily as new health scheme gains ground
Lucy Mumbi  |  Apr 16, 2025

He affirmed that these contributions were sustainable and would cover all benefits as stipulated by law, noting that the government funds primary heal...

Former Health CAS Mercy Mwangangi appointed CEO of Social Health Authority
Maureen Kinyanjui  |  Apr 11, 2025

Mwangangi, a specialist in health financing and policy, brings over 15 years of experience in areas such as universal health coverage, institutional r...

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...

Six months after SHIF rollout, Kenyans continue to face challenges in accessing healthcare
Charity Kilei  |  Apr 06, 2025

While SHA has made promises to improve the healthcare system, including new commitments by Health CS Aden Duale, some experts believe the rollout was...

Health CS Duale vows to ensure SHA settles hospital claims by the 14th of each month
Lucy Mumbi  |  Apr 01, 2025

According to the Ministry, SHA has already settled claims amounting to Sh24 billion, with an additional Sh2.1 billion paid under the primary health ca...

Health CS Duale: SHA to provide Sh550,000 in annual coverage for cancer patients
Rachael Mutabasi  |  Apr 01, 2025

Duale said reimbursement for intensive care unit and high dependency unit services has been significantly increased, rising from Sh4,480 to Sh28,000 p...

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...

MPs push to scrap one-third salary rule amid rising tax burden
Maureen Kinyanjui  |  Mar 29, 2025

The Employment Act, 2007 bars employers from deducting more than two-thirds of an employee’s basic salary.

Duale: SHA will expose NHIF fraud, lead to private clinics closures
Maureen Kinyanjui  |  Mar 28, 2025

PS Kimtai accused private healthcare providers of attempting to blackmail both the government and the public by withholding services.

Senate Bill seeks to end detention of patients, bodies over unpaid bills
Maureen Kinyanjui  |  Mar 28, 2025

If passed, the Bill would provide a legal framework to ensure that patients and bodies are not held over financial disputes, compelling health facilit...

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...

Government disburses Sh22 billion under SHIF to hospitals countrywide
Maureen Kinyanjui  |  Mar 27, 2025

A breakdown of the disbursement shows that faith-based organizations received Sh3.5 billion, public hospitals were allocated Sh7.2 billion, and privat...

Employers face penalties for late SHA remittance
Maureen Kinyanjui  |  Mar 20, 2025

Failing to contribute or making unauthorised deductions from employees could result in fines up to Sh2 million, imprisonment for up to three years, or...

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.

SHA is distancing itself from NHIF liabilities, warn rural private hospitals
Rachael Mutabasi  |  Mar 19, 2025

According to RUPHA Chairperson Dr. Brian Lishenga, SHA's reluctance to fully acknowledge NHIF's outstanding debts has placed hospitals in limbo, despi...

18 million registered for SHA but only 4 million contributing, report reveals
Maureen Kinyanjui  |  Mar 19, 2025

Senators questioned how the government plans to sustain the programme with such a funding shortfall.

Private hospitals call for dialogue with Health Ministry over unpaid claims
Rachael Mutabasi  |  Mar 18, 2025

PS Kimtai had threatened to shut down private healthcare facilities over concerns raised about unsettled claims under the National Health Insurance Fu...

Private hospitals face license revocation over SHA compliance
Maureen Kinyanjui  |  Mar 18, 2025

PS Kimtai criticised hospitals that have halted services, accusing them of using the situation to pressure the government.

Private hospitals maintain MAKL service suspension despite resuming SHA services
Lucy Mumbi  |  Mar 06, 2025

RUPHA maintained that services under Medical Administrator Kenya Limited (MAKL) will remain suspended due to unresolved financial concerns.

Faith-based health providers issue 14-day ultimatum to govt over Sh10 billion claims
Barack Oduor  |  Mar 06, 2025

They threatened they will not offer services to patients seeking the services using the Social Health Authority (SHA) and will resort to cash services...

Parliament can decide on fate of Sh104.8bn SHA contract - Auditor General
Maureen Kinyanjui  |  Mar 05, 2025

Gathungu maintained that her role is limited to auditing and that Parliament must take action.

Health CS Barasa being "scapegoated" for SHIF failures - Senator Nyutu
Lucy Mumbi  |  Mar 03, 2025

Nyutu warned that the failures in the health sector were not necessarily a result of the CS’s performance but rather deep-rooted structural problems.

Hospitals warn SHA’s secretive reimbursement model could hurt healthcare quality
Lucy Mumbi  |  Mar 02, 2025

Medical Services Principal Secretary Harry Kimtai dismissed claims of secrecy, assuring that the government is implementing safeguards to prevent abus...

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...

State adopts new guidelines to address rural private hospitals' concerns on SHIF payments
Charity Kilei  |  Feb 26, 2025

These include clear accreditation guidelines, a standardised claims submission process, and a digital tracking system to streamline payments.

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