Social Health Insurance Fund (SHIF) scheme Stories

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.

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.

Report says patient verification woes in hospitals deepen under SHA system
Maureen Kinyanjui  |  Feb 18, 2025

The latest SHA transition scorecard report identifies delays in receiving one-time passwords (OTPs) as the main cause.

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...

MPs push for annual revisions of SHIF limit to address medical gaps
Maureen Kinyanjui  |  Feb 11, 2025

The limit for optical services is set at Sh1,000 per family per year, with eligibility restricted to children under 18 years.

Only 3.1 million Kenyans have completed eligibility test for SHIF, ministry says
Maureen Kinyanjui  |  Feb 06, 2025

Ministry officials warn that those who do not undergo the test will automatically be excluded from key healthcare services such as hospital admissions...

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...

MPs demand review of 2.75% SHIF deduction over poor services
Maureen Kinyanjui  |  Jan 31, 2025

MPs have launched a fresh probe into the Sh104 billion SHIF system, amid reports that its claims processing system is still not fully operational.

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...

State admits SHA system challenges as angry patients storm MoH press briefing
Charity Kilei  |  Jan 15, 2025

Angry patients, some with infants, stormed Health CS Deborah Barasa's Afya House media briefing protesting the Social Health Insurance Fund system gli...

How free emergency medical services are saving lives in Nairobi slums riddled with poverty, violence
Mary Wambui  |  Jan 12, 2025

Lavender House Clinic project is not only treating illnesses but transforming lives, one patient at a time.

SHIF dilemma for parents grappling with limited benefits, high costs as children return to school
Charity Kilei  |  Jan 05, 2025

Under SHIF, primary healthcare services — including consultations, diagnostics, and treatments—are restricted.

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