Social Health Insurance Fund (SHIF) scheme Stories

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...

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...

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.

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...

46% of health facilities have yet to join SHA e-contracting platform - report
Maureen Kinyanjui  |  Jan 22, 2025

1,863 out of 3,993 health facilities that were contacted had not signed their e-contracts, raising concerns over compliance.

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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