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HomeDaily NewsWednesday, December 17, 2025CS Duale Orders Hospital Probe and Exposes C-Section Scheme Amid Insurance Disputes - December 2025
Breaking News & Top Stories3 stories from 1 sources

CS Duale Orders Hospital Probe and Exposes C-Section Scheme Amid Insurance Disputes - December 2025

Health Cabinet Secretary Aden Duale has ordered new investigations into Sisto Mazzoldi Hospital following an NTV exposé alleging fraudulent insurance claims. Duale directed the Kenya Medical Practitioners and Dentists Council (KMPDC) to immediately investigate, with strong disciplinary action promised if malpractice is confirmed. The CS also exposed a concerning rise in unnecessary Caesarean section deliveries, which he stated are driven by financial incentives from the Social Health Authority (SHA). In a related development, doctors represented by KMPDU have rejected a new government proposal that would introduce time-based pre-authorization restrictions on insurance claims. The proposal suggested that the Social Health Authority might reject claims pre-authorized outside the official working hours of 8 AM to 5 PM.

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Wednesday 5:42 PMKenyans

Duale Orders Fresh Investigation Into Sisto Mazzoldi Hospital After NTV Exposé

Duale Orders Fresh Investigation Into Sisto Mazzoldi Hospital After NTV Exposé

Kenya's Ministry of Health has ordered new investigations into Sisto Mazzoldi Hospital following an NTV exposé alleging fraudulent insurance claims. Health Cabinet Secretary Aden Duale directed the Kenya Medical Practitioners and Dentists Council (KMPDC) to immediately investigate the new claims, with strong disciplinary action promised if malpractice is confirmed.

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Key Highlights

Kenya's Ministry of Health has ordered new investigations into Sisto Mazzoldi Hospital following an NTV exposé alleging fraudulent insurance claims. Health Cabinet Secretary Aden Duale directed the Kenya Medical Practitioners and Dentists Council (KMPDC) to immediately investigate the new claims, with strong disciplinary action promised if malpractice is confirmed.

  • The hospital is already under active investigation by the Social Health Authority (SHA) for alleged inaccurate and fraudulent claims and has been suspended from offering services under the insurance scheme.
  • KMPDC previously downgraded Sisto Mazzoldi Hospital from a Level 4 hospital to a Level 3 after an audit of its capacity and services.
  • The NTV report specifically alleged that the hospital used staff members’ insurance details to fraudulently claim government funds, with proceeds reportedly shared between the hospital and staff.
Wednesday 9:27 AMKenyansFirst

Duale Exposes New Hospital Scheme Targeting Mothers

Duale Exposes New Hospital Scheme Targeting Mothers

During a strategic health engagement in Tharaka Nithi on Tuesday, December 16, Health Cabinet Secretary Aden Duale exposed a concerning rise in unnecessary Caesarean section (C-section) deliveries, driven by financial incentives from the Social Health Authority (SHA).

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Wednesday 2:05 PMKenyans

Doctors Reject New Govt Proposal on Insurance Claims

Doctors Reject New Govt Proposal on Insurance Claims

Doctors in Kenya, represented by the Kenya Medical Practitioners, Pharmacists and Dentists' Union (KMPDU), have rejected a new government proposal that would introduce time-based pre-authorization restrictions on insurance claims. This comes after Health Cabinet Secretary Aden Duale suggested that the Social Health Authority (SHA) and Digital Health Authority (dha) might reject claims pre-authorized outside official working hours of 8 AM to 5 PM.

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Key Highlights

During a strategic health engagement in Tharaka Nithi on Tuesday, December 16, Health Cabinet Secretary Aden Duale exposed a concerning rise in unnecessary Caesarean section (C-section) deliveries, driven by financial incentives from the Social Health Authority (SHA).

  • Duale highlighted a case where a private hospital reportedly performed 93 C-sections out of 100 births, noting that a C-section is reimbursed at Sh30,000 while a normal delivery attracts Sh10,000.
  • The CS also raised concerns about fraudulent use of SHA cards, citing incidents where individuals attempted to use cards belonging to others, including the deceased.
  • Duale announced that the government would crack down on medical fraud, with a dedicated DCI squad, and reaffirmed the commitment to ensuring SHA benefits reach intended beneficiaries, following the suspension of over 40 healthcare facilities and closure of over 1000 non-compliant facilities in August 2025.

Key Highlights

Doctors in Kenya, represented by the Kenya Medical Practitioners, Pharmacists and Dentists' Union (KMPDU), have rejected a new government proposal that would introduce time-based pre-authorization restrictions on insurance claims. This comes after Health Cabinet Secretary Aden Duale suggested that the Social Health Authority (SHA) and Digital Health Authority (dha) might reject claims pre-authorized outside official working hours of 8 AM to 5 PM.

  • The KMPDU stated the proposal is "Operationally unrealistic and administratively arbitrary" due to inadequate staffing and heavy workloads.
  • The union highlighted issues such as insufficient staffing, delayed remuneration, and lack of incentives as reasons the current healthcare system cannot support such restrictions.
  • CS Duale had previously announced a crackdown on doctors allegedly working in private clinics during public hospital hours, accusing them of fraud.