Private hospitals in Kenya are on the verge of financial collapse, with the government owing healthcare providers an astounding KSh 76 billion in unpaid bills. This debt, accumulated by the old National Health Insurance Fund (NHIF) and the new Social Health Authority (SHA), threatens patient access and the promise of universal health coverage.

• Outstanding payments total KSh 76 billion: KSh 33 billion from NHIF arrears and KSh 43 billion in SHA reimbursements.
• The Rural & Urban Private Hospitals Association of Kenya (RUPHA), representing over 700 facilities, stated no hospital has received payment despite a directive from President William Ruto.
• The SHA has allegedly deleted over 10,000 inpatient beds and nearly 3,500 maternity beds from its portal, downgrading facilities and impeding reimbursements.