Duale Unmasks Massive SHA Fraud
The statements come following heated conversations on social media...
✨ Key Highlights
Kenya's Ministry of Health has revealed a significant fraud scheme within the Social Health Authority (SHA), with Health Cabinet Secretary Aden Duale detailing widespread misuse of funds. The fraud, estimated globally at up to 15% of healthcare expenditures, has led to numerous facility closures and rejections of fraudulent claims worth billions of shillings.
- Ksh10.6 billion in claims have been rejected due to fraudulent activities or non-compliance, with a comprehensive digital system utilizing AI flagging irregularities.
- The crackdown has resulted in the closure of 728 non-compliant health facilities and the downgrading of 301 others by the Kenya Medical Practitioners and Dentists Council (KMPDC).
- Specific facilities, including Nabuala Hospital in Bungoma and Al-Masry Nursing Home in Mandera, were implicated for various fraudulent practices such as falsified medical records and phantom billing.
Continue Reading
Read the complete article from Kenyans
Part of the Day's Coverage
Health Ministry Rejects Sh10.6Bn in Fraudulent Claims and Hires 7,414 UHC Staff - August 2025
Health Cabinet Secretary Aden Duale defended the Social Health Authority's (SHA) rejection of Sh10.6 billion in medical claims, citing widespread fraud. The Ministry of Health revealed a significant fraud scheme within SHA, which has led to numerous facility closures. An additional Sh3 billion in claims is under re-evaluation, and Sh2.1 billion is under surveillance as part of the government's intensified crackdown on healthcare fraud. In a separate development, the Ministry of Health announced the permanent absorption of 7,414 temporary Universal Health Coverage (UHC) staff. These employees will be transitioned to permanent and pensionable terms by September 2025 following a verification process.
