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.