Kenya's new Social Health Authority (SHA), launched in October 2024 to replace the corrupt National Hospital Insurance Fund (NHIF), is already embroiled in significant fraud scandals, with billions of shillings being lost to cartels. This corruption threatens to undermine universal healthcare efforts, leaving patients without critical medical services.

• The SHA has rejected Sh10.6 billion worth of fraudulent claims in less than a year, following the NHIF's estimated loss of over Sh50 billion to fraud before its dissolution.
• Health CS Aden Duale stated in August 2025 that his ministry had suspended 40 hospitals and blacklisted 12 doctors in an effort to combat the fraud.
• Investigators uncovered "ghost facilities," fake patient files, and "upcoding," where hospitals billed for expensive treatments that never occurred, including a "hospital in a phone" receiving Sh10 million.