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Originally published by The Kenyan Wall Streetbusiness
August 26, 2025
7h ago
Health Ministry Claims Relative Success in Battling Fraud in SHA, Private Hospitals Disagree

Private hospitals are warning that the SHA's push to digitize payments and root out fraud without human oversight is straining facilities..
✨ Key Highlights
Private hospitals in Kenya are raising alarms over the Social Health Authority's (SHA) digital fraud detection initiatives, claiming the system creates bottlenecks and limits patient access to care, despite the Ministry of Health's assertion of success in combating fraud.
CS Aden Duale announced that KSh 10.6 billion in claims has been rejected for suspected fraud, with KSh 3 billion under re-evaluation and KSh 2.1 billion under surveillance.- The Rural & Urban Private Hospitals Association of Kenya (RUPHA) alleges that the SHA ICT Directorate was demoted, outsourcing functions to APEIRO, rendering the KSh 104 billion fraud detection system ineffective.
- The government has singled out specific facilities for fraud, including Nabuala Hospital and Jambo Jipya Hospital, leading to the closure of 728 facilities, downgrading of 301, and suspension of 40.
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