Private hospitals in Kenya, under the Rural and Urban Private Hospitals Association (Rupha), are now demanding cash payments from patients covered by the Social Health Authority (SHA) due to billions of shillings in unpaid debts from the government. This decision has caused significant disruption to patient services, although Rupha maintains no Kenyan is being turned away.

• Rupha chairman, Dr. Brian Lishenga, stated that services will be restored once the government clears debts amounting to Ksh. 10.6 billion for last month's claims and a larger Ksh. 76 billion dating back to the NHIF days.
• The SHA recently held a meeting with stakeholders, including the Kenya Healthcare Federation (KHF) and the Kenya Association of Private Hospitals, to address systemic challenges and combat graft within the healthcare system.
• One private facility doctor, Dr. Susan Ng'ng'a, reported a drastic drop in patient flow, seeing only 18 patients in a day compared to the usual 60-75 outpatients.