Govt Sounds Alarm Over Hospitals Scamming Kenyans
Already, several medical officers and hospital administrators have been charged in connection with alleged fraud...
✨ Key Highlights
The Social Health Authority (SHA) in Kenya has urged citizens to meticulously check their hospital bills and visit details under the new healthcare scheme to combat widespread fraud. This directive comes amid an ongoing investigation into healthcare fraud by the Directorate of Criminal Investigations (DCI).
- CEO Mercy Mwangangi advised patients to verify that every hospital visit is accurately recorded in the SHA system on the exact date of service and to review confirmation messages sent to their registered phones.
- The verification process is crucial to prevent fraudulent billing, double entries, or wrongful charges that could undermine the sustainability of the national health scheme, with patients not bearing additional costs from provider errors.
- SHA received 1,188 files from the DCI and the Kenya Medical Practitioners and Dentists Council (KMPDC) on September 1, 2025, pertaining to individuals and organizations suspected of healthcare fraud.
- Discrepancies found in billing or visit details should be reported to the healthcare facility or directly to SHA via the toll-free number 147.
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Social Health Authority Announces Leadership Changes and Addresses Hospital Fraud - October 2025
The Social Health Authority (SHA) announced significant senior leadership changes, appointing 16 new Deputy Directors and 9 Principal Claims Management Officers following a recruitment process that began on July 9, 2025. These appointments aim to bolster operational efficiency in delivering quality healthcare. Concurrently, the SHA has urged citizens to meticulously check hospital bills under the new healthcare scheme to combat widespread fraud, an issue under investigation by the Directorate of Criminal Investigations (DCI). In light of the transition to the Social Health Insurance Fund (SHIF), teachers in Nyeri and Murang'a counties are demanding the reinstatement of their medical allowance, citing concerns over inadequate specialized care in public hospitals.
