Kenya's Health Cabinet Secretary Aden Duale has revealed that Ksh11 billion in Social Health Authority (SHA) funds is unaccounted for due to widespread fraud by medical facilities, exposed by SHA's AI-driven fraud detection system. This massive loss occurred in just six months, highlighting systemic issues and inflated billing within Kenyan hospitals.

• Ksh11 billion missing due to rejected claims flagged by SHA's AI fraud detection system.
• CS Duale exposed alarming fraud patterns, including hospitals reporting 100% caesarean sections and faking patient records.
• The Auditor General Nancy Gathungu found that a private consortium, linked to an Indian firm, controls the Ksh104 billion SHA system, raising concerns about ownership.
• SHA issued a 15-day ultimatum to hospitals to account for Ksh3 billion in flagged claims, including instances of "ghost patients" and single handwriting on claim forms.
• One patient in Kwale County incredibly registered 381 dependent children under their SHA account, now under DCI investigation.