Hundreds of Health Facilities Closed over SHA Fraud
The Ministry of Health has responded to growing public complaints and campaigns on social media over the misuse of billions of shillings allocated to the Social Health Authority (SHA), allegedly channelled to non-existent health facilities and hospitals with conflicting ownership.
Addressing the media on Monday at Afya House, Nairobi, Health Cabinet Secretary Aden Duale said the ongoing crackdown has uncovered rampant malpractice, including upcoding, falsifying records, converting outpatient visits into inpatient claims and billing for non-existent patients.
The Ministry noted that fraudulent practices in the healthcare sector were a growing global challenge, accounting for up to 15 per cent of expenditures. In Kenya, the Association of Kenya Insurers (AKI) estimates that 30 per cent of medical payouts are linked to fraudulent claims.
Duale stated that since assuming office on April 1, 2025, his ministry has intensified the war against fraud through the introduction of a comprehensive digital system, revealing that the system uses artificial intelligence to flag irregularities and detect anomalies throughout the claims process.
