Kenya: Over Half of Private Hospitals Unprepared for Social Health Insurance Transition

11 October 2024
Capital FM (Nairobi)

Nairobi — Nearly 58 percent of healthcare facilities have not yet transitioned to the newly introduced Social Health Insurance (SHA), reflecting ongoing challenges in adopting the new system.

A survey by the Rural Urban and Private Hospitals Association (Rupha) revealed that only 42 percent of privately-owned health facilities have embraced SHA, with 75 percent able to access its services.

The transition has been hindered by factors such as pre-approvals for maternal and emergency cases, pre-authorization, and claims management for surgeries. SHA was rolled out on July 1, 2024, replacing the National Health Insurance Fund (NHIF), which expired a day earlier.

Despite a Ministry of Health directive ensuring continuous service for SHA members, challenges persist. Principal Secretary for Health Harry Kimtai emphasized the importance of uninterrupted patient care, particularly for critical services like dialysis, cancer treatment, and maternity care, urging healthcare providers to honor contracts under SHA's Healthcare Provider provisions.

Read the original article on Capital FM.

Tagged:
Copyright © 2024 Capital FM. All rights reserved. Distributed by AllAfrica Global Media (allAfrica.com). To contact the copyright holder directly for corrections — or for permission to republish or make other authorized use of this material, click here.

AllAfrica publishes around 500 reports a day from more than 100 news organizations and over 500 other institutions and individuals, representing a diversity of positions on every topic. We publish news and views ranging from vigorous opponents of governments to government publications and spokespersons. Publishers named above each report are responsible for their own content, which AllAfrica does not have the legal right to edit or correct.

Articles and commentaries that identify allAfrica.com as the publisher are produced or commissioned by AllAfrica. To address comments or complaints, please Contact us.