NAIROBI, Kenya – The Social Health Authority (SHA) has disbursed over Sh1.36 billion to healthcare providers for October claims, just two months after its official rollout on October 1, 2024.
The funds represent more than half of the total claims submitted for the month, signaling the Authority’s swift operational progress.
SHA CEO Ingasira Robert confirmed that 217,700 claims worth Sh2.6 billion were submitted by 2,382 hospitals in October.
So far, 53,554 claims have been processed and paid, benefiting 1,195 hospitals, while the remaining 164,146 claims, valued at Sh1.2 billion, are undergoing verification.
“The verification process is crucial for maintaining accuracy and transparency,” Ingasira stated, emphasizing the SHA’s commitment to ensuring that each claim reflects the services provided.
He added that verification for claims from 1,187 hospitals is progressing steadily and pledged that all outstanding payments, including November claims, would be finalized by next week.
To address concerns, the CEO urged healthcare providers with queries to reach out via SHA’s regional offices, email at claimsmanagement@sha.go.ke, or the toll-free number 0800 720 601.
“We are committed to maintaining open lines of communication and supporting all stakeholders,” he said.
President William Ruto reiterated his administration’s zero-tolerance stance on corruption within the healthcare system.
In a direct reference to the now-defunct National Hospital Insurance Fund (NHIF), Ruto assured Kenyans that the SHA would uphold transparency and accountability.
“There is a lot of misinformation circulating, but I want to assure Kenyans that the fraud and corruption that plagued NHIF will not be replicated under SHA,” Ruto said.
He emphasized his administration’s commitment to delivering Universal Health Coverage (UHC) without the taint of mismanagement.
Ruto vowed to safeguard public funds, stating, “I will look Kenyans in the eye and promise them there will be no corruption under SHA as long as I am President.”
The rollout of SHA forms a critical component of Kenya’s UHC plan, aiming to provide affordable and accessible healthcare for all citizens.
The system has been designed to streamline claim processes, reduce fraud, and ensure timely payments to healthcare providers, while delivering quality services to contributors.
With over 50% of October claims already settled and a structured verification process underway, SHA appears to be making strides toward fulfilling its mandate.
The funds represent more than half of the total claims submitted for the month, signaling the Authority’s swift operational progress.
SHA CEO Ingasira Robert confirmed that 217,700 claims worth Sh2.6 billion were submitted by 2,382 hospitals in October.
So far, 53,554 claims have been processed and paid, benefiting 1,195 hospitals, while the remaining 164,146 claims, valued at Sh1.2 billion, are undergoing verification.
“The verification process is crucial for maintaining accuracy and transparency,” Ingasira stated, emphasizing the SHA’s commitment to ensuring that each claim reflects the services provided.
He added that verification for claims from 1,187 hospitals is progressing steadily and pledged that all outstanding payments, including November claims, would be finalized by next week.
To address concerns, the CEO urged healthcare providers with queries to reach out via SHA’s regional offices, email at claimsmanagement@sha.go.ke, or the toll-free number 0800 720 601.
“We are committed to maintaining open lines of communication and supporting all stakeholders,” he said.
President William Ruto reiterated his administration’s zero-tolerance stance on corruption within the healthcare system.
In a direct reference to the now-defunct National Hospital Insurance Fund (NHIF), Ruto assured Kenyans that the SHA would uphold transparency and accountability.
“There is a lot of misinformation circulating, but I want to assure Kenyans that the fraud and corruption that plagued NHIF will not be replicated under SHA,” Ruto said.
He emphasized his administration’s commitment to delivering Universal Health Coverage (UHC) without the taint of mismanagement.
Ruto vowed to safeguard public funds, stating, “I will look Kenyans in the eye and promise them there will be no corruption under SHA as long as I am President.”
The rollout of SHA forms a critical component of Kenya’s UHC plan, aiming to provide affordable and accessible healthcare for all citizens.
The system has been designed to streamline claim processes, reduce fraud, and ensure timely payments to healthcare providers, while delivering quality services to contributors.
With over 50% of October claims already settled and a structured verification process underway, SHA appears to be making strides toward fulfilling its mandate.
