Report on alleged fraudulent activities in hospitals to be released soon – CS

Nakhumicha said it will detail which facilities will be dropped by NHIF and those that will be demoted to a lower level.

In Summary
  • Last month, the CS revealed that investigations into alleged cases of fraud by some hospitals will take longer.
  • The CS confirmed that she had received a preliminary report saying the focus had shifted to clinical investigations into the matter.
Health Cabinet Susan Nakhumicha when she visited South Korea's Health Insurance Review and Assessment Service on July 26, 2023
Health Cabinet Susan Nakhumicha when she visited South Korea's Health Insurance Review and Assessment Service on July 26, 2023
Image: Handout

The report on alleged fraudulent activities by some healthcare facilities will be released in the coming few days, Health Cabinet Secretary Susan Nakhumicha has said.

The CS said the report by the Kenya Medical Practitioners and Dentists Council will detail which facilities will be dropped by the National Health Insurance Fund and those that will be demoted to a lower level.

“In the next few days, I will be unveiling the preliminary report. Equally, I will be unveiling what we have done as a ministry and a reward and punishment system that we will be saying who continues to operate at their level,” the CS said on Monday.

“We will say who gets maybe demoted to another level and who do we say for this specific facility NHIF is not going to work with you because you are fraudulent. That report we are going to release in the next few days.” 

Last month, the CS revealed that investigations into alleged cases of fraud by some hospitals will take longer.

The CS confirmed that she had received a preliminary report saying the focus had shifted to clinical investigations into the matter.

The CS had in June given the NHIF board 48 hours to table a report on allegations that some hospitals were defrauding the fund through unverified medical claims.

The CS said that so far, the inspections had been done and the facilities checked to see that they conform to the standards that are expected of them.

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