The government has released Ksh.1.36 billion to address pending claims from healthcare facilities under the new Social Health Authority (SHA).
SHA CEO Ingasira Robert announced on Friday that the disbursed amount accounts for over 52% of the Ksh.2.6 billion in claims submitted for October, involving 217,700 claims from 2,382 hospitals.
“In line with its commitment to ensuring uninterrupted service delivery, SHA has successfully disbursed over Ksh.1.36 billion, representing more than 52% of the total claims for the month,” Ingasira stated.
He further revealed that 53,554 claims have already been paid, benefiting 1,195 hospitals, while the remaining 164,146 claims, valued at approximately Ksh.1.2 billion, are undergoing final verification.
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The verification process, essential for maintaining accuracy and transparency, involves a detailed review of each claim to confirm its validity and services provided. Ingasira assured stakeholders that the remaining payments, including those for November, would be cleared by the end of next week.
“The verification stage, which includes 1,187 hospitals, is progressing smoothly. SHA remains committed to keeping stakeholders informed and supported,” he added. “We are focused on improving turnaround times and delivering excellence in service as we enhance operational processes.”
The announcement comes as tensions rise with the Kenya Union of Clinical Officers (KUCO), which has threatened to strike on December 23, 2024. KUCO alleges discrimination in the rollout of the Social Health Insurance Fund (SHIF), now rebranded as Taifa Care.
KUCO officials claim that clinicians, who operate over 1,000 private facilities nationwide, have been unfairly excluded from the list of service providers under SHA.
