The Social Health Authority (SHA) has announced progress in the implementation of tariffs under the Public Officers Medical Scheme Fund (POMSF) following the conclusion of negotiations with hospitals.

In a statement on Sunday, April 12, SHA CEO Mercy Mwangangi confirmed that discussions with Level 5 and Level 6 facilities have been successfully completed, paving the way for the next phase of the rollout targeting lower-tier hospitals.

“As a result, SHA has commenced the required market analysis and tariff negotiations under POMSF. So far, negotiations with Level 5 and Level 6 facilities have been completed, and the next phase will focus on Level 4 and Level 3 facilities,” the statement read.

SHA outlined how the approved tariffs will be introduced into the system, emphasizing a phased approach that aligns with hospital levels and service packages.

“The approved POMSF tariffs will be implemented progressively in the SHA claims system by hospital level and package, and shall apply to service access, claims submission, adjudication, and reimbursement under POMSF,” the statement added.

SHA reassured that facilities which have already agreed to the negotiated terms will continue offering services to beneficiaries without disruption, under the newly established framework.

“Facilities that have accepted the negotiated tariffs will continue providing services to POMS beneficiaries in line with the approved benefit package and agreed reimbursement terms,” the statement further read.