The government will release KSh 1.5 billion this week to settle outstanding claims owed to healthcare facilities. An additional KSh 3 billion will follow next week, bringing the total disbursement to KSh 4.5 billion.
Principal Secretary for Medical Services, Mr. Kimtai, has reassured the public that all claims under the National Hospital Insurance Fund (NHIF) will be fully paid. “We are optimistic that we will settle all the claims,” he stated confidently.
To ensure a transparent payment process, a dedicated committee will be established, overseeing the release of funds. Mr. Kimtai noted that NHIF liabilities have now transitioned to the newly formed Social Health Authority (SHA), which has introduced a fully digital claims portal.
The system has already recorded over KSh 100 million in claims as of yesterday, allowing for real-time monitoring of healthcare facilities’ financials. The PS assured that all outstanding claims will be settled within 90 days.
In a bid to modernize the healthcare sector, SHA is also digitizing health records and will distribute tablets to healthcare workers.
“This will transform our healthcare system,” said Kimtai, highlighting the shift to e-contracting for healthcare facilities—a significant improvement over the former manual system. He urged facilities to establish customer service desks to facilitate the registration of Kenyans under SHA.
In addition to prompt claim settlements, the newly configured health insurance system offers a variety of benefits for those who have paid their contributions.
Members will enjoy enhanced outpatient, inpatient, and emergency care, along with comprehensive coverage for critical mental illnesses and major surgeries under the Social Health Insurance Fund (SHIF).
A new Emergency, Chronic, and Critical Illness Fund will provide emergency cover for severe conditions, including cancer and kidney diseases requiring dialysis.
Kimtai revealed that for the first time since the 2010 Constitution’s enactment, the government will offer free emergency treatment to all Kenyans. “I want to assure the public that they will get more benefits than they did under NHIF,” he emphasized.
The SHA’s contribution will be set at 2.75% of household income, ensuring a sustainable healthcare financing model. For those not on payroll, a fair premium will be determined based on individual capacity using a means-testing tool.
