Private hospitals across Kenya will now require cash payments from patients covered under the Social Health Authority (SHA), following a directive issued by the Rural & Urban Private Hospitals Association of Kenya (RUPHA).
In a notice released on Sunday, RUPHA announced that starting Monday, September 22, healthcare services for SHA beneficiaries would be offered strictly on a cash basis, citing unsustainable delays in payments from the government scheme.
“Effective today, all healthcare services (unless otherwise stated) at this facility for Social Health Authority (SHA) beneficiaries will be provided on a cash basis,” the notice read.
The association, which represents private hospitals nationwide, said the move was necessary to keep facilities running, ensure the availability of medical supplies, and safeguard the welfare of healthcare staff.
“We regret the inconvenience this may cause and assure you that this action is driven by our commitment to ensure that hospitals remain open, essential supplies and equipment are available, and our staff can continue to serve you with the highest standards of care,” RUPHA said.
Since its launch in October 2024, SHA — which replaced the National Health Insurance Fund (NHIF) — has faced mounting criticism over delayed claims processing. Hospitals say the delays have created cash flow problems, leaving them unable to pay suppliers and staff on time.
The development is a major blow to patients relying on the scheme, particularly those seeking care in private facilities. Unless the impasse is resolved, many may be forced to either pay out-of-pocket or turn to already overstretched public hospitals.
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