Hello and welcome to the Money News Roundup Newsletter, where we are covering an audit that has exposed how hospitals stole Ksh11 billion from SHA. We also cover the surge of house prices in Langata and Nairobi satellite towns.
The Social Health Authority (SHA) lost Ksh11 billion to fraud between October 2024 and April 2025, with private hospitals submitting the bulk of fake claims, a Ministry of Health audit has revealed.
As reported by Nation, hospitals inflated payments by converting outpatient visits into inpatient admissions, claiming higher reimbursements for services that were not delivered, or billing for costlier procedures than those actually performed.
Some facilities even registered healthcare workers as patients to log false claims. In maternity wards, hospitals reported all deliveries as caesarean sections, defying WHO standards, while surgical claims often lacked theatre notes or complete documentation, making verification impossible.
Health Cabinet Secretary Aden Duale said the six-month period marked the height of theft within Kenya’s universal health coverage scheme.
He noted that faith-based hospitals had the lowest rejection rates, while private and referral hospitals accounted for most fraudulent activity.
Investigations are ongoing, with 118 files submitted to the Directorate of Criminal Investigations. So far, 24 facilities have confirmed fraud cases, 61 are under investigation, and 15...
Hello and welcome to the Money News Roundup Newsletter, where we are covering an audit that has exposed how hospitals stole Ksh11 billion from SHA. We also cover the surge of house prices in Langa...