List of 27 suspended Hospitals as MoH discovers NHIF Loses Ksh.20B Through Fraudulent Activities
List of 27 suspended hospitals:The ministry of health has revealed NHIF loses over 20 Billion through manufactured claims and fake surgeries, among others fraudulently activities conducted by health facilities.
CS Nakhumicha on friday issued a statement affirming that 27 hospitals had been suspended over the loss of Ksh.171 million through the NHIF program.
CS Nakhumicha stated,”Between January and December 2023, out of 67 audited hospitals, 27 were found to be involved in fraudulent activities, resulting in a loss of Ksh.171 million.”
“Extrapolating this to the total population of 8,886 hospitals, it is estimated that approximately 3,440 might have been engaged in fraudulent activities, potentially exceeding Ksh.20 billion in losses from about 40% fraudulent hospitals. Luckily 60% carry out clean business,” she added.
CS Nakhumicha outlined that the fraudulent activities including instances of induced demand targeting vulnerable citizens such as the elderly, induced sickness where facilities would deceitfully activate dormant member accounts.
Notably, The ministry of health noted anomalies whereby facilities with a theatre capacity of conducting only two eye surgeries in a day were conducting about 10 to 22 surgeries.
The ministry also found out fraudulent activitied involving the EduAfya cover where healthcare facilities were found to have been enticing healthy students and providing them with food incentives for their biometrics.
She stated,”Additionally, cases involving nurses stationed in schools collecting biometrics of non-ill students to lodge fictitious claims have been unearthed, significantly exploiting the scheme.”
Some of these hospitals include; Jekim Hospital Meru, Jekim Medical Centre, Joy Nursing & Maternity, Amal Hospital Ltd, Beirut Pharmacy and Medical Centre, St. Peter’s Orthopedic and Surgical Specialty, Afya Bora Hospital Annex Ltd in Mwea, Charity Medical Centre, Queens and Kings Hospital, Chest & Skin Clinic and Kiritiri Medical Healthcare.
Others are: Meswo (Tunza) Medical Services, Familia Bora Medical, Naivasha Quality Healthcare, Bingwa Family Clinic, Elburgon Nursing Home, Nyamira Jamii Medical, St. Joseph Shelter of Hope, Lenmek Hospital, Equity Afia Buruburu, Muranga High School Dispensary, Mathingira Medical Centre, Ruai Medical Centre and Thuti Medical Clinic.
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