Kenya's Cabinet Secretary for Health, Aden Duale, has suspended 40 health facilities for allegedly defrauding the National Health Insurance Fund's Supa Health Assurance (SHA) system. The suspensions are effective immediately, with the facilities barred from receiving any SHA benefits during the investigation period and subject to surcharges for recovered losses. The irregularities flagged include submitting claims for more expensive procedures than those performed and falsifying digital records. Among the suspended facilities are St. Johns Hospital in Nairobi, Nissi Medical Centre in Kisumu, and Toric Nursing Home in Homa Bay. Additionally, licenses for 12 doctors implicated in the fraud have been revoked, and their cases have been referred to the Directorate of Criminal Investigations (DCI) for further action. Despite the controversy, the government has dismissed claims that civil servants have been locked out of healthcare services. However, private hospitals have reportedly cut off civil servants from credit services due to SHA's unsettled claims totaling approximately 3 billion Kenyan shillings since its inception nine months ago. The Health Principal Secretary, Muriuki, has warned local hospitals against charging outpatient services. Meanwhile, county governments like Samburu are intensifying efforts to increase SHA registration in rural areas, where enrollment remains low.
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