Duale Warns Health Facilities Over Fraudulent SHA Claim

Health Cabinet Secretary Aden Duale has issued a stern warning to health facilities fraudulently billing the Social Health Authority (SHA) for services not rendered, vowing that culprits will face blacklisting and legal action.

Appearing before the Senate Committee on Health, Duale expressed concern over increasing reports of fraudulent claims under the SHA scheme, which was launched to ensure affordable and accessible healthcare for Kenyans.

“We shall crack down on frauds claiming money from SHA for procedures that were never done,” said Duale. He confirmed that investigations are already underway, targeting medical practitioners suspected of submitting false billing claims.

While acknowledging ongoing operational challenges within the SHA system, Duale criticized some healthcare workers and institutions for undermining its credibility through dishonest practices.

“The system may have hiccups, but part of the problem is dishonest health practitioners making false claims,” he noted.

The SHA has faced scrutiny since its rollout, with many citizens voicing concerns about inefficiencies and lack of transparency. The latest fraud allegations risk further eroding public trust in the program.

In response to concerns raised by the Kenya Medical Practitioners, Pharmacists, and Dentists Union (KMPDU), Duale announced that medical interns will begin employment in July. However, a dispute over their salaries remains unresolved, with the union pushing for higher pay than what the Salaries and Remuneration Commission (SRC) recommends.

KMPDU Secretary-General Davji Atellah criticized the government’s perceived lack of commitment to addressing healthcare workforce challenges.

To strengthen healthcare delivery, Duale revealed that 1,000 health workers will soon be promoted. Additionally, the Ministry of Health is in talks with the Treasury and county governments to fund scholarships for doctors pursuing specialized training abroad.

These measures come amid ongoing staffing shortages, limited funding, and increasing demand for quality healthcare services across the country.