Ministry of Health (Kenya) (2025) Government website / press release

40 Health Facilities Suspended Over Fraudulent Claims to Social Health Authority

Ministry of Health, Kenya

Ref: SRC-003-KEN-001

https://health.go.ke/40-health-facilities-suspended-over-fraudulent-claims-social-health-authority

Accessed: 10/31/2025

Summary

Press release dated 8 August 2025 detailing suspension of 40 health facilities after forensic audit uncovered upcoding, falsification of records, outpatient-to-inpatient conversion fraud, multiple billing, and ghost patients. Eight doctors and four clinical officers had SHA access withdrawn and were referred to DCI. Confirms biometric verification rollout at Level 4-6 facilities to curb OTP misuse, with planned expansion to Level 2-3.

View Harvard reference

Ministry of Health (2025). 40 Health Facilities Suspended Over Fraudulent Claims to SHA. Nairobi: MoH. Available at: https://health.go.ke/40-health-facilities-suspended-over-fraudulent-claims-social-health-authority (Accessed 31 Oct 2025).

Linked Cases (1)

KEN-001 KEN Operational Deployment (Limited Rollout)

Social Health Authority (SHA) – Biometric Health Identification for Patient Verification at Health Facilities (Kenya)

Social insurance Hybrid