Twenty-seven hospitals at the centre of the Sh171 million National Hospital Insurance Fund (NHIF) fraud have been suspended.
Health CS @Nakhumicha_S , has revealed that an investigation into the fraud revealed that a Sh20 billion had been lost.
The CS has also said that Sh18 million has already been recovered.
have been suspended, and efforts to recover fraudulent claims are underway.
The list of facilities involved includes instances of induced demand, particularly targeting vulnerable citizens, notably older individuals, residing in regions such as Nairobi, Meru, Nyahururu, Muranga, Kerugoya, Makueni, Tharaka Nithi, Subukia, Nanyuki, Bungoma, Chuka, and Machakos.
Vulnerable patients have been enticed into unnecessary medical procedures, exploiting their susceptibility.
The investigation also revealed instances of induced sickness, where facilities deceitfully activate dormant accounts of members, financing medically unwarranted treatments.
Fictitious records, manufactured claims, and deceptive practices, such as falsely indicating members undergoing major surgeries while actively at work, have all contributed to defrauding the NHIF.
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