Duale convenes meeting to curb healthcare fraud
Ministry of Health (MoH) Cabinet Secretary Aden Duale has convened a meeting with key strategic partners in the healthcare industry aimed at combating fraud in the sector.
In a report by the Ministry of Health, the meeting held on Monday, August 18, 2025, at Afya House will see the Ministry of Health engage strategic partners to bridge the financial gap in the health sector while rolling out a joint anti-fraud action to eliminate ghost patients, penalise malpractice, and restore public trust.
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“Health Cabinet Secretary today held a bilateral with Chief Executive Officers of Medical Insurance Companies at Afya House, Nairobi, to explore areas of partnership, particularly with the Social Health Authority (SHA), aimed at expanding access to quality and affordable healthcare for all Kenyans, regardless of age or economic status,” MOH noted.
Likewise, according to the Ministry of Health, the meeting agreed on anti-fraud measures, including biometric verification, joint audits, and a shared database of fraudulent providers in a move to curb corruption in the health sector.
“The meeting agreed on anti-fraud measures, including biometric verification, joint audits, and a shared database of fraudulent providers, the CS briefed the CEOs on the Taifa Care reforms anchored in the Social Health Insurance Act, Primary Health Care Act, Digital Health Act, Facility Improvement Financing Act, and the forthcoming Quality of Care and Patient Safety Bill,”MOH added.
Regulations governing claims
Similarly, the reforms by the Ministry of Health are aimed at establishing a regulator for service standards, all pivotal in advancing Kenya’s Universal Health Coverage (UHC).
While addressing the double claims issues, MOH noted that a new method has been introduced, which will be the linking of insurers to SHA’s centralised claims platform for real-time verification, faster processing, and prevention of double billing, in line with the Digital Health Act (2023) and Data Protection Act (2019).
“Shared Claims & Data Linking insurers to SHA’s centralized claims platform for real-time verification, faster processing, and prevention of double billing, in line with the Digital Health Act (2023) and Data Protection Act (2019),”MOH said.
In addition MOH requested the Ministry’s support in strengthening the National Health Registry to provide a standardised and accessible platform for healthcare information, and the establishment of a regulatory framework for drug pricing to enhance transparency, accountability, and integrity in the sector.
