“No Money Lost, SHA Blocked Ksh11 Billion Fraudulent Claims!” – CS Duale
Aden Duale, the cabinet secretary for health, has defended the Social Health Authority’s (SHA) efficacy.
According to the CS, public criticism frequently ignores advancements in bolstering monitoring within the health insurance system.
Speaking on the reforms, Duale cited the government’s rejection of Sh11.6 billion worth of bogus health insurance claims as proof that stricter regulations are starting to pay off.
He pointed out that the government has strengthened oversight procedures within the health insurance system and cautioned that any attempt to embezzle public monies will be found and dealt with legally.
CS Duale: Sh11 bn is not money lost. It’s money being claimed fraudulently by private and public hospitals. The good news is that the system has rejected it. Just about Sh1.8 bn was paid out. It happened during transition from NHIF to SHA #JKLive pic.twitter.com/tWVaQlCksB
— Stephen Mutoro (@smutoro) January 28, 2026
“Screaming headlines sell; if you say SHA is working, it will not sell, but screaming headlines will get out of the shell,” Duale said during an interview with Citizen TV.
“As of this evening [Wednesday], we have rejected Sh11.6 billion in fraudulent claims,” he added.
“Every coin that a Kenyan has paid for health care insurance, if it is stolen, the system will detect it, flag it, and the government will prosecute.”
The CS argues that the majority of the denied claims were discovered during the shift from the National Hospital Insurance Fund (NHIF) to the SHA, a time that necessitated closer examination.
According to him, the majority of the dubious claims came from medical facilities and underwent several verification procedures before being rejected.
Before a decision was made, the claims were subjected to clinical reviews, automated validation, and other system checks to guarantee compliance, according to Duale.
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“Facilities made claims amounting to about Sh11 billion. Most of these were fraudulent claims,” he said.
“The system picked them up, went through different validation and clinical reviews, and we are not paying.”
SHA HOSPITALS FRAUD
— KBC Channel 1 News (@KBCChannel1) January 28, 2026
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CS Duale puts health facilities on notice
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Duale: Ksh.130b collected and Ksh.93.3b disbursed#PrimeEdition pic.twitter.com/rvDbDPkoXF
According to him, the government’s dedication to protecting contributors’ money is reflected in the detection of irregular claims, which shows enhanced accountability under the new system.
The CS emphasized that SHA will not process false claims for treatments that were not provided to patients and reaffirmed that protecting health insurance contributions is still a top priority.
“No Money Lost, SHA Blocked Ksh11 Billion Fraudulent Claims!” – CS Duale
