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{
    "id": 1334558,
    "url": "https://info.mzalendo.com/api/v0.1/hansard/entries/1334558/?format=api",
    "text_counter": 29,
    "type": "other",
    "speaker_name": "",
    "speaker_title": "",
    "speaker": null,
    "content": "Year ending 30th June 2022, the NHIF management created Incurred but not Reported Claims aggregating to over Ksh21 billion backdated to the 2019/2020 Financial Year inclusive of cumulative Incurred, but not Reported Claims for the previous financial year. The unbudgeted claims were charged to the NHIF members’ contributory schemes causing a huge financial crisis that made NHIF unable to pay hospital bills for genuine contributors. Hon. Members, the Petitioner further avers that upon analysis of the annual reports and financial statements, there was a lack of evidence supporting the Incurred but not Reported Claims and that the Incurred but not Reported Claims reserves were fraudulently created to enable the siphoning out of NHIF funds. This has caused a major crisis in the contributors’ medical coverage resulting in most patients being denied treatment. The Petitioner, therefore, prays that the National Assembly compels the Board of Management and the Executive Officer to prepare financial statements that give a true and fair view of the state of affairs and consequently identify which healthcare providers benefited from Incurred but not Reported and whether the Incurred but not Reported Claims were authentic. In the event the Incurred and not Reported Claims are found to be inauthentic, the total amount paid should be recovered from the beneficiaries. Hon. Members, having established that the matter raised in the Petition is well within the authority of this House and further, that the matters raised in this Petition are not pending before any court of law, constitutional or legal body, I hereby commit the Petition to the Public Petitions Committee for consideration pursuant to Standing Order 208A."
}