17 Apr 2024 in Senate:
Thank you, Mr. Deputy Speaker, Sir and Hon. Senators. It is always a pleasure to come to the Senate and apprise The electronic version of the Senate Hansard Report is for information purposesonly. A certified version of this Report can be obtained from the Director, Hansard and AudioServices, Senate.
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17 Apr 2024 in Senate:
Senators on matters in the Ministry of Health. I am happy to respond to this Question raised by the Senator for Kisumu, Prof. Ojienda. I also request that after I respond to the questions by Sen. (Prof.) Ojienda, please allow me to also apprise the House on the ongoing crisis we have at the Ministry of Health (MoH).
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17 Apr 2024 in Senate:
Thank you, Mr. Deputy Speaker, Sir, and Members. The question was that I confirm that there is widespread medical insurance fraud that is perpetuated by health facilities in Kenya, particularly within the private health sector, through practices such as unnecessary medical tests, scans and incorrect diagnoses aimed at unfairly generating revenue for facilities. The issue of medical insurance fraud committed by health facilities in Kenya, including the private sector, is a serious concern that has received attention from the Ministry of Health regulatory authorities and enforcement agencies. There have been reported cases of facilities engaging in fraudulent practices to unfairly ...
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17 Apr 2024 in Senate:
The second question on whether the Government has conducted an inquiry into this matter, and if so, if the Cabinet Secretary could table the report of its findings, I wish to respond as follows: I confirm that the MoH, NHIF and KMPDC have been actively addressing cases of medical fraud within the healthcare sector. Through joint efforts and investigations, several facilities have been identified and subsequently, suspended for engaging in fraudulent activities that compromise patient care and violate ethical standards. I would like to note that authorities have taken steps to investigate and address instances of medical insurance fraud. Efforts ...
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17 Apr 2024 in Senate:
irregularities that may indicate fraudulent behaviour. The system will be integrated with approved clinical guidelines to ensure patient management is standardised. The fourth one, Mr. Deputy Speaker, Sir, is enhanced monitoring and enforcement. The Government has intensified efforts to monitor healthcare facilities and enforce compliance with regulations. Enhancement of oversight through frequent inspections, audits and performance of evaluations is going to enable regulatory bodies and the Social Health Authority to hold facilities accountable for adherence to ethical standards, quality care and financial transparency, thereby reducing the likelihood of fraudulent activities. The fifth one is on creating public awareness and reporting ...
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17 Apr 2024 in Senate:
Thank you, Mr. Speaker, Sir, and Hon. Members. Indeed, the Ministry has a process for implementing the Social Health Insurance Act. For starters, the Ministry did gazette a transitional committee that has experts to ensure a seamless transition from NHIF to Social Health Authority. The committee has been sitting for the last three months. It has developed a roadmap on what needs to be done in terms of implementation. Additionally, the Ministry worked on regulations for operationalising the Social Health Insurance Act. Indeed, the regulations were already approved and gazetted. So, we are in the process of finalising with the ...
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17 Apr 2024 in Senate:
is ensuring is that Kenyans should not notice that there has been a change from NHIF to Social Health Authority. The services that are being provided will continue until the time that the Social Health Authority takes over from NHIF. One of the things that they are doing is auditing the existing assets and liabilities, so that the Social Health Authority can take them over. Mr. Deputy Speaker, Sir, and Hon. Members, I want to confirm that we have an ongoing process; we have a roadmap. The transitional committee is working. As a Cabinet Secretary, I meet with them every ...
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17 Apr 2024 in Senate:
Thank you, Mr. Deputy Speaker, Sir. On the question that was asked by Sen. Onyonka, about the repealing of the NHIF Act, it is now clear that we are in the transition phase. Yes, as a Ministry, we acknowledge that there are claims dating back to three or five years, and even others that are longer than five years. What we have done as a Ministry, and that is one of the reasons the new Act was put in place, we have claims that looked ridiculous. We have claims that on face value would not be validated. From the research ...
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17 Apr 2024 in Senate:
Following the bringing of this matter to the Cabinet, a discussion was held last week between my Ministry, the Ministry of National Treasury, chaired by His Excellency the President, and the National Treasury was asked to look for resources for us to start paying claims. I confirm that yesterday, my Principal Secretary (PS) in charge of Medical Services received information from the National Treasury that they are looking for Kshs5.5 billion to be released to the Ministry to start paying the outstanding claims. Thank you, Mr. Deputy Speaker, Sir.
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17 Apr 2024 in Senate:
Thank you, Mr. Deputy Speaker, Sir, and Hon. Members. I would like to respond to the question asked by Sen. (Dr.) Oburu, regarding the NHIF card. Indeed, it is true that the current NHIF card limits members and requires them to choose specific facilities where they will be attended to. That is one of the flaws that we took into consideration in coming up with the Social Health Authority Act. Under the Social Health Authority Act, this is no longer a requirement. A member is not required to choose a facility. Further, we have gone ahead to do digitization of ...
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