Hospitals bare weak points in chaotic SHIF transition

Lack of formal training in pre-authorisation and claims management for surgical patients, as well as pre-approval for emergency and maternal health cases, are among the key factors holding back the ongoing transition from the National Health Insurance Fund (NHIF) to the Social Health Authority (SHA), a new survey among hospitals revealed.

The inaugural scorecard report, released by the Rural Urban and Private Hospitals Associations (RUPHA), shows that pre-authorisation is still disabled for most services, except renal services, and that the benefits list has not been fully uploaded.