The government plans to contract private medical insurance providers and claim settling agents to review and process claims under the planned Social Health Insurance Fund (SHIF) in which the State is eyeing Sh133 billion in premiums annually.
The draft Social Health Insurance (General) Regulations, 2024 published last week shows the insurers and claims settling agents will be the link between hospitals and Social Health Authority —the entity that is going to manage three funds, replacing National Health Insurance Fund (NHIF).
