Hospital case opens doors for insurance firms to cure fraud

In the nine months to September 2019, medical underwriting losses stood at Sh231 million and are set to close the year in loss position. FILE PHOTO | NMG

The recent social media revelations of an apparent scheme by Nairobi Women’s Hospital to fleece its patients brings to the fore the need for medical insurance industry to confront the problem of fraud at health service centres.

Indeed, the medical insurance business has continued to bleed money, primarily fraud-driven, to the extent that providers have recorded Sh3.5 billion in underwriting losses over the past decade.

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Note: The results are not exact but very close to the actual.