The National Hospital Insurance Fund (NHIF) has stopped settling diagnostic test bills from hundreds of private service providers it accuses of making fraudulent claims.
NHIF said the decision was informed by the realization that the facilities have been making claims for services not rendered, thereby raising the level of fraudulent claims in the fund.
It said Thursday that it had suspended paying for diagnostics tests such as MRI and CT-scan at hundreds of small and medium-sized private facilities whose list it plans to publish in the coming weeks.
“We have suspended the programme with these hospitals since they are fraudsters,” said NHIF CEO Geoffrey Mwangi, adding that a full list bearing the names of the culpable facilities would soon be published. “We had to look for a way to stop this daylight thievery.”