Woman Rep urges NHIF to digitize its operations to curb fraud

Written By: KNA/Hunja Macharia
192

The National Health Insurance Fund has been asked to digitalize its operations to curb fraud perpetuated by rogue private hospitals.

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Murang’a County Woman Representative Sabina Chege says failure to use biometric technology in admitting patients has created loopholes for some hospitals to extort money from NHIF.

Chege said by digitizing its operations, the medical scheme will only pay genuine claims and lock out rogue hospitals which have been minting money through dubious claims.

“Patients who are members of NHIF and have received treatment from any hospital need to have their biometric details captured, so as to ensure only genuine claims are paid.” She said.

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The Woman representative cautioned hospitals against commercialization health services, saying this would alienate the poor who cannot access exorbitant medical costs, especially from private facilities.

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“Private and public hospitals as well as insurance companies should avoid commercializing health services as the trend may deny majority of sick people opportunity to get treatment,” noted Chege.

Speaking during a free medical camp held at Kiriaini Mission Hospital through her foundation in conjunction with Kenyatta National Hospital Friday, the county women representative said the parliamentary committee on heath will push for changes at NHIF to ensure effective operations.

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“NHIF is supposed to support specifically the poor but some hospitals are inflating charges even for minor cases making the national health scheme to incur huge expenses,” added Chege.

Chege, who is also the chairperson of the health committee observed that revitalization of NHIF operations will assist in implementation of the Government’s agenda on provision of universal health care.

On the recent recommendations proposed by the NHIF board, Chege said her committee is still working on them to ensure that changes made will not subject Kenyans to more suffering.

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The MP further appealed to Kenyans claiming to have been defrauded by any medical facility to make a formal complaint to her committee, through the National Assembly clerk and present their petition to the national medical board.

Meanwhile, Chege said the government is committed in rolling out universal health care in all counties saying in the current supplementary budget, a whopping Ksh 21 billion was added to the health sector to support employment of community health workers.

 

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