Health Cabinet Secretary Aden Duale has declared that nothing will derail his mission to reform Kenya’s healthcare sector, vowing to root out corruption and dismantle cartels.
Speaking in Vihiga, Duale warned health facilities implicated in questionable dealings, revealing that he had already forwarded their names to the Directorate of Criminal Investigations (DCI) for further probe.
“The data we have is not with the guys who go on TV. I have solved all the disputes in the health sector. Doctors in all cadres are happy. Those people who are not happy are cartels and I have forwarded their documents to the DCI,” Duale said.
He assured health facilities owed money by the Social Health Authority (SHA) that payments would only be released after proper verification of claims.
“We must verify those bills and we must make sure that what we are paying is the right bill. Anybody who wants me to verify should come with their documents. We have forensic auditors, do not attempt backdating,” he emphasized.
Duale disclosed that SHA is currently re-evaluating claims worth Ksh.3 billion due to missing documents, while another Ksh.2.1 billion remains under surveillance for further investigation.
He added that the ministry has already rejected claims totaling Ksh.10.6 billion, citing fraudulent practices such as upcoding, falsification of medical records, converting outpatient cases into inpatient admissions, and billing for non-existent patients.
More than 85 health facilities are now under investigation for fraud. Inspections by the Kenya Medical Practitioners and Dentists Council (KMPDC) have also led to the closure of 544 unlicensed health facilities across the country.
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