Only 42 per cent of private hospitals in the country have fully transitioned to the Social Health Authority (SHA) portal, leaving a majority of the premium health facilities out of the new insurance plan. The report highlights SHA capitation, e-contracting, billing, and financial burden as the worst-performing in the transition process. The Status report provides an assessment of the ongoing transition from NHIF to SHA as of October 9, 2024. This contradicts an earlier report from the SHA which claimed that 95 per cent of problems had been resolved. In terms of claims submission and management, the report shows improvements in dialysis claims processing, but not for other services.

Source: Daily Nation October 10, 2024 16:37 UTC