Private hospitals across the country will now require cash payments from patients covered by the Social Health Authority (SHA), following a directive by the Rural and Urban Private Hospitals Association of Kenya (RUPHA).
In a notice issued on Sunday, RUPHA said the move, effective Monday, September 22, was prompted by delayed and unsettled payments from SHA, which it said had made it unsustainable for hospitals to continue offering services on credit.
“Effective today, all healthcare services (unless otherwise stated) at this facility for Social Health Authority (SHA) beneficiaries will be provided on a cash basis,” the notice said.
The association, which represents private hospitals nationwide, said the decision was necessary to ensure facilities remain open, essential supplies are available, and staff can continue serving patients.
“We regret the inconvenience this may cause and assure you that this action is driven by our commitment to ensure that hospitals remain open, essential supplies and equipment are available, and our staff can continue to serve you with the highest standards of care,” the notice added.
Delays in processing hospital claims have been a major concern among healthcare providers since the SHA began operations in October 2024, replacing the National Health Insurance Fund (NHIF).
This is the latest development in the standoff between the private hospitals and the ministry of health over usage of SHA and pending bills.
This is likely to negatively affect many people and especially those in rural areas who depend on the institutions for medical services.
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