RFH Healthcare, Four Other Private Hospitals Under Probe Over Multimillion NHIF Fraud

“Winfred goes around the villages and scouts for elderly people suffering from arthritis and holders of active NHIF cards. She lures them without the knowledge of their relatives to attend surgeries in the hospitals. For every client she convinces, she is paid Sh1,500,” the petition reads.

Mr Thuranira claims that some patients were being admitted to hostels without proper amenities, where they get injections before being discharged.

“Upon discharge, they usually receive a message from NHIF indicating that Sh300,000 has been deducted for surgery,” he states.

In supposed of his allegations, the activist has listed six people in his petition that have supposedly fallen prey and swindled by the hospitals.

He now wants the assembly to wants the assembly to summon the proprietors of the five hospitals to answer to the issues raised in the petition as it is a matter of public interest.

RFH Healthcare owner Dr Maxwell Okoth.

Meru Assembly Speaker Ayub Bundi, who read the petition to the members, directed the Health committee to investigate the allegations and table a report by May 31, 2023.

National Health Insurance Fund (NHIF) loses Sh10 billion every year through fraudulent claims.

NHIF Chief Executive Officer Peter Kamunyo said the funds are lost through impersonation and fictitious claims by public and private hospitals thus denying millions of deserving Kenyans quality health care.

The CEO said some hospitals present claims of major surgeries when a patient has undergone a minor procedure.

Last year, the Ethics and Anticorruption Commission (EACC) renewed its efforts to deal with dozens of hospitals involved in corrupt deals touching on NHIF claims.

In addition to that, the anti-graft body disclosed that it was investigating individuals who connived with the hospitals to defraud the fund of millions of shillings through fictitious claims.

In the last couple of years, some private hospitals were in the limelight after it emerged that they had defrauded NHIF through fake medical claims.