How NHIF swindled Billions in 22/23 (THREAD)
1. Unexplained overpayments (462 Million)
NHIF schemes specified their Limits at 500M but payments of 960 Million were made resulting in unexplained overpayments of over 460 M.
1. Unexplained overpayments (462 Million)
NHIF schemes specified their Limits at 500M but payments of 960 Million were made resulting in unexplained overpayments of over 460 M.
2.Unsupported Benefit Expenses (767 Million)
767 Million was used in various schemes but there were no actual activities that were reported to be carried out. Items procured, parties receiving services and payee details could not be accounted for.
767 Million was used in various schemes but there were no actual activities that were reported to be carried out. Items procured, parties receiving services and payee details could not be accounted for.
3. Unsupported Operating Expenses(2.4 Billion)
Out of 2.9 Billion that was spent. Only about 500 million was properly accounted for.
Out of 2.9 Billion that was spent. Only about 500 million was properly accounted for.
4. Duplicate Payments for C Section and Normal Deliveries (47 Million)
Over 11,000 duplicate payments for these medical operations were reported. This means that people were charged twice for giving birth once.
Over 11,000 duplicate payments for these medical operations were reported. This means that people were charged twice for giving birth once.
5. Unsupported Claim Reserves (3.9 Billion)
Claims worth 3.9 Billion were incurred but not reported.
The accuracy of the claims reserves balance could not be confirmed.
Claims worth 3.9 Billion were incurred but not reported.
The accuracy of the claims reserves balance could not be confirmed.
End.
For more information on this NHIF visit oagkenya.go.ke
For more information on this NHIF visit oagkenya.go.ke
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