Health Cabinet Secretary Aden Duale has affirmed the government’s commitment to settling the bulk of pending debts owed by the defunct National Health Insurance Fund (NHIF), pledging to clear 92 per cent of the outstanding payments.
Speaking during a television interview on Wednesday, Duale stated that claims ranging from Sh1 million to Sh10 million would be honoured in full, aligning with President William Ruto’s earlier directive. The move is expected to benefit about 91 per cent of NHIF-affiliated healthcare facilities, offering financial relief amid a challenging transition to the new Social Health Authority.
“For the remaining eight per cent, parties who went to court will not pressure me into authorising unverified pending bills,” Duale said, clarifying that only validated claims will be considered for payment.
Duale emphasized that disputed claims currently in court would remain on hold until their legitimacy is confirmed through the legal process. “The only way to resolve these cases is through the legal system. If you want us to conclude this matter, withdraw the case from court,” he added.
To ensure a transparent process, Duale in March 2025 established the NHIF Pending Medical Claims Verification Committee, chaired by James Masiro Ojee. The committee was tasked with auditing claims submitted between July 1, 2022, and September 30, 2024, and recommending payments within a 90-day timeline. However, its operations were recently suspended after the High Court issued an injunction, citing possible conflicts with the constitutional role of the Auditor-General and the committee’s lack of statutory authority.
Despite legal hurdles, Duale underscored the government’s resolve to reform health financing and restore public trust. He acknowledged the financial strain faced by health providers but stressed the importance of accountability, value for money, and the need to safeguard public resources.
The NHIF debts have been a growing concern, especially for hospitals that rely heavily on reimbursements for services rendered. Duale’s assurance marks a critical step toward stabilizing the sector, though full resolution hinges on the outcome of the ongoing court cases.
