The majority of Kenyans who remit their NHIF contributions through MPESA services might be locked out of services after the insurance claim that the money doesn’t reflect the system.
On Tuesday, the National Assembly Public Investments Committee (PIC) was jolted when acting NHIF CEO Nicodemus Odongo claimed that details of Kenyans contributing to the NHIF cover through M-Pesa could not reflect in the insurer’s system.
Odongo claimed that contributions made through M-Pesa have not been reflecting on the NHIF system since the affected contributors had used the wrong details.
According to Business Today, the paper estimates that 70,000 people are affected by the M-Pesa transactions problem.
The immediate former Auditor General Edward Ouko had spotlighted gaps in NHIF accounts in his 2017/2018 audit report.
In May this year, patients using NHIF cards at Kenyatta National Hospital (KNH) were stranded for days after system outage at the insurer.
In February, NHIF said that healthcare fraud, waste, and abuse directly contributes to the need for higher premiums for sustainability. It claimed that this reduces the amount of money available to improve the quality of care for beneficiaries.
“Fraud leads to the shrinking of the available benefits package to members, thereby raising barriers to accessing quality health and ultimately increasing the cost of healthcare,” said Gilbert Osoro, Manager, Benefits and Contracting at NHIF.