The National Hospital Insurance Fund (NHIF) is preparing to roll out new technology to safeguard the insurer from escalating cases of fraud.
Nicodemus Odongo, the fund’s acting Chief Executive Officer, has stated that the system will also improve service delivery.
He warned that action will be taken against errant staff, adding that health facilities caught engaging in fraud will be suspended and officers prosecuted.
NHIF acting CEO Nicodemus Odongo speaking at a past function.
“NHIF is thus making calculated moves to counter the rampant occurrences of possible fraud by incorporating the Enterprise Risk Manager (ERM) to systems that will be conducting a holistic audit to pre-empt risk areas,” he announced.
“Other measures include suspending health facilities that are caught in fraud and taking action on employees engaging in fraud activities with health facilities,” Odongo continued.
The fund called on health facilities to be on the forefront of safeguarding achievements made in expansion and delivery of quality health-care services to the NHIF members.
NHIF banks on health facilities as key players to safeguard health care programs and take a lead in the integrity of health insurance and quality services.
He encouraged the healthcare providers to report any fraudulent activity to the nearest NHIF offices or to the police.
“To sustain the various health programs to Kenyans, Health Care Providers are advised to desist from any un-procedural activities that may lead to fraud and are encouraged to report any such cases,” he urged.
In 2018, a mega corruption scandal at NHIF was uncovered, leading to the arrest and suspension of Geoffery Mwangi and Wilbert Kurgat as CEO and Director of Finance respectively.