Hospitals Risk Losing Contracts for Denying Clients Services over Arrears

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The National Health Insurance Fund has warned some of the contracted hospitals that have denied patients services over the unpaid balances by the insurer.

This comes amid the ongoing roadshow hitting the road on a mega weeklong campaign in Nairobi to sensitize Kenyans on the importance of being insured and other services contained in the fund.

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This year’s campaign focuses on the Jua Kali sector to realise its quest for Universal Health Coverage (UHC).

The roadshow will activate the informal sector with a target of the Boda boda, matatu, garage, carwash, woodwork, Jua kali, shopkeepers, Community health volunteers among many others.

The sensitization includes engagement on the NHIF benefits package and how to access, the Emergency Road rescue package offered by E-plus offered under the Supa Cover, and a presentation by NHIF as part of the public participation to collect feedback on new NHIF regulations under the NHIF 1998 Act (Amended 2022).
The national insurer has been facing challenges with low retention of the informal sector who are voluntary contributors.

Those who are retained are those who have chronic illnesses, because they are continually seeking the services. Some of the informal sector members because of the voluntary nature of their membership, enrol when they have a need, utilize the benefits package then drop off after receiving services.

This, out of the 15.4 million members, the active members are about eight million. The Fund’s retention rate was 43 percent as of June 30, 2022, an improvement from 2021 when it was 32 percent.

The roadshow follows recommendations from a survey conducted within 28 counties by the national insurer that reviewed the effects of Knowledge Attitude Behavior and Practices (KABPs) on uptake and retention of NHIF cover.

The overall objective of the study was to establish vulnerabilities and gaps in KABP on demand and retention of NHIF UHC Supa cover among different socio-economic groupings and geographic areas of these counties through integration of communication for Development approaches.

The target was on 22 low registration counties that have below 30% registration in each county.

Roadshows have proven in the past to be an ideal vehicle to reach out to both current and potential members with a lasting positive impression that increases awareness, loyalty, and conversion.

The lively environment of the event and the engaging stream of content both help create a lasting impression of the brand amongst the participants.

The informal sector is an integral component of Kenya’s population. Inline with the Kenya Kwanza Manifesto on the bottom up model and to accelerate the realization of UHC, this segment has to be tapped.

Whereas NHIF has increased its digital presence, there is need to sustain these efforts since this is a media through which the the informal sector can be effectively reached.

Whereas awareness creation may facilitate people to take up the cover, NHIF will continue to carry out public education into other low registration counties targeting the informal sector to ensure retention.

The aim of the public education is to dispelling some of the existing misconceptions on NHIF cover which may largely been based on socio-economic factors.

The target group are the Informal sector – Boda Boda operators, Jua kali artisans, matatu operators, mama mboga, hawkers, & domestic workers, motor vehicle mechanics, Duka & Kiosk operators, stall owners, mtumba sellers etc.

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Mike Nyaks.

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