The Social Health Authority (SHA) has suspended MP Shah Hospital from the government's health insurance scheme for 90 days following numerous complaints from patients who reported being charged for services that should be fully covered by the health insurance fund. In a letter dated June 23, 2026, SHA's CEO Dr. Mercy Mwangangi noted the authority received many complaints regarding the quality of healthcare services provided at the hospital.

The Social Health Authority (SHA) has suspended M.P. Shah Hospital from its panel of contracted healthcare providers as of June 23, 2026, due to ongoing investigations. This suspension affects services under various healthcare funds, including the Primary Healthcare Fund and the Public Officers Medical Scheme Fund, as announced in a public notice on June 24, 2026.

A report from Soko Directory highlights that Kenyan families often prioritize immediate medical treatment over purchasing health insurance, leading to significant expenditures on healthcare. The article suggests that in medical emergencies, the first response is typically a phone call rather than considering financial investments. This behavior reflects a broader hesitation among Kenyans to invest in insurance despite the high costs associated with medical treatment.

In March 2026, clinics in Kenya experienced a sudden disruption in donor funding, leading to stalled supply chains and unanswered questions from programme coordinators. This incident highlighted the reliance of the country's public health infrastructure on external financial support, raising concerns about the implications of the Kenya-US health data deal, according to TechTrends KE.

Jubilee Health Insurance is introducing an instalment payment model in Nairobi to make health insurance more accessible to uninsured Kenyans. The company believes that the payment structure, rather than the overall cost, is a significant barrier for many individuals seeking health coverage. This initiative aims to help those who desire insurance but find it difficult to pay upfront costs.

The government has allocated Sh4 billion to settle claims from hospitals under the National Hospital Insurance Fund (NHIF). According to SHA CEO Mercy Mwangangi, eligible facilities will receive payments only after completing a mandatory sign-off process that confirms their verified claims have been fully settled.