WHISTLEBLOWER ACCOUNT
🚨 Medical Fraud Exposé 🚨
"The facility known as Trenya Hospital Limited has never existed physically — it was essentially “a hospital in a phone.” Patients were discharged and admitted remotely, yet at one point it was paid over Kshs 10 million.
The
RUPHA_Kenya
912 posts
The Rural & Urban Private Hospitals Association of Kenya is a non-political society of privately-owned medical facilities in Kenya.
- 🚨VIDEO EXPOSÉ ON FAILED SHA 104Billion FRAUD DETECTION 🚨 Yesterday we wrote about Trenya Hospital being basically a "hospital on a phone". Last night we sent an undercover team to search in BOSOTI SENGERA Ward, specifically the EGETUMBE area where the facility is allegedly
00:00 - We think that @_shakenya @KMPDC and @DHA_Kenya owe Kenyans an explanation on how the SHA portal at BFN Hospital reads Zero (0) normal beds, the @KmpdcOfficial portal reads 20 beds and the @MOH_Kenya Kenya Master Facility Register reads 111 beds. Which bed capacity is which
- How ironic to say that @_shakenya has a "cutting edge AI powered fraud detection system." Then @HonAdenDuale proceeds to hands over voluminous paper files in pink folders. How about a Drive or a Flash Disc? So digital.
- Replying to @HonAdenDualeHon CS. The biggest scam is the Kshs 104Billion fraud detection system. Start by fixing that one. Also accept that at least NHIF had Field Surveillance Officers and Quality Assurance Officers who could walk around and verify fake hospitals. 1000 of them were fired or redeployed,
- The Ministry of Health should concede that there is NO DIGITIZATION. There is no vaunted AI/Algorithm screening for fraud. The system is very manual, KMPDC has no capacity to verify bed capacity or ascertain fake facilities, they have no ground teams, they rely on county
- Replying to @HonAdenDualeCS, in the Kenya Master Facility Registry Nyandiwa Level 4 hospital is not a gazetted facility and has 0 beds. If this was a private hospital you would have called a press conference and declared it a cartel, NHIF sympathiser and fraudster. Secondly, the explanation that its bank
- The CS Health has resorted to attacks on the private health sector and the media as the scapegoats for the flawed SHA model. SHA collected just Kshs 56B in the 9 months to July compared to NHIF Kshs 65B for the same period in 2021/22. Despite higher premiums, Proxy Means Testing
- @_shakenya owes all Kenyan hospitals Kshs 43B in unpaid claims since October 2024. NHIF arrears are at Kshs 32B. SHA has surpassed NHIF in bad debts within a short 9 months. They can blame hospitals all they want but the truth is SHA was not even a good idea executed badly, no,
- Today we issued a 14-day go-slow notice to @_shakenya and to the @MOH_Kenya and to the CS Health @HonAdenDuale. On behalf of Kenyan patients and hospitals we urge @HonAdenDuale and @_shakenya to 1. Depoliticise and in the next 14 days settle NHIF arrears worth Kshs 33B to Kenyan
- Hon CS @HonAdenDuale. The biggest scam is the Kshs 104Billion fraud detection system. Start by fixing that one. Also accept that at least NHIF had Field Surveillance Officers and Quality Assurance Officers who could walk around and verify fake hospitals. 1000 of them were fired
- Replying to @DavidNdiiThis is deflection. Let us acknowledge the fraud problem by quantifying it. As at 30.09.2024. A total of 0.06% of all NHIF claims were under surveillance and 7.37% of all claims were under investigation. 92.63% of claims were deemed free of impurity. Value of suspect claims was
- Good Morning @HonAdenDuale . We request that the anti-fraud 104B Digitization with AI and real time claim verification from Dubai start working ASAP. Ghost hospitals are finishing us. Thanks.

























