All teachers and police officers will not access treatment at private hospitals next week
All teachers and police officers using insurance backed by government institutions like the Teachers Service Commission (TSC) will not receive treatment in a section of hospitals starting Monday, February 24
All teachers and police officers using insurance backed by government institutions like the Teachers Service Commission (TSC) will not receive treatment in a section of private hospitals starting Monday, February 24.
All hospitals under the Rural and Urban Private Hospitals Association of Kenya (RUPHA) on Thursday, February 20, announced that they will withhold treatment for civil servants until their debt is cleared.
According to RUPHA, the move has been necessitated by the fact that the insurer has not paid for services done in the last year.
“We will stop providing medical services to police and teachers using the government insurance from Monday,” announced Rev Joseph Kariuki, Deputy Chairperson, RUPHA.
The umbrella body further threatened to withdraw treatment for patients using the Social Health Authority (SHA). According to RUPHA, this is the last result to force the government to improve the services being offered under SHA.
“No services to teachers, police, and SHA patients from Monday until the government honours our demands,” asserted Kariuki.
RUPHA is demanding the government clear all pending bills accumulated under the old National Health Insurance Fund (NHIF) from 2017.
As of December last year, the government owed approximately Ksh29 billion to private hospitals. RUPHA says, that despite the government promising to clear the debt, they will not continue services unless there is a clear plan for the payments to be made.
“Why is it that the Treasury does not value the lives of Kenyans,” the RUPHA chairperson asked.
The body says its members have had their hospitals auctioned, lost employees and some specialists have refused to offer services as a result. “Doctors are now saying they will not treat patients without paying cash,” Rev Kariuki revealed.
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The hospitals are also demanding that the government review the Global Budget Capitation being used for outpatients. Global budget capitation is a healthcare payment model where providers receive a fixed, predetermined amount to cover all necessary services for a specific population over a set period.
This approach aims to control costs, promote efficient resource use, and enhance care quality by incentivizing providers to focus on preventive measures and effective management of chronic conditions.
According to the medics, the government has placed a capitation of Ksh900 which translates to about Ksh75 per person, per month.
RUPHA wants the capitation reviewed and changed. SHA has been problematic since its launch in October last year, with the government acknowledging the challenges and promising a top down review.
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