HomeHealthKenya Revenue Authority and over seven insurance companies suspend Nairobi Women’s Hospital

Kenya Revenue Authority and over seven insurance companies suspend Nairobi Women’s Hospital

Kenya Revenue Authority has suspended Nairobi Women’s Hospital as one of its approved medical care providers.

A memo dated 5 February 2020; KRA told its staff that the directive was immediately effective.

“Nairobi Women’s has been suspended from the KRA list of the approved medical service provider with immediate effect. This suspension will stand until such a point where the contentious issues between the Authority and the hospital are resolved conclusively,” said the Deputy Commissioner HR Mukuriah Nelson.

The staff was advised to seek access to the services from other approved medical service providers.

Nairobi Women’s Hospital has hit the headlines lately after claims emerged that its doctors had forced patients to undergo unnecessary procedures.

In a leaked WhatsApp chat, it was revealed that the supposed strategies that the facility used to achieve its revenue targets.

It is also claimed that the doctors supposedly admitted patients who do not need admission and delay discharge of others unnecessarily to give them enough time to hit their targets.

Other private health insurers that also suspended their services with the Hospital over claims of cost inflation include CIC Group, Old Mutual, AAR, UAP, APA, Jubilee, and Britam.

Association of Kenya Insurers said in a statement that the indefinite suspension of Nairobi Women’s Hospital would stand as the quality and costs of the hospital services are reviewed.

Part of AKI’s statement read, “All medical insurers have from 5 February 2020, suspended Nairobi Women’s Hospital from their list of accredited service providers. This follows recent accusations made in the media against the institution.”

The regulator clarified that the suspension wouldn’t affect covered customers who were already admitted to the hospital and that the billing and settlement of expenses incurred by the customers won’t be affected either.

During a meeting with AKI, the Chief Executives of the insurance companies noted on Monday that the hospital had so many administrative issues surrounding it which disadvantaged the insured clients.

“This is contrary to the interest of medical insurers, which is to ensure that customers get the best services at competitive rates,” AKI said.

The statement further said that the medical environment had many players, including laboratories, pharmacists, imaging services, and doctors among others, and for medical insurance to make sense.

It is essential for each of these players to provide the most reasonable rates. But then, things were different on the ground.

Nairobi Women’s Hospital has said it was leading an internal review on the claims alongside an independent agency, one by Kenya Medical Practitioners and Dentist Council.

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