A major investigation into healthcare fraud is underway after the Directorate of Criminal Investigations (DCI) received 1,188 case files from the Social Health Authority (SHA) and the Kenya Medical Practitioners and Dentists Council (KMPDC).
The files reportedly implicate individuals, organizations, and other parties suspected of defrauding the healthcare system.
The files, handed over on September 1, 2025 pertain to alleged fraudulent activities that undermine government efforts to deliver quality healthcare services to the public.
In response, the DCI promptly initiated investigations and assembled a multiagency task force to conduct a detailed review of the cases.
The operation is aimed at identifying and prosecuting all parties involved in healthcare-related economic crimes.
Already, five suspects are in custody and are expected to be arraigned in court on Monday, October 6, 2025.
The suspects will face multiple charges under several laws, including the Penal Code, the Proceeds of Crime and Anti-Money Laundering Act, the Social Health Insurance Act, and the Anti-Corruption and Economic Crimes Act.
The Office of the Director of Public Prosecutions (ODPP) has given the green light for further arrests, and efforts to apprehend additional suspects are ongoing.
According to a statement released by the DCI, the investigations are progressing, with the 1,188 files currently at various stages of review.
The DCI reaffirmed its commitment to cracking down on healthcare fraud and recovering all assets obtained through illicit means.
The agency also pledged to continue collaborating with other law enforcement bodies to uphold accountability in the health sector.
“We remain resolute in our efforts to dismantle fraudulent networks in healthcare. The public can expect regular updates as the investigations progress,” the statement read.
Authorities are urging members of the public to report any suspicious activity related to healthcare fraud through official DCI channels.
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