Payer – Provider Engagement Consensus and Validation Workshop

Kenya Healthcare Federation (KHF) conducted the Three – Day Payers and Providers Consensus and Validation Workshop.
In 2020, Kenya Healthcare Federation (KHF) spearheaded a Provider-Payer Engagement in the Private Health Sector in Kenya aimed at mediating a cohesive Engagement in the Private Health Sector. This marked Phase I of this initiative.

The main aim was to tease out the challenges and identity possible solutions. Based on the Phase I findings, it deemed necessary to take a deeper dive listening sessions with all industry players; as these findings were not peculiar to the Private Sector. Thus, marking Phase II of this initiative.

In this Phase II, Kenya Healthcare Federation (KHF) has been in partnership with the Ministry of Health, KenyaWorld Health Organization (WHO), Strategic Purchasing Africa Resource Center (SPARC) and ThinkWell Global.

KHF CEO, Dr. Anastasia Nyalita, gave the opening and welcome remarks at Lake Naivasha Simba Lodge during a three-day Consensus and Validation Workshop to this ongoing Payer-Provider Initiative.

“This workshop will delve into what has been found to be the root causes hindering effective provider-payer engagement and their actionable solutions” – KHF CEO, Dr. Anastasia Nyalita.

Strategic Purchasing Africa Resource Center (SPARC) Acting Director, Oludare Bodunrin emphasized, “This workshop seeks to co-develop a joint action plan to enhancing healthcare financing in the country.”

Payers, Providers and Ministry of Health, Kenya engaged in group discussions to deliberate on the specific challenges, root causes and actionable solutions in enhancing the Payer-Provider Engagements Countrywide. 

The discussions focuses on:

  1. Which solutions are inefficient and which are effective.
  2. What are some of the practices that border on ethical issues.
  3. How to ensure integrity through these actionable solutions.

Ministry of Health, Kenya UHC Secretariat, Dr. Jared Nyakiba stated, “The UHC policy has been endorsed by the Cabinet and signed off by the MOH CS Health, Hon. Mutahi Kagwe and MOH PS, Susan Mochache, CBS and is undergoing final editing for publishing.”

National Hospital Insurance Fund – Kenya has implemented an Electronic Claims System (E-claim) countrywide in all Government of Kenya Level IV to Level VI Hospitals, all Private and Faith Based Healthcare Providers. With the paperless claims system, the claim processing turnaround time is expected to significantly be shortened. National Hospital Insurance Fund – Kenya Manager UHC, Gilbert Osoro emphasized, “NHIF has embarked on a countrywide biometric registration of members. By 31st December 2021, all Kenyans must be biometrically registered.”

Group Leads from the Payers, Providers and the Ministry of Health present on the respective group deliberations on the root causes of challenges and suggested actionable solutions in enhancing the Payer-Provider Engagements Countrywide.

The Final session focused on stipulation of the joint action plan and wrap up of the workshop.
Present were the KHF CEO, Dr. Anastasia Nyalita, KHF Board Director, Dr. Walter Obita and KHF Healthcare Financing Committee Vice Chair Dr. Dennis Okaka. UAP OLD MUTUAL GROUP Medical Practice Manager Dr Elijah Matolo, gave a presentation on the Health Insurance actors view on the joint action plan. Ministry of Health Senior Economist Robina Mwenesi, gave a presentation on the Health Providers view on the joint action plan.

KHF Director, Dr. Walter Obita wrapped up the three-day workshop by outlining the way forward and gave a vote of thanks to participants and the stakeholders involved in making the workshop successful. Nakuru County Health Administrative Officer, Dominic G. Mburu gave the closing remarks and closed the workshop.

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