RUPHA has often highlighted persistent delayed payments and an unsustainable payment model, underscoring need for comprehensive reforms in healthcare financing.
The Social Health Authority (SHA) has made good its promise to continue settling pending bills, disbursing about KSh5.44 billion to hospitals as of May 2025.
Leading the overall payments was Kenyatta National Hospital with KSh253 million.

Public hospitals dominated the top 10 recipients, with Jaramogi Oginga Odinga Teaching and Referral Hospital securing KSh216.44 million and Moi Teaching and Referral Hospital receiving a significant KSh216.43 million.

Faith-based organizations were also well-compensated with AIC Kijabe Hospital receiving KSh75.4 million, while Tenwek Hospital in Bomet County got KSh61.2 million. Coptic Hospital Ngong Road in Nairobi received KSh60.6 million.

In the private hospitals category, Aga Khan University Hospital Nairobi topped the list with KSh51.2 million. Nairobi West Hospital followed with KSh42.6 million and Mandera Wellness Centre Annex rounded off the top three with KSh38.8 million.

While these payments are a welcome relief for many facilities, the broader financial health of hospitals remains a subject of ongoing concern.
Indeed, the Rural and Urban Private Hospitals Association (RUPHA) has previously released scorecards highlighting systemic failures within SHA, including persistent issues with delayed payments and an unsustainable payment model, underscoring the continuous need for comprehensive reforms in the healthcare financing landscape.