Health corruption chain from insurance firms to doctors fooling Wanjiku in mix

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Private hospital medical practitioners have vented their frustrations towards insurance firms  they have accused of delaying funds meant for private clinics.

Several doctors have as a result admitted in a meeting chaired by officials of the Kenya Medical and Dentists Union practitioners,to authorizing needless tests just to earn commissions.

“That is why you get a two-year-old with Computerized Tomography (CT) scans they do not really need, we get people doing many tests on patients that are unnecessary,” one radiologist revealed.

Insurance firms are known to recommend which hospitals and doctors their clients should visit.

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This has given them the upper hand as they can deny them business at will thus forcing doctors to come up with crafty ways to stay in business, such as bribery.

“It is only in the medical field that you find decisions are made by third parties through panels. To get into that panel to push for your rights, you have to bribe someone,” a dentist was quoted by reporters.

MPDU Secretary-General, Ouma Oluga, disclosed how these insurance companies delay payments for over a year on purpose so as to rake in their premiums at the end of the year.

He went on to reveal that the doctors are yet to receive over Ksh700 million in claims against insurance firms.

KMPDU Secretary-General, Ouma Oluga, resolved that the doctors would create a consultancy firm mandated to push insurance companies to honor payments.

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