This brief presents an overview of how private health insurance firms (PHI) function as purchasers of health services in Kenya. It examines the relationship between PHI and three key actors - health service providers, government and their members – by comparing actual purchasing practices to ideal strategic purchasing practices. It identifies design and implementation gaps, factors influencing purchasing performance and provides policy implications of the findings and changes needed to attain the desired set of purchasing activities. It is a companion brief to another that examines community-based health insurance schemes in Kenya.
Munge, K.; Mulupi, S.; Chuma, J. Strategic purchasing for Universal Health Coverage: Private health insurance firms in Kenya. (2016) 4 pp.