肯尼亚指控保健设施和工作人员在虚假索赔中欺诈超过11B美元,引发新的AI驱动的监督。
Kenya charges health facilities and staff with fraud over $11B in false claims, triggering new AI-driven oversight.
肯尼亚检察长已对多个卫生设施和个人提出刑事指控,指控他们涉嫌涉及社会卫生管理局的欺诈行为。
Kenya’s Director of Public Prosecutions has filed criminal charges against multiple health facilities and individuals over alleged fraud involving the Social Health Authority.
这些指控基于2026年1月28日至2月24日的DCI调查,包括共谋欺诈、虚假借口和经营无证设施。
The charges, based on a DCI investigation from January 28 to February 24, 2026, include conspiracy to defraud, false pretences, and operating unlicensed facilities.
涉及Danaba护理医院和Alati护理院等设施,还涉及主任和工作人员,包括KMPDC的Harun Liluma, 被控计算机欺诈和滥用职权。
Facilities like Danaba Care Hospital and Alati Nursing Home are implicated, along with directors and staff, including Harun Liluma of the KMPDC, accused of computer fraud and abuse of office.
此案是在法证审计后发现的,揭露了110亿先令的欺诈性索赔,促使卫生部在TaifaCare平台上安装一个AI驱动的欺诈性检测系统,并阻止不遵守要求的县医院提出药物索赔。
The case follows a forensic audit revealing Sh11 billion in fraudulent claims, prompting the Ministry of Health to deploy an AI-driven fraud detection system on the TaifaCare platform and block drug claims from non-compliant county hospitals.