The Supreme Audit Chamber audited Kazakhstan’s Social Health Insurance Fund for 2022–2023, covering 3.8 trillion tenge and 770 million medical services. 55.8 million tenge in financial violations were identified and reimbursed. The Fund’s Board approved an action plan to address systemic deficiencies.
The Supreme Audit Chamber (SAC) conducted a five-month audit in 2024 of the Social Health Insurance Fund (SHIF), covering its 2022–2023 activities, including four regional branches. The audit examined 3.8 trillion tenge in expenditures and over 770 million medical services.
The audit identified financial violations amounting to 55.8 million tenge, which were fully reimbursed during the audit process. The violations were largely procedural and systemic in nature, highlighting deficiencies in operational processes.
Following the audit, the Ministry of Health and SHIF received recommendations to improve financial management and operational efficiency. In response, the Board of Directors of SHIF reviewed the findings and approved an action plan to address the violations.
Key reforms include:
- Long-term contracts with medical service providers for greater stability
- Pre-procurement qualification checks to ensure medical organizations meet necessary standards
- Launch of the Situational-Analytical Center to process big data for better decision-making
- Implementation of a risk management system to monitor and improve healthcare service quality
In addition to structural reforms, the Board of Directors reviewed the responsibility of officials involved. As a result, 12 executives, including those from the central office and regional branches, faced disciplinary action.
