Assessing the long-term financial risk protection impact of COVID-19 an analysis of private health insurance practices in Kenya

Abstract

The Covid-19 pandemic has profoundly impacted healthcare utilization and spending trends, posing unprecedented challenges for health insurance providers worldwide. In Kenya, private health insurers faced significant financial strains as they navigated the complexities of the pandemic. This study assessed the long-term financial risk protection impact of the Covid-19 pandemic on private health insurance practices in Kenya, with a focus on identifying key challenges, lessons learned and actionable recommendations for enhancing insurance coverage in future pandemic scenarios. Through an exploratory research design, qualitative data were collected from top managers across 12 private insurance companies in Kenya, including financial, marketing and underwriting managers. Using the framework approach analysis method, patterns and relationships in the data were identified. Findings revealed insights into the effectiveness of pandemic response strategies adopted by private insurers, highlighting successful initiatives such as the rapid adoption of telemedicine services and digital platforms to enhance accessibility and continuity of healthcare services during lockdowns and movement restrictions, and areas for improvement that include, enhancing affordability for clients, addressing operational delays stemming from remote work arrangements, and strengthening IT infrastructure to support seamless service delivery.. Recommendations include enhancing communication with policyholders, diversifying coverage options, and investing in digital infrastructure to support remote work and service delivery. These insights provide valuable guidance for policymakers and stakeholders in the private health insurance sector, facilitating informed decision-making and enhancing resilience in future health crises.