In anonymity to Digital entrepreneur Nelson Amenya, a medical analyst who worked at Jayesh Saini’s Nairobi west hospital has revealed new unethical, uncouth policies, abuse of power and discrimination by Crooked Jayesh Saini the thief who has been monopolizing and terrorizing teachers, police and other insurance competitors in Kenya.
“How Jayesh Saini and his family have captured our public healthcare.
Hello Nelson, I have worked at Nairobi West Hospital. Jayesh sister Dr. Mina is the director, been in her office. That same Jayesh Saini owns MAKL, now I’ll speak about MAKL since I have been there as a medical analyst. The current director is called parmanand Mishra they brought in another guy recently called Ranmeet very racist guy. They have contracted more than 700 hospitals and have given high capitation to their facilities that’s LifeCare hospitals and Nairobi west. We were being coarced not to approve any case of malaria or any tropical disease to be managed as inpatient but at their facilities tunambiwa we should not reject any case we approve zote. I received several calls from irrate parents teachers and our police officers. inafika Hadi Mahall parents travel all the way to the headquarters office to personally seek approval. the office is located at the Arch place – nyangumi road opposite Somerset hotel 7th floor.Ukipatikana you have approved a case to any other facility you are questioned or if it’s genuine (all cases are genuine) you are told to either allow only 24hrs then force discharge or if it’s surgery negotiate for the lowest offer.
There are several departments from pre-authorization to extension audit discharge until claiming. kila department you are forced to slash the bill for instance you issue an LOU of three days for a patient and the bill for three days comes to about 50k. After 24hrs the case is put on hold and facility told to discharge a patient who is not recovered. they seek for extension that is still denied. If granted you are given another 24hrs then forced to discharge thereafter. The discharge team should approve 70% of the total bill. so Kuna deductions inaenda auditing at 70% inakatwa another 10% unaambiwa you did some unessesary test or with any reason yenye haiadd up. Haya then inaenda claims department. hapa ndio maajabu hufanyika. hapa aim hukuwa kureject the whole bill. silly reasons you did not attach cardex or prescription the whole bill inakuwa declined. and if it’s not declined the now 60% remaining wanaslash another 30 or 20. inakuwa approved remaining 40. probably 15k or there about from 50k.
Haya service provider akifanya reconciliation asipo peana discount halipwi. 10% ndio huwa discount. you end up getting very little. Nelson, you are a service provider ushapeana services alafu unafanyiwa hivi that discount inakuwanga ya Mishra. but za hospitali zao all are approved 100% especially Nairobi west and paid on time. the aim of Nairobi west is to deplete patients cover. they even call and ask if that particular patient has depleted the cover or not. when the cover is depleted they refer you to a goverment facility.
I can give you classical cases but due to patients confidentiality inaezakuwa noma. sometimes they even suspend teachers from attending their facility and its contracted imagine then if you do research. Hospitals are not accepting teachers and police some of these hospitals ziko huko rusinga island. they barely see 50 patients a month with a capitation of 900 or 1500 at most then out of the 50 cases you only get reconciliation ya 10 patients na hosi pesa imelala hata two yrs. There is a lot of rot in that company and bribery.”
“Hello Nelson, all the information provided about Jayesh Saini and their corrupt healthcare business is true.
I worked at one of their sister business (bliss healthcare) and I can tell you for sure teachers out here are suffering.
Prior to working for bliss healthcare care I worked for a mission hospital where the MAKL would force us to discharge patients or they would not reimburse the hospital for services provided.
The maximum number of days a patient could stay in a hospital is 3 days.
For external referrals that require admission they only approve services in Nairobi west and lifecare hospital”
Another victim;
‘Hello
The issue about MAKL is very true, I have experienced it myself.
My son was to undergo a minor surgery at Medihill parkland
The hospital quoted 70k for the procedure, we called aon/ minet(makl) but they refused giving there quotation to 20k only. They say if Medihill cant accept the 20k then we should go to Lifecare Kikuyu.
After a long push and pull we decided to go to this facility (lifecare) where they admitted us very fast and the procedure done. Everything went well but my surprise is on discharge summary and billing the hospital (lifecare) charged for the procedure 94k and makl agreed yet they refused 70k quoted at medihill parklands hospital.”
This is the enemy number one who helped broker deal of Adani’s takeover of JKIA, Kenya power together with Mediheal hospital owner Mishra Kiprop who has been linked to Organ trafficking.
Should Adani takeover, JKIA will be drug smuggling airport for these chaps, organ trafficking. Birds of the same feathers.
We have done series of articles on Jayesh Saini. You can have a read:
KenyanHour 