Digitizing National Health Insurance for Greater Impact
Powering Public Health Insurance for the Future
At Kairoi Health, we are transforming the way public health insurance is managed and delivered across Africa. With a deep understanding of the operational challenges within national and state health insurance schemes, we have developed digital tools designed to streamline processes, reduce administrative burdens, and improve service delivery for millions of citizens.
Our technology supports every step of the health insurance journey — from onboarding and enrollment, to claims management, fraud detection, policyholder communication, and real-time analytics.
Our Approach
We partner with government institutions and public health agencies to co-design digital tools that strengthen the operational backbone of health insurance schemes. Our AI-powered solutions ensure data accuracy, automate routine tasks, and help agencies provide faster, fairer, and more transparent services.
Key Features
Our public health insurance platform is equipped with intelligent, user-friendly tools designed to simplify complex processes and improve efficiency at every level. From seamless digital enrollment and automated claims processing to real-time fraud detection and provider management, our system ensures that public health agencies can deliver services faster, more transparently, and at lower cost. With built-in grievance and complaints management, customizable benefit packages, and dynamic reporting dashboards, we empower governments to run smarter, more responsive health insurance programs that meet the needs of all citizens.
The platform is also built with flexibility in mind, supporting integration with existing health information systems and adaptable to evolving policy needs. Our multilingual interface ensures accessibility across diverse populations, while AI-powered analytics offer deep insights into utilization trends, risk profiling, and cost optimization. Whether it’s scaling national programs or strengthening subnational schemes, our solution is built to drive equity, efficiency, and long-term sustainability in public health insurance.
Digital Enrollment & Policy Management
Seamless onboarding and registration of enrollees with dynamic plan configuration.
Fraud Detection & Claims Analytics
Safeguard against fraudulent activities with advanced fraud detection mechanisms to identify and prevent potential fraud risks.
Real-time Data Insights
Gain immediate access to a comprehensive 360-degree view of policyholders, utilization trends, and key metrics, empowering data-driven decision-making and enabling proactive management of policyholder health and benefits.
WHY IT MATTERS
Actionable Data Insights:
Most public health insurance schemes operate on paper-based, manual systems that are inefficient, error-prone, and difficult to scale. Our platform brings the power of digital transformation to the heart of public health financing, helping governments improve coverage, reduce costs, and enhance patient trust.
Designed for Impact, Built for Scale
Our solution isn’t just a tool—it’s an enabler of transformation. By digitizing manual processes and embedding intelligence into every workflow, we empower health insurance agencies to operate with greater transparency, efficiency, and responsiveness. From improving enrollee experiences to enabling data-driven policy decisions, our platform supports health systems in achieving universal health coverage, faster and smarter.