More than 4 billion tenge could have been unjustifiably paid to medical organizations under the mandatory social health insurance (MSHI) system, but violations were detected before the transfer of funds thanks to digital anti-fraud mechanisms, reports infohub.kz.
As noted by the Ministry of Finance of Kazakhstan, the MSHI reform, which started in February 2026 after the transfer of the Social Health Insurance Fund to the department, involves a shift from post-payment checks to preventing violations before payments are made.
"For example, if previously payment checks were carried out after the fact – after the money had already been transferred – now unjustified payments are prevented before payment. As a result, in the first half of 2026, the anti-fraud system identified defects worth more than 4 billion tenge before the corresponding funds would have been transferred to medical organizations," the Ministry of Finance stated.
In parallel, financing of medical care is being transferred to a unified digital contour on the Qalqan platform. In the pilot project in Astana, 207 clinics are participating. Through the system, 20 out of 92 types of medical care are already being paid for, and testing is underway for another 60 areas. By the end of the year, all declared types are planned to be put into industrial operation.
Digitalization also affects patients. In eGov Mobile, it is already possible to confirm the fact of visiting a medical organization using a QR code. In the future, an electronic financial passport of the patient will appear with information about medical services provided and paid for.
In the second half of 2026, the SHIF plans to scale the new model. The main focus is on transparency of financing, accessibility and effectiveness of medical care, as well as clear rules for doctors.