Hospital Mergers and the Public Interest: Recent Developments in the Netherlands
11 Pages Posted: 10 Sep 2009
Date Written: September 9, 2009
This paper examines the recent experience concerning hospital mergers in The Netherlands. A topic that is likely to be of broader relevance as healtcare reform in The Netherlands is relatively advanced. In particular we look at issues concerning market definition, vertical integration and the efficiency defense. The findings are that there appears to be a case for stricter, possibly sector specific, forms of merger control in a liberalisation context. Also there is a need for flanking measures – such as facilitating market entry. Finally public interest standards in healthcare such as quality, affordability and accessibility should be developed further to enable them to play a more meaningful role in merger control.
Keywords: hospital mergers, healthcare liberalisation and: merger control, hospital market definition, hospitals and: vertical integration, efficiency defense, healthcare: and The Netherlands
JEL Classification: I, I18, K, K21, K23, K32
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