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The role of EU competition law in health care and the 'undertaking' concept

Research output: Contribution to journalJournal article

E-pub ahead of print
<mark>Journal publication date</mark>30/04/2020
<mark>Journal</mark>Health Economics, Policy and Law
Number of pages14
Publication StatusE-pub ahead of print
Early online date30/04/20
<mark>Original language</mark>English


Part of the controversy surrounding competition and health care stems from the complexity connected with delineating the applicability of competition law - encompassing both the provisions governing anticompetitive agreements and abuse of dominance and the state-aid rules. Cases determined at the European Union (EU) level within the past 30 years have developed a broad framework, and notable trends have emerged - for example, a distinction between health care providers and managing bodies (purchasers). The former have been subject to an 'abstract' test and the latter to a more sophisticated 'concrete' test. In this paper, we chart the development of the EU courts' approach to developing the 'undertaking' concept in health care and examine the current EU competition law framework with a view to identifying future directions. van de Gronden has recently identified a 'three-prong' test of exemption from competition law in connection with the recent CEPPB case: firstly, where the supply of services is predominantly dependent upon public financing; secondly, the public funding aims to achieve a public interest goal and thirdly, the activities concerned are closely related to this public interest goal. We examine this test in a health care context, drawing on our findings regarding Dutch competition reforms.

Bibliographic note

https://www.cambridge.org/core/journals/health-economics-policy-and-law/article/role-of-eu-competition-law-in-health-care-and-the-undertaking-concept/434C6A7597A80F1B37136CE93B5B616E The final, definitive version of this article has been published in the Journal, Health Economics, Policy and Law, ?? (?), pp ??-?? 2020, © 2020 Cambridge University Press.