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CCS’S STUDY FINDS NO

ADVERSE EFFECT ON

COMPETITION IN THE

KIDNEY DIALYSIS MARKET

AFTER MERGER

HEALTHCARE

| MARKET STUDY

Case Team Members:

Lim Wei Lu

Toh Shihua

Ng Ming Jie

Ng Ee Kia

CCS’s post-merger study of the kidney

dialysis market followed its decision

to clear the acquisition by Asia Renal

Care (SEA) Pte Ltd of Orthe Pte Ltd in

2012 (the “Acquisition”). This study was

part of CCS’s on-going efforts to assess

the impact of its interventions so as

to ensure markets work well for both

businesses and consumers in Singapore.

THE

BARRIERS TO ENTRY

AND

EXPANSION BY NEW

PROVIDERS

IN THE KIDNEY

DIALYSIS MARKET WERE NOT

HIGH.

TREATMENT SERVICES

ACROSS

PROVIDERS WERE

LARGELY

SIMILAR.

PATIENTS COULD

SWITCH

EASILY

BETWEEN DIALYSIS

CENTRES.

IN THE AREAS WHERE THE MERGED PARTIES’ DIALYSIS CENTRES WERE NEAR EACH

OTHER, THERE WAS ALSO

AT LEAST ONE OTHER COMPETING PROVIDER LOCATED IN

THE VICINITY.

Although the Acquisition resulted in a

merged entity Fresenius Medical Care

Singapore (“FMC”) with a high combined

market share

[1]

that significantly

exceeded 40%, CCS allowed the merger

to proceed on the basis that there

would not be a substantial lessening

of competition because:

1

4

2

3

36

GUIDING YOU TO NEW HEIGHTS

CCS ANNUAL REPORT 2015-2016