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1. The relevant market is

defined to be outpatient

haemodialysis treatment

in dialysis centres

operatedbyrestructured

hospitals and private

sector service providers,

including joint ventures

between restructured

hospitals and private

operators in Singapore.

Accordingly, the relevant

marketexcludesservices

provided by Voluntary

Welfare Organisations.

2. Market shares are based

on estimated number of

patients.

3. For the regional analysis

of the kidney dialysis

market, the market is

divided into smaller

regions namely, North,

Central, East, West and

Northeast.

4. Advance Renal Care,

Kidneycare, Pacific

Advance Renal Care,

and ARCA (Farrer Park)

Dialysis entered the

kidney dialysis market

after the merger.

Based on the study, CCS found that, in the period of December 2012 to June 2015:

The Paper has been independently reviewed by Assistant Professor Aamir Hashmi,

National University of Singapore. He concluded that the Paper provided convincing

evidence that CCS’s decision on the merger did not cause any adverse effect on

competition in the kidney dialysis market.

CAPACITY OF DIALYSIS SERVICES IN SINGAPORE INCREASED

, THE NUMBER OF

DIALYSIS CENTRES INCREASED FROM 39 TO 60, AND THE CAPACITY OFTREATMENT

SLOTS INCREASED FROMABOUT 2,000 TO ALMOST 3,000 PERWEEK.

FMC’S MARKET SHARE FELL FROM 70% TO 53% DUE TO THE EXPANSION AND

ENTRY OF COMPETING FIRMS.

[2]

NEW DIALYSIS CENTRES WERE SET UP BY COMPETING PROVIDERS ACROSS

ALL FIVE MAJOR SUB-REGIONS OF SINGAPORE

[3]

, AND THESE CENTRES WERE

ABLE TO ACHIEVE SIMILAR USAGE RATES TO THOSE OF FMC.

[4]

THIS FINDING IS

CONSISTENT WITH CCS’S EARLIER ASSESSMENT THAT BARRIERS TO ENTRY AND

EXPANSION IN THE MARKET WERE NOT HIGH.

PRICES FOR DIALYSIS FELL

RELATIVE TO PRICES FOR OTHER MEDICAL

TREATMENTS. THE STUDY ALSO SHOWED THAT AVERAGE PRICES FOR DIALYSIS

DID NOT INCREASE.

1

2

3

Source: The Straits Times (26 April 2016) ©

SingaporePressHoldingsLimited.Permission

required for reproduction

37

CCS ANNUAL REPORT 2015-2016

GUIDING YOU TO NEW HEIGHTS