Health Systems Governance in Europe 2010
DOI: 10.1017/cbo9780511750496.009
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EU competition law and health policy

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Cited by 11 publications
(11 citation statements)
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“…In practice, then, it has become difficult to determine in advance whether the implementation of a mechanism, strategy, or reorganization within a member state's health system may contravene the anticompetition measures set out in articles 101 and 102 TFEU (formerly articles 81 and 82 EC). These practices can include the reference pricing of drugs, the bulk purchase of medical goods, the privatization of hospitals, the use of independently contracting health care professionals to provide public health care services, the use of public-private partnerships (P3s), the private management of public facilities, and so on (Lear, Mossialos, and Karl 2010).…”
Section: The Eu's Preeminent Source Of Power Is Regulatory Rather Thamentioning
confidence: 99%
See 1 more Smart Citation
“…In practice, then, it has become difficult to determine in advance whether the implementation of a mechanism, strategy, or reorganization within a member state's health system may contravene the anticompetition measures set out in articles 101 and 102 TFEU (formerly articles 81 and 82 EC). These practices can include the reference pricing of drugs, the bulk purchase of medical goods, the privatization of hospitals, the use of independently contracting health care professionals to provide public health care services, the use of public-private partnerships (P3s), the private management of public facilities, and so on (Lear, Mossialos, and Karl 2010).…”
Section: The Eu's Preeminent Source Of Power Is Regulatory Rather Thamentioning
confidence: 99%
“…This approach may, in theory, provide a balance between economic policy at a supranational level (effective free trade within an open European market) and social policy at a national level (the protection of public institutions grounded on principles of social solidarity). But because it depends on the gradual case-by-case investigation of the particularities of each dispute, there is little legal certainty for health policy makers (Lear, Mossialos, and Karl 2010). In practice, a body of case law often will eventually converge into a relatively clear comprehension of an issue so that, even in the absence of formal legislative direction, legal certainty evolves over time.…”
Section: The Eu's Preeminent Source Of Power Is Regulatory Rather Thamentioning
confidence: 99%
“…It requires a very case-specific analysis to determine to what extent these rules apply. [30] Similarly, the regulation of the free movement of people and services within the internal market might apply to (modular-based) medical architectures, in which (combinations of) the provider, the service, or the recipient can move between countries. We refer to [31] and [19] for discussions of these legal norms.…”
Section: E Internal Market Regulationmentioning
confidence: 99%
“…This means that the precise contours of application of EU competition law may vary between Member States, although national T. Hervey et al 110 competition authorities are overseen by the European Commission (Monti 2007, Lear et al 2010, and must comply with EU law, including rulings of the General Court and Court of Justice of the EU (CJEU). It also means that a full understanding of the state-of-the-art of EU competition law at any moment in time presents an almost impossible challenge, involving coverage of the decisions of 27 national competition authorities.…”
Section: Competition Lawmentioning
confidence: 99%
“…(For further examples of similar cases with small care markets, in the healthcare context, seeVan de Gronden 2004, Lear et al 2010 Once the relevant market is determined, the legal test for 'abuse' is whether a particular undertaking is in a position of economic strength so that they are able to prevent effective competition and can behave independently of all other providers(Case 6/71 Continental Can [1973] ECR 215, Case 27/76 United Brands [1978] ECR 207, Case 85/76 Hoffman-la Roche [1979] ECR 461)…”
mentioning
confidence: 99%