CMA decides GP practices fall within merger control rules

Circle’s recent acquisition of BMI Healthcare has been cleared by the Competition and Markets Authority (CMA) subject to hospitals being divested in Bath and Birmingham. While most of the CMA’s decision is about competition between private hospitals, its most interesting implications are for GP practice mergers. Centene, a part owner of Circle, owns 18 NHS GP…

Competition risks for GP practice mergers

Large-scale GP organisations, including corporations that own multiple GP practices and super-partnerships between GP practices, are growing rapidly. The development of Primary Care Networks by NHS England seems likely to further encourage this growth. However, many large-scale GP organisations have a significant number of practices in local areas, and further expansion could lead to scrutiny…

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Buy-and-Build Strategies: Managing the risk of UK Competition and Markets Authority intervention

This paper draws on our experience as former competition regulators, and our research on buy-and-builds, to identify opportunities that can mitigate the risk of CMA intervention for these platforms.

It contains practical advice around:

  • The likelihood of deals being called-in by the CMA
  • Influencing the CMA’s view of a market
  • How to best engage with the CMA
  • Drivers of CMA review costs

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