Healthcare Inquiry


Market Inquiry into the Private Healthcare Sector

The Commission is conducting a market inquiry in the private healthcare sector in terms of Chapter 4A of the Competition Act, 89 of 1998 (as amended) (the Act) and in keeping with the purpose and functions of the Commission set out in section 2 and section 21 of the Act respectively.

Section 21 of the Act calls on the Commission to, inter alia, “implement measures to increase market transparency” and “advise, and receive advice from, any regulatory authority”. In order to fulfil these functions, and in line with the purpose of the Act, Chapter 4A of the Act enables the Commission to conduct market inquiries in respect of the “general state of competition in a market for particular goods and services, without necessarily referring to the conduct or activities of any particular name firm”.

A market inquiry is thus a general investigation into the state, nature and form of competition in a market, rather than a narrow investigation of a specific conduct by any particular firm. The Commission has initiated an inquiry into the private healthcare sector because it has reason to believe that there are features of the sector that prevent, distort or restrict competition.

The Commission further believes that conducting this inquiry will assist in understanding how it may promote competition in the healthcare sector, in furtherance of the purpose of the Act.

LATEST : List of submissions received as 7 September 2018 in response to the Provisional Findings and Recommendations Report

Amended Terms of Reference for Market Inquiry: Private Healthcare Sector

Provisional Report schedule for granting access to underlying data and information 27-31 August 

Provisional Report schedule for granting access to underlying data and information 20 – 24 August 2018

Notice to Stakeholders: Provisional report schedule for granting access to underlying data and information

Provisional report schedule for granting access to underlying data and information 6 – 10 August 2018

Provisional Report requests for access to underlying data and information

Provisional report request for access to underlying data and information

Provisional findings and recommendations report 

Notice to Stakeholders 23 February 2018 (Published)

Agenda 28 Feb – Provincial Departments and NDoh Session 

Agenda 1st March – Licensing Seminar

Seminar Presentations

Seminar Submissions

 Provincial Departments Seminar (Licensing)

Healthcare Financing Regulatory Framework  Seminar

Notice to Stakeholders 19 December 2017

Practitioners Report on analysis of medical scheme claims data

Funders Report on analysis of medical schemes claims data

Facilities Report on analysis of medical schemes claims data

Reports released on the 8 December 2017

Call for submissions and participation in seminar

Revised administrative timetable for the Health Market Inquiry

Final Notice to Stakeholders 

Health Market Inquiry’s seminar on tariff determination

Health Outcomes Seminar Presentations

Agenda : Health Outcome Measurement and Reporting Seminar

Health Outcomes Quality and Reporting Seminar Submissions

Inventory of Submissions for Health Outcome Measurement and Reporting

Discussion document and call for submissions 

Notice to Stakeholders : Changes to the Health Market Inquiry (HMI) Administrative Timetable

Notice to Stakeholders : OECD WHO working paper No 85

Research Note Cross Ownership and Cross Directorships in the South African Private Healthcare sector  

Notice to Stakeholders – 19 May 2017

Notice to Stakeholders – 24 April 2017 

Notice to Stakeholders

Panel position on the OECD / WHO working paper No 85

Publication of reports as set out in the Revised Administrative Timetable: 28 February 2017

Proposed approach emanating from stakeholder meeting held on 7 February 2017



Report on Analysis of Claims Data Initial Cost Attribution Analysis 

Analysis of Medical Schemes Claims Data

Market Definition for Financing of Healthcare

Summary of Consumer Survey Results

Methodology Paper: Market Power of Health Facilities



Government Gazette Amended Terms of Reference

 Revised Administrative Timetable 



OECD Seminar Presentations

Scenarium Report for Mediclinic



Access to Confidential Information held by the Health Market Inquiry meeting with stakeholders

Notice: Access to confidential Information

Notice to Stakeholders: Publication of Provisional Report

Notice to Stakeholders : Invitation to Seminar

Notice to publish documents

Supplementary Guideline No. 3 (Published)



Schedule for Continuation of Set 1 Public Hearings, Durban

Notice: Continuation of Public Hearings – 12 April 2016

Notice: Revision of Programme for Public Hearings – 17 March 2016

Week 6 Public Hearings – 17 to 19 May 2016, Olive Convention Centre, Durban

Week 5 Public Hearings – 03 to 05 May 2016, HMI Offices, Pretoria

Week 4 Public Hearings – 08 to 11 March 2016, CTICC, Cape Town

Week 3 Public Hearings – 1 to 3 March 2016, CTICC, Cape Town

Week 2 Public Hearings – 23 to 25 February 2016, HMI Offices

Week 1 Public Hearings – 16 to 18 February 2016, CSIR

SCHEDULE FOR SET 1 PUBLIC HEARINGS (subject to revision)


Revised Statement of Issues

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