Legislative Success and Failure and Participation in Rule Making

Balla, Steven J.
July 2000
Journal of Public Administration Research & Theory;Jul2000, Vol. 10 Issue 3, p633
Academic Journal
This article addresses the relationship between legislative success and failure and participation in bureaucratic policy making. It specifically examines the hypothesis that the parties upon which regulations are expected to impose costs participate more extensively in the rule-making process than the expected beneficiaries of regulations do. The analysis focuses on the submission of comments on a regulation, promulgated by the Health Care Financing Administration, that reformed the way in which the Medicare program pays for physician services. The results provide little evidence that physician specialties that expect decreases in payment under the new system submitted more comments than specialties that expect increases in payment. This finding is contrary to expectations drawn from prospect theory, research on benefits, costs, and political participation, and the conventional wisdom on participation in rule making. More broadly, it highlights the need for additional research on the use and influence of participatory instruments, which potentially enhance the extent to which bureaucratic agencies are accountable to elected officials and their constituents.


Related Articles

  • HCFA Announces Telemedicine Demonstration Program.  // American Family Physician;11/15/1996, Vol. 54 Issue 7, p2175 

    Announces the three-year telemedicine demonstration program performed by the Health Care Financing Administration to study Medicare payment for telemedicine services. Other objectives of the project; Focus of the study; Locations of the medicare-certified facilities who are authorized...

  • Courts reverse HCFA on bad-debt issue. Sutter, Ronald N. // hfm (Healthcare Financial Management);Apr94, Vol. 48 Issue 4, p74 

    Presents court cases reversing the Health Care Financing Administration's (HCFA) guidelines on Medicare intermediaries. `Hennepin County Medical Center v. Shalala'; `St. Paul-Ramsey Medical Center v. Shalala.

  • HCFA's proposed PPS year 12 regulations contain no surprises.  // hfm (Healthcare Financial Management);Jul94, Vol. 48 Issue 7, p5 

    Reports on the Health Care Financing Administration's proposed regulations for the 12th year of Medicare's prospective payment system. Changes in the amounts and factors necessary to determine prospective payment rates for Medicare hospital inpatient services operating and capital-related...

  • HCFA announces 1995 premiums and deductibles for Medicare Parts A and B.  // hfm (Healthcare Financial Management);Feb95, Vol. 49 Issue 2, p6 

    Announces the monthly hospital insurance premiums for 1995 under Medicare Part A and Medicare Part B from the Healthcare Financing Administration. Daily hospital and extended care services coinsurance; Rates for skilled nursing facilities for the 21st through 100th days of extended care...

  • HCFA finalizes appeal procedures for Medicare enrollees in prepaid plans.  // hfm (Healthcare Financial Management);Feb95, Vol. 49 Issue 2, p6 

    Reports on the Healthcare Financing Administration's expansion of appeal options for Medicare beneficiaries enrolled in prepaid healthcare plans. Rule which allows enrollees to request immediate review of a determination that an inpatient stay is no longer necessary; Rule which requires a...

  • FIDOs make attractive target for Congressional budget-cutters.  // hfm (Healthcare Financial Management);Apr95, Vol. 49 Issue 4, p6 

    Reports on the Health Care Financing Administration's (HCFA) claim that eliminating Medicare formula-driven overpayments (FIDO) could save $9.6 billion over 5 years. FIDOs occurrence under Medicare's blended payment methods for hospital outpatient radiology and ambulatory surgery procedures.

  • HCFA proposes revised Medicare home health cost limits.  // hfm (Healthcare Financial Management);Apr95, Vol. 49 Issue 4, p7 

    Reports on the HCFA's proposal for a revised schedule of Medicare cost limits on home health agencies. Retroactive application of the proposal.

  • Medicare HMO rate-setting is a key HCFA concern.  // hfm (Healthcare Financial Management);May95, Vol. 49 Issue 5, p6 

    Reports on the concerns of the US Health Care Financing Administration (HCFA) on the accuracy of rate-setting for Medicare risk contracts. Impact of growth on the accuracy; Effect of decline in fee-for-service reimbursements; Need for quality measurements.

  • HCFA proposal outlines FY96 physician fee schedule revisions.  // hfm (Healthcare Financial Management);Sep95, Vol. 49 Issue 9, p6 

    Reports that the Health Care Financing Administration has proposed a rule outlining several policy changes affecting Medicare payment for physician services.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics