This paper traces the implementation of Michigan's program for hospital bed reduction through four phases in the critical first 30 months following enactment: standard-setting, plan development, plan approval, and legislative oversight. Procedural complexity and goal conflict complicated implementation from the start: what began as a simple proposal to close unneeded beds soon became enmeshed in efforts to address longstanding issues of equity in access to care. A combination of administrative, political, and economic factors peculiar to Michigan, as well as the more generic problems incurred in applying a regulatory approach to containing medical care costs, contributed to the difficulties encountered in implementing bed reduction. Long-range prospects for the program depend upon whether the modest results it is likely to achieve are deemed to be worth the costs incurred in administering it.
Research Article|June 01 1984
Implementing Regulatory Reform: The Saga of Michigan's Debedding Experiment
J Health Polit Policy Law (1984) 9 (3): 453-473.
Eugenia S. Carpenter, Pamela Paul-Shaheen; Implementing Regulatory Reform: The Saga of Michigan's Debedding Experiment. J Health Polit Policy Law 1 June 1984; 9 (3): 453–473. doi: https://doi.org/10.1215/03616878-9-3-453
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