Abstract

Computer simulations are effective tools for addressing enterprise transformation in terms of alternative organizational policies, operating procedures, and allocations of resources. We present a multilevel approach to computationally model health delivery enterprises. This approach is illustrated by its application to an employer-based prevention and wellness program. The decision of interest in this application concerns the design of prevention and wellness programs that are self-sustaining and provide a positive return on investment for the overall enterprise. The nature of this decision is shown to have enormous implications for how delivery services are organized.

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