Simulation modeling of health care policy

Sherry Glied, Nicholas Tilipman

Research output: Contribution to journalReview articlepeer-review


Simulation modeling of health reform is a standard part of policy development and, in the United States, a required element in enacting health reform legislation. Modelers use three types of basic structures to build models of the health system: microsimulation, individual choice, and cell-based. These frameworks are filled in with data on baseline characteristics of the system and parameters describing individual behavior. Available data on baseline characteristics are imprecise, and estimates of key empirical parameters vary widely. A comparison of estimated and realized consequences of several health reform proposals suggests that models provided reasonably accurate estimates, with confidence bounds of ∼30%.

Original languageEnglish (US)
Pages (from-to)439-455
Number of pages17
JournalAnnual Review of Public Health
StatePublished - Apr 21 2010


  • Health care reform
  • Health insurance
  • Provider payment

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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