On the Actionability of Outcome Prediction

Predicting future outcomes is a prevalent application of machine learning in social impact domains. Examples range from predicting student success in education to predicting disease risk in healthcare. Practitioners recognize that the ultimate goal is not just to predict but to act effectively. Increasing evidence suggests that relying on outcome predictions for downstream interventions may not have desired results. In most domains there exists a multitude of possible interventions for each individual, making the challenge of taking effective action more acute. Even when causal mechanisms connecting the individual's latent states to outcomes are well understood, in any given instance (a specific student or patient), practitioners still need to infer---from budgeted measurements of latent states---which of many possible interventions will be most effective for this individual. With this in mind, we ask: when are accurate predictors of outcomes helpful for identifying the most suitable intervention? Through a simple model encompassing actions, latent states, and measurements, we demonstrate that pure outcome prediction rarely results in the most effective policy for taking actions, even when combined with other measurements. We find that except in cases where there is a single decisive action for improving the outcome, outcome prediction never maximizes "action value", the utility of taking actions. Making measurements of actionable latent states, where specific actions lead to desired outcomes, may considerably enhance the action value compared to outcome prediction, and the degree of improvement depends on action costs and the outcome model. This analysis emphasizes the need to go beyond generic outcome prediction in interventional settings by incorporating knowledge of plausible actions and latent states.