arXiv subjects

Avi Feller

Publications and source records attributed to Avi Feller.

54 records · Page 3Linked to original sources

arXiv2021

Hospital Quality Risk Standardization via Approximate Balancing Weights

Comparing outcomes across hospitals, often to identify underperforming hospitals, is a critical task in health services research. However, naive comparisons of average outcomes, such as surgery complication rates, can be misleading because hospital case mixes differ -- a hospital's overall complication rate may be lower due to more effective treatments or simply because the hospital serves a healthier population overall. In this paper, we develop a method of ``direct standardization'' where we re-weight each hospital patient population to be representative of the overall population and then compare the weighted averages across hospitals. Adapting methods from survey sampling and causal inference, we find weights that directly control for imbalance between the hospital patient mix and the target population, even across many patient attributes. Critically, these balancing weights can also be tuned to preserve sample size for more precise estimates. We also derive principled measures of statistical precision, and use outcome modeling and Bayesian shrinkage to increase precision and account for variation in hospital size. We demonstrate these methods using claims data from Pennsylvania, Florida, and New York, estimating standardized hospital complication rates for general surgery patients. We conclude with a discussion of how to detect low performing hospitals.

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arXiv2021

Synthetic Controls with Staggered Adoption

Staggered adoption of policies by different units at different times creates promising opportunities for observational causal inference. Estimation remains challenging, however, and common regression methods can give misleading results. A promising alternative is the synthetic control method (SCM), which finds a weighted average of control units that closely balances the treated unit's pre-treatment outcomes. In this paper, we generalize SCM, originally designed to study a single treated unit, to the staggered adoption setting. We first bound the error for the average effect and show that it depends on both the imbalance for each treated unit separately and the imbalance for the average of the treated units. We then propose "partially pooled" SCM weights to minimize a weighted combination of these measures; approaches that focus only on balancing one of the two components can lead to bias. We extend this approach to incorporate unit-level intercept shifts and auxiliary covariates. We assess the performance of the proposed method via extensive simulations and apply our results to the question of whether teacher collective bargaining leads to higher school spending, finding minimal impacts. We implement the proposed method in the augsynth R package.

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arXiv2020

A trial emulation approach for policy evaluations with group-level longitudinal data

To limit the spread of the novel coronavirus, governments across the world implemented extraordinary physical distancing policies, such as stay-at-home orders, and numerous studies aim to estimate their effects. Many statistical and econometric methods, such as difference-in-differences, leverage repeated measurements and variation in timing to estimate policy effects, including in the COVID-19 context. While these methods are less common in epidemiology, epidemiologic researchers are well accustomed to handling similar complexities in studies of individual-level interventions. "Target trial emulation" emphasizes the need to carefully design a non-experimental study in terms of inclusion and exclusion criteria, covariates, exposure definition, and outcome measurement -- and the timing of those variables. We argue that policy evaluations using group-level longitudinal ("panel") data need to take a similar careful approach to study design, which we refer to as "policy trial emulation." This is especially important when intervention timing varies across jurisdictions; the main idea is to construct target trials separately for each "treatment cohort" (states that implement the policy at the same time) and then aggregate. We present a stylized analysis of the impact of state-level stay-at-home orders on total coronavirus cases. We argue that estimates from panel methods -- with the right data and careful modeling and diagnostics -- can help add to our understanding of many policies, though doing so is often challenging.

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arXiv2020

The Augmented Synthetic Control Method

The synthetic control method (SCM) is a popular approach for estimating the impact of a treatment on a single unit in panel data settings. The "synthetic control" is a weighted average of control units that balances the treated unit's pre-treatment outcomes as closely as possible. A critical feature of the original proposal is to use SCM only when the fit on pre-treatment outcomes is excellent. We propose Augmented SCM as an extension of SCM to settings where such pre-treatment fit is infeasible. Analogous to bias correction for inexact matching, Augmented SCM uses an outcome model to estimate the bias due to imperfect pre-treatment fit and then de-biases the original SCM estimate. Our main proposal, which uses ridge regression as the outcome model, directly controls pre-treatment fit while minimizing extrapolation from the convex hull. This estimator can also be expressed as a solution to a modified synthetic controls problem that allows negative weights on some donor units. We bound the estimation error of this approach under different data generating processes, including a linear factor model, and show how regularization helps to avoid over-fitting to noise. We demonstrate gains from Augmented SCM with extensive simulation studies and apply this framework to estimate the impact of the 2012 Kansas tax cuts on economic growth. We implement the proposed method in the new augsynth R package.

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arXiv2020

Overlap in Observational Studies with High-Dimensional Covariates

Estimating causal effects under exogeneity hinges on two key assumptions: unconfoundedness and overlap. Researchers often argue that unconfoundedness is more plausible when more covariates are included in the analysis. Less discussed is the fact that covariate overlap is more difficult to satisfy in this setting. In this paper, we explore the implications of overlap in observational studies with high-dimensional covariates and formalize curse-of-dimensionality argument, suggesting that these assumptions are stronger than investigators likely realize. Our key innovation is to explore how strict overlap restricts global discrepancies between the covariate distributions in the treated and control populations. Exploiting results from information theory, we derive explicit bounds on the average imbalance in covariate means under strict overlap and show that these bounds become more restrictive as the dimension grows large. We discuss how these implications interact with assumptions and procedures commonly deployed in observational causal inference, including sparsity and trimming.

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arXiv2019

Assessing Treatment Effect Variation in Observational Studies: Results from a Data Challenge

A growing number of methods aim to assess the challenging question of treatment effect variation in observational studies. This special section of "Observational Studies" reports the results of a workshop conducted at the 2018 Atlantic Causal Inference Conference designed to understand the similarities and differences across these methods. We invited eight groups of researchers to analyze a synthetic observational data set that was generated using a recent large-scale randomized trial in education. Overall, participants employed a diverse set of methods, ranging from matching and flexible outcome modeling to semiparametric estimation and ensemble approaches. While there was broad consensus on the topline estimate, there were also large differences in estimated treatment effect moderation. This highlights the fact that estimating varying treatment effects in observational studies is often more challenging than estimating the average treatment effect alone. We suggest several directions for future work arising from this workshop.

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arXiv2019

Weak separation in mixture models and implications for principal stratification

Principal stratification is a widely used framework for addressing post-randomization complications. After using principal stratification to define causal effects of interest, researchers are increasingly turning to finite mixture models to estimate these quantities. Unfortunately, standard estimators of mixture parameters, like the MLE, are known to exhibit pathological behavior. We study this behavior in a simple but fundamental example, a two-component Gaussian mixture model in which only the component means and variances are unknown, and focus on the setting in which the components are weakly separated. In this case, we show that the asymptotic convergence rate of the MLE is quite poor, such as $O(n^{-1/6})$ or even $O(n^{-1/8})$. We then demonstrate via theoretical arguments as well as extensive simulations that, in finite samples, the MLE behaves like a threshold estimator, in the sense that the MLE can give strong evidence that the means are equal when the truth is otherwise. We also explore the behavior of the MLE when the MLE is non-zero, showing that it is difficult to estimate both the sign and magnitude of the means in this case. We provide diagnostics for all of these pathologies and apply these ideas to re-analyzing two randomized evaluations of job training programs, JOBS II and Job Corps. Our results suggest that the corresponding maximum likelihood estimates should be interpreted with caution in these cases.

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arXiv2019

Flexible sensitivity analysis for observational studies without observable implications

A fundamental challenge in observational causal inference is that assumptions about unconfoundedness are not testable from data. Assessing sensitivity to such assumptions is therefore important in practice. Unfortunately, some existing sensitivity analysis approaches inadvertently impose restrictions that are at odds with modern causal inference methods, which emphasize flexible models for observed data. To address this issue, we propose a framework that allows (1) flexible models for the observed data and (2) clean separation of the identified and unidentified parts of the sensitivity model. Our framework extends an approach from the missing data literature, known as Tukey's factorization, to the causal inference setting. Under this factorization, we can represent the distributions of unobserved potential outcomes in terms of unidentified selection functions that posit an unidentified relationship between the treatment assignment indicator and the observed potential outcomes. The sensitivity parameters in this framework are easily interpreted, and we provide heuristics for calibrating these parameters against observable quantities. We demonstrate the flexibility of this approach in two examples, where we estimate both average treatment effects and quantile treatment effects using Bayesian nonparametric models for the observed data.

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arXiv2018

Conditional randomization tests of causal effects with interference between units

Many causal questions involve interactions between units, also known as interference, for example between individuals in households, students in schools, or firms in markets. In this paper, we formalize the concept of a conditioning mechanism, which provides a framework for constructing valid and powerful randomization tests under general forms of interference. We describe our framework in the context of two-stage randomized designs and apply our approach to a randomized evaluation of an intervention targeting student absenteeism in the School District of Philadelphia. We show improvements over existing methods in terms of computational and statistical power.

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arXiv2018

Algorithmic Decision Making in the Presence of Unmeasured Confounding

On a variety of complex decision-making tasks, from doctors prescribing treatment to judges setting bail, machine learning algorithms have been shown to outperform expert human judgments. One complication, however, is that it is often difficult to anticipate the effects of algorithmic policies prior to deployment, making the decision to adopt them risky. In particular, one generally cannot use historical data to directly observe what would have happened had the actions recommended by the algorithm been taken. One standard strategy is to model potential outcomes for alternative decisions assuming that there are no unmeasured confounders (i.e., to assume ignorability). But if this ignorability assumption is violated, the predicted and actual effects of an algorithmic policy can diverge sharply. In this paper we present a flexible, Bayesian approach to gauge the sensitivity of predicted policy outcomes to unmeasured confounders. We show that this policy evaluation problem is a generalization of estimating heterogeneous treatment effects in observational studies, and so our methods can immediately be applied to that setting. Finally, we show, both theoretically and empirically, that under certain conditions it is possible to construct near-optimal algorithmic policies even when ignorability is violated. We demonstrate the efficacy of our methods on a large dataset of judicial actions, in which one must decide whether defendants awaiting trial should be required to pay bail or can be released without payment.

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arXiv2018

Identifying and Estimating Principal Causal Effects in Multi-site Trials

Randomized trials are often conducted with separate randomizations across multiple sites such as schools, voting districts, or hospitals. These sites can differ in important ways, including the site's implementation, local conditions, and the composition of individuals. An important question in practice is whether---and under what assumptions---researchers can leverage this cross-site variation to learn more about the intervention. We address these questions in the principal stratification framework, which describes causal effects for subgroups defined by post-treatment quantities. We show that researchers can estimate certain principal causal effects via the multi-site design if they are willing to impose the strong assumption that the site-specific effects are uncorrelated with the site-specific distribution of stratum membership. We motivate this approach with a multi-site trial of the Early College High School Initiative, a unique secondary education program with the goal of increasing high school graduation rates and college enrollment. Our analyses corroborate previous studies suggesting that the initiative had positive effects for students who would have otherwise attended a low-quality high school, although power is limited.

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arXiv2017

Bounding, an accessible method for estimating principal causal effects, examined and explained

Estimating treatment effects for subgroups defined by post-treatment behavior (i.e., estimating causal effects in a principal stratification framework) can be technically challenging and heavily reliant on strong assumptions. We investigate an alternative path: using bounds to identify ranges of possible effects that are consistent with the data. This simple approach relies on fewer assumptions and yet can result in policy-relevant findings. As we show, covariates can be used to substantially tighten bounds in a straightforward manner. Via simulation, we demonstrate which types of covariates are maximally beneficial. We conclude with an analysis of a multi-site experimental study of Early College High Schools. When examining the program's impact on students completing the ninth grade "on-track" for college, we find little impact for ECHS students who would otherwise attend a high quality high school, but substantial effects for those who would not. This suggests potential benefit in expanding these programs in areas primarily served by lower quality schools.

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arXiv2017

Decomposing Treatment Effect Variation

Understanding and characterizing treatment effect variation in randomized experiments has become essential for going beyond the "black box" of the average treatment effect. Nonetheless, traditional statistical approaches often ignore or assume away such variation. In the context of randomized experiments, this paper proposes a framework for decomposing overall treatment effect variation into a systematic component explained by observed covariates and a remaining idiosyncratic component. Our framework is fully randomization-based, with estimates of treatment effect variation that are entirely justified by the randomization itself. Our framework can also account for noncompliance, which is an important practical complication. We make several contributions. First, we show that randomization-based estimates of systematic variation are very similar in form to estimates from fully-interacted linear regression and two stage least squares. Second, we use these estimators to develop an omnibus test for systematic treatment effect variation, both with and without noncompliance. Third, we propose an $R^2$-like measure of treatment effect variation explained by covariates and, when applicable, noncompliance. Finally, we assess these methods via simulation studies and apply them to the Head Start Impact Study, a large-scale randomized experiment.

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arXiv2017

Algorithmic decision making and the cost of fairness

Algorithms are now regularly used to decide whether defendants awaiting trial are too dangerous to be released back into the community. In some cases, black defendants are substantially more likely than white defendants to be incorrectly classified as high risk. To mitigate such disparities, several techniques recently have been proposed to achieve algorithmic fairness. Here we reformulate algorithmic fairness as constrained optimization: the objective is to maximize public safety while satisfying formal fairness constraints designed to reduce racial disparities. We show that for several past definitions of fairness, the optimal algorithms that result require detaining defendants above race-specific risk thresholds. We further show that the optimal unconstrained algorithm requires applying a single, uniform threshold to all defendants. The unconstrained algorithm thus maximizes public safety while also satisfying one important understanding of equality: that all individuals are held to the same standard, irrespective of race. Because the optimal constrained and unconstrained algorithms generally differ, there is tension between improving public safety and satisfying prevailing notions of algorithmic fairness. By examining data from Broward County, Florida, we show that this trade-off can be large in practice. We focus on algorithms for pretrial release decisions, but the principles we discuss apply to other domains, and also to human decision makers carrying out structured decision rules.

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arXiv2017

Analyzing two-stage experiments in the presence of interference

Two-stage randomization is a powerful design for estimating treatment effects in the presence of interference; that is, when one individual's treatment assignment affects another individual's outcomes. Our motivating example is a two-stage randomized trial evaluating an intervention to reduce student absenteeism in the School District of Philadelphia. In that experiment, households with multiple students were first assigned to treatment or control; then, in treated households, one student was randomly assigned to treatment. Using this example, we highlight key considerations for analyzing two-stage experiments in practice. Our first contribution is to address additional complexities that arise when household sizes vary; in this case, researchers must decide between assigning equal weight to households or equal weight to individuals. We propose unbiased estimators for a broad class of individual- and household-weighted estimands, with corresponding theoretical and estimated variances. Our second contribution is to connect two common approaches for analyzing two-stage designs: linear regression and randomization inference. We show that, with suitably chosen standard errors, these two approaches yield identical point and variance estimates, which is somewhat surprising given the complex randomization scheme. Finally, we explore options for incorporating covariates to improve precision. We confirm our analytic results via simulation studies and apply these methods to the attendance study, finding substantively meaningful spillover effects.

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arXiv2016

Principal Score Methods: Assumptions and Extensions

Researchers addressing post-treatment complications in randomized trials often turn to principal stratification to define relevant assumptions and quantities of interest. One approach for estimating causal effects in this framework is to use methods based on the "principal score," typically assuming that stratum membership is as-good-as-randomly assigned given a set of covariates. In this paper, we clarify the key assumption in this context, known as Principal Ignorability, and argue that versions of this assumption are quite strong in practice. We describe different estimation approaches and demonstrate that weighting-based methods are generally preferable to subgroup-based approaches that discretize the principal score. We then extend these ideas to the case of two-sided noncompliance and propose a natural framework for combining Principal Ignorability with exclusion restrictions and other assumptions. Finally, we apply these ideas to the Head Start Impact Study, a large-scale randomized evaluation of the Head Start program. Overall, we argue that, while principal score methods are useful tools, applied researchers should fully understand the relevant assumptions when using them in practice.

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arXiv2015

Design of the Millennium Villages Project Sampling Plan: a simulation study for a multi-module survey

The Millennium Villages Project (MVP) is a ten-year integrated rural development project implemented in ten sub-Saharan African sites. At its conclusion we will conduct an evaluation of its causal effect on a variety of development outcomes, measured via household surveys in treatment and comparison areas. Outcomes are measured by six survey modules, with sample sizes for each demographic group determined by budget, logistics, and the group's vulnerability. We design a sampling plan that aims to reduce effort for survey enumerators and maximize precision for all outcomes. We propose two-stage sampling designs, sampling households at the first stage, followed by a second stage sample that differs across demographic groups. Two-stage designs are usually constructed by simple random sampling (SRS) of households and proportional within-household sampling, or probability proportional to size sampling (PPS) of households with fixed sampling within each. No measure of household size is proportional for all demographic groups, putting PPS schemes at a disadvantage. The SRS schemes have the disadvantage that multiple individuals sampled per household decreases efficiency due to intra-household correlation. We conduct a simulation study (using both design- and model-based survey inference) to understand these tradeoffs and recommend a sampling plan for the Millennium Villages Project. Similar design issues arise in other studies with surveys that target different demographic groups.

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arXiv2014

Randomization Inference for Treatment Effect Variation

Applied researchers are increasingly interested in whether and how treatment effects vary in randomized evaluations, especially variation not explained by observed covariates. We propose a model-free approach for testing for the presence of such unexplained variation. To use this randomization-based approach, we must address the fact that the average treatment effect, generally the object of interest in randomized experiments, actually acts as a nuisance parameter in this setting. We explore potential solutions and advocate for a method that guarantees valid tests in finite samples despite this nuisance. We also show how this method readily extends to testing for heterogeneity beyond a given model, which can be useful for assessing the sufficiency of a given scientific theory. We finally apply our method to the National Head Start Impact Study, a large-scale randomized evaluation of a Federal preschool program, finding that there is indeed significant unexplained treatment effect variation.

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