Does Machine Learning Improve Prediction of VA Primary Care Reliance?

Machine learning models, used to predict future use of primary care services from the Veterans Affairs (VA) Health Care System, did not outperform traditional regression models. ABSTRACT Objectives: The Veterans Affairs (VA) Health Care System is among the largest integrated health systems in the United States. Many VA enrollees are dual users of Medicare, and little research has examined methods to most accurately predict which veterans will be mostly reliant on VA services in the future. This study examined whether machine learning methods can better predict future reliance on VA primary care compared with traditional statistical methods. Study Design: Observational study of 83,143 VA patients dually enrolled in fee-for-service Medicare using VA and Medicare administrative databases and the 2012 Survey of Healthcare Experiences of Patients.