# Fair admission risk prediction with proportional multicalibration

arXiv: https://arxiv.org/abs/2209.14613 · HTML: https://mlsanity.com/paper/2209.14613/

## Key facts

- Cited by 8 papers in the map (data through 14 Oct 2026).
- Builds on 17 of its 68 references that are in the map.
- First posted on arXiv 29 Sep 2022.

## Builds on (most cited first, 17 of 17)

- [XGBoost: A Scalable Tree Boosting System](https://mlsanity.com/paper/1603.02754/) (2016)
- [Equality of Opportunity in Supervised Learning](https://mlsanity.com/paper/1610.02413/) (2016)
- [Fair prediction with disparate impact: A study of bias in recidivism prediction instruments](https://mlsanity.com/paper/1610.07524/) (2016)
- [Inherent Trade-Offs in the Fair Determination of Risk Scores](https://mlsanity.com/paper/1609.05807/) (2016)
- [On Fairness and Calibration](https://mlsanity.com/paper/1709.02012/) (2017)
- [Preventing Fairness Gerrymandering: Auditing and Learning for Subgroup Fairness](https://mlsanity.com/paper/1711.05144/) (2017)
- [Multiaccuracy: Black-Box Post-Processing for Fairness in Classification](https://mlsanity.com/paper/1805.12317/) (2018)
- [A Convex Framework for Fair Regression](https://mlsanity.com/paper/1706.02409/) (2017)
- [Identifying and Correcting Label Bias in Machine Learning](https://mlsanity.com/paper/1901.04966/) (2019)
- [The Frontiers of Fairness in Machine Learning](https://mlsanity.com/paper/1810.08810/) (2018)
- [An Intersectional Definition of Fairness](https://mlsanity.com/paper/1807.08362/) (2018)
- [Towards a Critical Race Methodology in Algorithmic Fairness](https://mlsanity.com/paper/1912.03593/) (2019)
- [Assessing Algorithmic Fairness with Unobserved Protected Class Using Data Combination](https://mlsanity.com/paper/1906.00285/) (2019)
- [Moment Multicalibration for Uncertainty Estimation](https://mlsanity.com/paper/2008.08037/) (2020)
- [Online Multivalid Learning: Means, Moments, and Prediction Intervals](https://mlsanity.com/paper/2101.01739/) (2021)
- [Low-Degree Multicalibration](https://mlsanity.com/paper/2203.01255/) (2022)
- [Calibration for the (Computationally-Identifiable) Masses](https://mlsanity.com/paper/1711.08513/) (2017)

## Built on by (most cited first, 8 of 8)

- [When is Multicalibration Post-Processing Necessary?](https://mlsanity.com/paper/2406.06487/) (2024)
- [Measuring multi-calibration](https://mlsanity.com/paper/2506.11251/) (2025)
- [FairLogue: A Toolkit for Intersectional Fairness Analysis in Clinical Machine Learning Models](https://mlsanity.com/paper/2604.04858/) (2026)
- [From Basic to Extra Features: Hypergraph Transformer Pretrain-then-Finetuning for Balanced Clinical Predictions on EHR](https://mlsanity.com/paper/2406.05682/) (2024)
- [I-trustworthy Models. A framework for trustworthiness evaluation of probabilistic classifiers](https://mlsanity.com/paper/2501.15617/) (2025)
- [Evaluating Intersectional Fairness across Clinical Machine Learning Use Cases using Fairlogue and the All of Us Research Program](https://mlsanity.com/paper/2604.16450/) (2026)
- [Towards Provably Fair Machine Learning: Bayesian Approaches For Consistent and Transparent Predictions](https://mlsanity.com/paper/2606.12615/) (2026)
- [FairSelect: A Systematic Evaluation of Multi-Level and Intersectional Algorithmic Fairness](https://mlsanity.com/paper/2607.08953/) (2026)

## Abstract (arXiv)

Fair calibration is a widely desirable fairness criteria in risk prediction contexts. One way to measure and achieve fair calibration is with multicalibration. Multicalibration constrains calibration error among flexibly-defined subpopulations while maintaining overall calibration. However, multicalibrated models can exhibit a higher percent calibration error among groups with lower base rates than groups with higher base rates. As a result, it is possible for a decision-maker to learn to trust or distrust model predictions for specific groups. To alleviate this, we propose proportional multicalibration, a criteria that constrains the percent calibration error among groups and within prediction bins. We prove that satisfying proportional multicalibration bounds a model's multicalibration as well its differential calibration, a fairness criteria that directly measures how closely a model approximates sufficiency. Therefore, proportionally calibrated models limit the ability of decision makers to distinguish between model performance on different patient groups, which may make the models more trustworthy in practice. We provide an efficient algorithm for post-processing risk prediction models for proportional multicalibration and evaluate it empirically. We conduct simulation studies and investigate a real-world application of PMC-postprocessing to prediction of emergency department patient admissions. We observe that proportional multicalibration is a promising criteria for controlling simultaneous measures of calibration fairness of a model over intersectional groups with virtually no cost in terms of classification performance.
