Optimal Targeting in Dynamic Systems

Modern treatment targeting methods often rely on estimating a conditional average treatment effect (CATE) using machine learning tools. While effective in identifying who benefits from treatment on the individual level, these approaches typically overlook system-level dynamics that may arise when treatments induce strain on shared capacity. We study the problem of targeting in Markovian systems, where treatment decisions must be made one at a time as units arrive, and early decisions can impact later outcomes through delayed or limited access to resources. We show that optimal policies in such settings compare CATE-like quantities to state-specific thresholds, where each threshold reflects the expected cumulative impact on the system of treating an additional individual in the given state. We propose an algorithm that augments standard CATE estimation with state-level value iteration to estimate these thresholds from observational data. Theoretical results establish consistency and convergence guarantees, and empirical studies demonstrate that our method improves long-run outcomes considerably relative to individual-level CATE targeting rules and generic offline reinforcement learning algorithms.