arXiv subjects

Hejie Cui

Publications and source records attributed to Hejie Cui.

At least 19 recordsLinked to original sources

arXiv2026

MatrAIx: Simulating the World with 8.3 Billion Persona Agents

Human evaluation of AI systems and digital products is costly, slow, and difficult to scale. Offline evaluations are more scalable but often abstract away human diversity and interactive behavior. We therefore introduce MatrAIx, a population-scale simulated-user evaluation infrastructure for testing AI systems and digital products with heterogeneous users. MatrAIx has three core components: First, Persona 8B contains 8.3 billion persona records represented by 1,290 categorical dimensions. Records are either sampled from a dependency graph that preserves correlated attributes or derived from human-authored profiles. We release a quality-filtered coreset of approximately 1 million personas, comprising 599,847 human-grounded and 400,000 synthetic records. Second, the MatrAIx Playground provides four environments in which diverse users evaluate and interact with digital products: Survey, AI Chatbot, Web, and App. Third, MatrAIx provides 1,010 application tasks spanning more than 25 domains, including Commerce, Software, Finance, and Healthcare. We conducted 18,189 evaluation trials across eight representative tasks. Persona agents were powered by three LLMs: Claude Opus 4.8, GPT 5.5, and Claude Haiku 4.5. The resulting feedback captures how decisions and preferences vary across persona backgrounds, including hesitation after a price increase, willingness to continue after an AI assistant fails, and latency tolerance. We conducted two main validation studies: First, a 400-trial controlled study evaluated persona adherence across ten behavioral attributes and all four environments. The declared behavior was expressed or correctly suppressed in 366 trials (91.5%). Second, human and LLM judges evaluated the extraction quality of human-grounded personas. Overall, MatrAIx provides an end-to-end infrastructure for evaluating AI systems and digital products with diverse simulated human users.

cs.AI↗

arXiv2026

Customer-Agent: Overcoming Context Limitations in Ultra-Long Shopping Trajectories via Tool-Augmented Agents and RLVR

Understanding customer shopping trajectories is essential for enabling personalized shopping experiences. However, shopping records (i.e., customer's search, clicks, purchases, etc.) often span long time horizons over multiple years, resulting in extremely long trajectories that pose significant challenges for existing large language models (LLMs). Despite the importance of this problem, existing benchmarks are limited to short customer trajectories, while real-world trajectories from large e-commerce platforms are rarely accessible due to data privacy constraints. To address this gap, we introduce ShopTrajQA, a long-context evaluation benchmark constructed from real-world product information and simulated shopping trajectories. The dataset includes variants of up to 32k and 64k tokens, enabling systematic evaluation of model robustness under varying context lengths. Through comprehensive benchmarking of frontier LLMs, we identify critical performance gaps in reasoning over long shopping trajectory data. To address these challenges, we propose a Customer Agent Framework for ultra-long context management. Leveraging a Reinforcement Learning with Verifiable Rewards (RLVR) agentic training paradigm, our approach stores trajectories as external local files and trains the agent to autonomously retrieve and parse them through code-interpreter interactions (e.g., SQL queries), effectively bypassing the fixed in-context window constraints of LLMs. Experimental results demonstrate that our framework achieves strong performance for ShopTrajQA and shows generalization to other complex reasoning tasks.

cs.CL↗

arXiv2026

CoMem: Context Management with A Decoupled Long-Context Model

Context management enables agentic models to solve long-horizon tasks through iterative summarization of previous interaction histories. However, this process typically incurs substantial decoding overhead for the extra summarization tokens, which significantly affect the end-to-end response latency at deployment. In this paper, we introduce CoMem, a novel framework that decouples memory management from the primary agent workflow, enabling these processes to execute in parallel. We propose a $k$-step-off asynchronous pipeline that overlaps the memory model's summarization with the agent's inference, effectively masking the latency of context processing. To ensure robustness under this asynchronous setting, we introduce a reward-driven training strategy that aligns the memory model to capture sufficient statistics for the agent's decision-making. Theoretical analysis confirms that CoMem offers a superior efficiency-effectiveness trade-off compared to coupled architectures. Our extensive experimental results on SWE-Bench-Verified show that CoMem provides 1.4x latency improvements upon vanilla long-context solutions while preserving most of the performance. Furthermore, we demonstrate that these latency gains scale favorably with increased system throughput, offering a modular path forward for the independent optimization of agent reasoning and memory compression.

cs.LG↗

arXiv2026

EHRBench: An Automated and Reliable EHR-based Benchmark for Clinical Decision Making with LLMs

Clinical decision-making (CDM) is central to real-world clinical workflows, where clinicians infer diagnoses, select treatments, or anticipate future health outcomes under incomplete evidence. LLMs are increasingly used to support these decisions due to strong language capabilities, broad biomedical knowledge, and efficiency, yet the reliability of LLMs on real-world clinical decision tasks remains insufficiently understood. To evaluate CDM models, especially LLM-based models, an ideal and practical medical decision benchmark should be constructed via an automated yet reliable pipeline to ensure both scale and quality. Moreover, the grounding of a CDM benchmark in real patient EHRs can better support evaluation on practical CDM tasks that require substantive biomedical knowledge and clinical inference. To fill the gaps, we introduce EHRBench, an automated and reliable EHR-grounded benchmark for evaluating LLM-based clinical decision-making at scale. To ensure scalability and reliability, EHRBench is constructed through an EHR-LLM-KB(knowledge-base) interaction pipeline. For efficiency, we use a specialized LLM to automatically convert encounter-level EHR trajectories into structured templates and deterministically instantiate the templates into QA items. In parallel, we apply systematic KB-based verification and enrichment to filter hallucinated or ambiguous relations and to improve reliability. Using this pipeline, we construct nearly 1M (960,067) QA items spanning three core inference-required clinical decision tasks: diagnosis, treatment, and prognosis. We benchmark more than 30 representative LLMs on EHRBench and provide detailed analyses of performance and robustness. The results show consistent capability trends across settings, further validating the reliability of EHRBench and highlighting actionable gaps toward clinically reliable LLM systems.

cs.AI↗

arXiv2026

T$^2$PO: Uncertainty-Guided Exploration Control for Stable Multi-Turn Agentic Reinforcement Learning

Recent progress in multi-turn reinforcement learning (RL) has significantly improved reasoning LLMs' performances on complex interactive tasks. Despite advances in stabilization techniques such as fine-grained credit assignment and trajectory filtering, instability remains pervasive and often leads to training collapse. We argue that this instability stems from inefficient exploration in multi-turn settings, where policies continue to generate low-information actions that neither reduce uncertainty nor advance task progress. To address this issue, we propose Token- and Turn-level Policy Optimization (T$^2$PO), an uncertainty-aware framework that explicitly controls exploration at fine-grained levels. At the token level, T$^2$PO monitors uncertainty dynamics and triggers a thinking intervention once the marginal uncertainty change falls below a threshold. At the turn level, T$^2$PO identifies interactions with negligible exploration progress and dynamically resamples such turns to avoid wasted rollouts. We evaluate T$^2$PO in diverse environments, including WebShop, ALFWorld, and Search QA, demonstrating substantial gains in training stability and performance improvements with better exploration efficiency. Code is available at: https://github.com/WillDreamer/T2PO.

cs.AI↗

arXiv2026

Alternating Reinforcement Learning with Contextual Rubric Rewards: Beyond the Scalarization Strategy

Reinforcement Learning with Rubric Rewards (RLRR) is a framework that extends conventional reinforcement learning from human feedback (RLHF) and verifiable rewards (RLVR) by replacing scalar preference signals with structured, multi-dimensional, contextual rubric-based evaluations. However, existing approaches in RLRR are limited to linearly compressing vector rewards into a scalar reward with a fixed weightings, which is sensitive to artificial score design and fails to capture correlations among reward dimensions. To overcome the limitations of reward aggregation, this work proposes Alternating Reinforcement Learning with Rubric Rewards (ARL-RR), a framework that eliminates the need for a fixed scalarization by optimizing one semantic rubric meta-class at a time. Theoretically, we show that reward aggregation induces a variance contraction effect, which helps explain the performance gains. We further introduce a lightweight, search-based adaptation procedure that selects the next meta-class dynamically based on task performance, enabling the policy to emphasize critical objectives and thereby improve the model performance. Empirically, our experiments on the HealthBench dataset with experts annotations demonstrate that ARL-RR uniformly outperforms scalarized methods in both model performance and training efficiency across different model scales (1.7B, 4B, 8B, and 14B).

cs.LG↗

arXiv2026

Stepwise Penalization for Length-Efficient Chain-of-Thought Reasoning

Large reasoning models improve with more test-time computation, but often overthink, producing unnecessarily long chains-of-thought that raise cost without improving accuracy. Prior reinforcement learning approaches typically rely on a single outcome reward with trajectory-level length penalties, which cannot distinguish essential from redundant reasoning steps and therefore yield blunt compression. Although recent work incorporates step-level signals, such as offline pruning, supervised data construction, or verifier-based intermediate rewards, reasoning length is rarely treated as an explicit step-level optimization objective during RL. We propose Step-wise Adaptive Penalization (SWAP), a fine-grained framework that allocates length reduction across steps based on intrinsic contribution. We estimate step importance from the model's on-policy log-probability improvement toward the correct answer, then treat excess length as a penalty mass redistributed to penalize low-importance steps more heavily while preserving high-importance reasoning. We optimize with a unified outcome-process advantage within group-relative policy optimization. Extensive experiments demonstrate that SWAP reduces reasoning length by 64.3% on average while improving accuracy by 5.7% relative to the base model.

cs.CL↗

arXiv2026

HeaPA: Difficulty-Aware Heap Sampling and On-Policy Query Augmentation for LLM Reinforcement Learning

RLVR has become a standard recipe for training LLMs on reasoning tasks with verifiable outcomes, but when rollout generation dominates the cost, efficiency hinges on which prompts are sampled and when. In practice, prompt pools are often static or only weakly coupled to policy progress, so uniform sampling fails to track the moving capability frontier and wastes rollouts on regions that are already solved or still unreachable. Prior methods improve efficiency via filtering, curricula, adaptive rollout allocation, or teacher guidance, but they often assume a fixed pool, which does not support stable on-policy pool growth, or they introduce additional teacher cost and latency. In this work, we propose HeaPA (Heap Sampling and On-Policy Query Augmentation), which maintains a bounded, evolving pool, tracks the frontier with heap-based boundary sampling, grows the pool via on-policy augmentation under lightweight asynchronous validation, and stabilizes correlated queries via topology-aware pool statistics re-estimation and controlled reinsertion. Across two training corpora, two training recipes, and seven benchmarks, HeaPA consistently improves accuracy and reaches target performance with fewer computations at comparable wall-clock time. Analyses attribute the gains to frontier-focused sampling and on-policy pool growth, with more pronounced improvements at mid-to-large model scales. Our training code is publicly available at https://github.com/horizon-llm/HeaPA.

cs.LG↗

arXiv2025

Structured Prompts Improve Evaluation of Language Models

As language models (LMs) are increasingly adopted across domains, high-quality benchmarking frameworks are essential for guiding deployment decisions. In practice, however, frameworks such as Holistic Evaluation of Language Models (HELM) typically evaluate models under a single static prompt configuration, even though model behavior depends strongly on prompt choice. As a result, reported scores can reflect prompt choice as much as model capability. Declarative prompting frameworks such as DSPy offer a scalable way to evaluate models under a set of structured prompting strategies rather than a static prompt configuration. We present a reproducible DSPy+HELM framework for studying how prompt choice impacts reported benchmark outcomes. Using five prompting methods, we evaluate four frontier and two open-source LMs across seven benchmarks against existing HELM baseline scores. By evaluating LMs across a family of prompt configurations, we find that prompt choice can materially impact leaderboard outcomes. In particular, structured prompting improves performance (by 6% on average), alters comparisons (leaderboard rankings shift on 5/7 benchmarks), with most gains coming from introducing chain-of-thought, and little additional benefit from more advanced optimizers. To our knowledge, this is the first study to systematically integrate structured prompting into an established evaluation framework and quantify how prompt choice alone can impact benchmark conclusions. We open-source (i) DSPy+HELM Evaluation (https://github.com/stanford-crfm/helm/pull/3893) and (ii) Prompt Optimization Pipeline (https://github.com/StanfordMIMI/dspy-helm).

cs.CL↗

arXiv2025

WebCoach: Self-Evolving Web Agents with Cross-Session Memory Guidance

Multimodal LLM-powered agents have recently demonstrated impressive capabilities in web navigation, enabling agents to complete complex browsing tasks across diverse domains. However, current agents struggle with repetitive errors and lack the ability to learn from past experiences across sessions, limiting their long-term robustness and sample efficiency. We introduce WebCoach, a model-agnostic self-evolving framework that equips web browsing agents with persistent cross-session memory, enabling improved long-term planning, reflection, and continual learning without retraining. WebCoach consists of three key components: (1) a WebCondenser, which standardizes raw navigation logs into concise summaries; (2) an External Memory Store, which organizes complete trajectories as episodic experiences; and (3) a Coach, which retrieves relevant experiences based on similarity and recency, and decides whether to inject task-specific advice into the agent via runtime hooks. This design empowers web agents to access long-term memory beyond their native context window, improving robustness in complex browsing tasks. Moreover, WebCoach achieves self-evolution by continuously curating episodic memory from new navigation trajectories, enabling agents to improve over time without retraining. Evaluations on the WebVoyager benchmark demonstrate that WebCoach consistently improves the performance of browser-use agents across three different LLM backbones. With a 38B model, it increases task success rates from 47% to 61% while reducing or maintaining the average number of steps. Notably, smaller base models with WebCoach achieve performance comparable to the same web agent using GPT-4o.

cs.AI↗

arXiv2025

KERAP: A Knowledge-Enhanced Reasoning Approach for Accurate Zero-shot Diagnosis Prediction Using Multi-agent LLMs

Medical diagnosis prediction plays a critical role in disease detection and personalized healthcare. While machine learning (ML) models have been widely adopted for this task, their reliance on supervised training limits their ability to generalize to unseen cases, particularly given the high cost of acquiring large, labeled datasets. Large language models (LLMs) have shown promise in leveraging language abilities and biomedical knowledge for diagnosis prediction. However, they often suffer from hallucinations, lack structured medical reasoning, and produce useless outputs. To address these challenges, we propose KERAP, a knowledge graph (KG)-enhanced reasoning approach that improves LLM-based diagnosis prediction through a multi-agent architecture. Our framework consists of a linkage agent for attribute mapping, a retrieval agent for structured knowledge extraction, and a prediction agent that iteratively refines diagnosis predictions. Experimental results demonstrate that KERAP enhances diagnostic reliability efficiently, offering a scalable and interpretable solution for zero-shot medical diagnosis prediction.

cs.AI↗

arXiv2025

MedHELM: Holistic Evaluation of Large Language Models for Medical Tasks

While large language models (LLMs) achieve near-perfect scores on medical licensing exams, these evaluations inadequately reflect the complexity and diversity of real-world clinical practice. We introduce MedHELM, an extensible evaluation framework for assessing LLM performance for medical tasks with three key contributions. First, a clinician-validated taxonomy spanning 5 categories, 22 subcategories, and 121 tasks developed with 29 clinicians. Second, a comprehensive benchmark suite comprising 35 benchmarks (17 existing, 18 newly formulated) providing complete coverage of all categories and subcategories in the taxonomy. Third, a systematic comparison of LLMs with improved evaluation methods (using an LLM-jury) and a cost-performance analysis. Evaluation of 9 frontier LLMs, using the 35 benchmarks, revealed significant performance variation. Advanced reasoning models (DeepSeek R1: 66% win-rate; o3-mini: 64% win-rate) demonstrated superior performance, though Claude 3.5 Sonnet achieved comparable results at 40% lower estimated computational cost. On a normalized accuracy scale (0-1), most models performed strongly in Clinical Note Generation (0.73-0.85) and Patient Communication & Education (0.78-0.83), moderately in Medical Research Assistance (0.65-0.75), and generally lower in Clinical Decision Support (0.56-0.72) and Administration & Workflow (0.53-0.63). Our LLM-jury evaluation method achieved good agreement with clinician ratings (ICC = 0.47), surpassing both average clinician-clinician agreement (ICC = 0.43) and automated baselines including ROUGE-L (0.36) and BERTScore-F1 (0.44). Claude 3.5 Sonnet achieved comparable performance to top models at lower estimated cost. These findings highlight the importance of real-world, task-specific evaluation for medical use of LLMs and provides an open source framework to enable this.

cs.CL↗

arXiv2025

CLIMB: Data Foundations for Large Scale Multimodal Clinical Foundation Models

Recent advances in clinical AI have enabled remarkable progress across many clinical domains. However, existing benchmarks and models are primarily limited to a small set of modalities and tasks, which hinders the development of large-scale multimodal methods that can make holistic assessments of patient health and well-being. To bridge this gap, we introduce Clinical Large-Scale Integrative Multimodal Benchmark (CLIMB), a comprehensive clinical benchmark unifying diverse clinical data across imaging, language, temporal, and graph modalities. CLIMB comprises 4.51 million patient samples totaling 19.01 terabytes distributed across 2D imaging, 3D video, time series, graphs, and multimodal data. Through extensive empirical evaluation, we demonstrate that multitask pretraining significantly improves performance on understudied domains, achieving up to 29% improvement in ultrasound and 23% in ECG analysis over single-task learning. Pretraining on CLIMB also effectively improves models' generalization capability to new tasks, and strong unimodal encoder performance translates well to multimodal performance when paired with task-appropriate fusion strategies. Our findings provide a foundation for new architecture designs and pretraining strategies to advance clinical AI research. Code is released at https://github.com/DDVD233/climb.

cs.LG↗

arXiv2025

TIMER: Temporal Instruction Modeling and Evaluation for Longitudinal Clinical Records

Large language models (LLMs) have emerged as promising tools for assisting in medical tasks, yet processing Electronic Health Records (EHRs) presents unique challenges due to their longitudinal nature. While LLMs' capabilities to perform medical tasks continue to improve, their ability to reason over temporal dependencies across multiple patient visits and time frames remains unexplored. We introduce TIMER (Temporal Instruction Modeling and Evaluation for Longitudinal Clinical Records), a framework that incorporate instruction-response pairs grounding to different parts of a patient's record as a critical dimension in both instruction evaluation and tuning for longitudinal clinical records. We develop TIMER-Bench, the first time-aware benchmark that evaluates temporal reasoning capabilities over longitudinal EHRs, as well as TIMER-Instruct, an instruction-tuning methodology for LLMs to learn reasoning over time. We demonstrate that models fine-tuned with TIMER-Instruct improve performance by 7.3% on human-generated benchmarks and 9.2% on TIMER-Bench, indicating that temporal instruction-tuning improves model performance for reasoning over EHR.

cs.AI↗

arXiv2025

Recent Advances, Applications and Open Challenges in Machine Learning for Health: Reflections from Research Roundtables at ML4H 2024 Symposium

The fourth Machine Learning for Health (ML4H) symposium was held in person on December 15th and 16th, 2024, in the traditional, ancestral, and unceded territories of the Musqueam, Squamish, and Tsleil-Waututh Nations in Vancouver, British Columbia, Canada. The symposium included research roundtable sessions to foster discussions between participants and senior researchers on timely and relevant topics for the ML4H community. The organization of the research roundtables at the conference involved 13 senior and 27 junior chairs across 13 tables. Each roundtable session included an invited senior chair (with substantial experience in the field), junior chairs (responsible for facilitating the discussion), and attendees from diverse backgrounds with an interest in the session's topic.

cs.LG↗

arXiv2024

Biomedical Visual Instruction Tuning with Clinician Preference Alignment

Recent advancements in multimodal foundation models have showcased impressive capabilities in understanding and reasoning with visual and textual information. Adapting these foundation models trained for general usage to specialized domains like biomedicine requires large-scale domain-specific instruction datasets. While existing works have explored curating such datasets automatically, the resultant datasets are not explicitly aligned with domain expertise. In this work, we propose a data-centric framework, Biomedical Visual Instruction Tuning with Clinician Preference Alignment (BioMed-VITAL), that incorporates clinician preferences into both stages of generating and selecting instruction data for tuning biomedical multimodal foundation models. First, during the generation stage, we prompt the GPT-4V generator with a diverse set of clinician-selected demonstrations for preference-aligned data candidate generation. Then, during the selection phase, we train a separate selection model, which explicitly distills clinician and policy-guided model preferences into a rating function to select high-quality data for medical instruction tuning. Results show that the model tuned with the instruction-following data from our method demonstrates a significant improvement in open visual chat (18.5% relatively) and medical VQA (win rate up to 81.73%). Our instruction-following data and models are available at BioMed-VITAL.github.io.

cs.CV↗

arXiv2024

TACCO: Task-guided Co-clustering of Clinical Concepts and Patient Visits for Disease Subtyping based on EHR Data

The growing availability of well-organized Electronic Health Records (EHR) data has enabled the development of various machine learning models towards disease risk prediction. However, existing risk prediction methods overlook the heterogeneity of complex diseases, failing to model the potential disease subtypes regarding their corresponding patient visits and clinical concept subgroups. In this work, we introduce TACCO, a novel framework that jointly discovers clusters of clinical concepts and patient visits based on a hypergraph modeling of EHR data. Specifically, we develop a novel self-supervised co-clustering framework that can be guided by the risk prediction task of specific diseases. Furthermore, we enhance the hypergraph model of EHR data with textual embeddings and enforce the alignment between the clusters of clinical concepts and patient visits through a contrastive objective. Comprehensive experiments conducted on the public MIMIC-III dataset and Emory internal CRADLE dataset over the downstream clinical tasks of phenotype classification and cardiovascular risk prediction demonstrate an average 31.25% performance improvement compared to traditional ML baselines and a 5.26% improvement on top of the vanilla hypergraph model without our co-clustering mechanism. In-depth model analysis, clustering results analysis, and clinical case studies further validate the improved utilities and insightful interpretations delivered by TACCO. Code is available at https://github.com/PericlesHat/TACCO.

cs.LG↗

arXiv2024

LLMs-based Few-Shot Disease Predictions using EHR: A Novel Approach Combining Predictive Agent Reasoning and Critical Agent Instruction

Electronic health records (EHRs) contain valuable patient data for health-related prediction tasks, such as disease prediction. Traditional approaches rely on supervised learning methods that require large labeled datasets, which can be expensive and challenging to obtain. In this study, we investigate the feasibility of applying Large Language Models (LLMs) to convert structured patient visit data (e.g., diagnoses, labs, prescriptions) into natural language narratives. We evaluate the zero-shot and few-shot performance of LLMs using various EHR-prediction-oriented prompting strategies. Furthermore, we propose a novel approach that utilizes LLM agents with different roles: a predictor agent that makes predictions and generates reasoning processes and a critic agent that analyzes incorrect predictions and provides guidance for improving the reasoning of the predictor agent. Our results demonstrate that with the proposed approach, LLMs can achieve decent few-shot performance compared to traditional supervised learning methods in EHR-based disease predictions, suggesting its potential for health-oriented applications.

cs.CL↗