Hongchao Jiang

Yushi Cao, Yiming Chen, Hongchao Jiang et al.

Predicting future clinical outcomes from electronic health records (EHR) remains challenging due to the complexity and heterogeneity of patient data. LLMs have shown strong potential for such predictive tasks, yet existing approaches mainly focus on enhancing medical knowledge through distillation or RAG while relying on the model's internal ability to interpret contextual information. In this work, we present ReMedi (Reasoner for Medical Clinical Prediction), a framework for improving clinical outcome prediction from EHR. ReMedi generates rationale-answer pairs using a challenging sample regeneration mechanism for complex clinical questions, which leverages ground-truth answers as hints to enhance reasoning for further fine-tuning and preference tuning. ReMedi integrates ground-truth outcome guidance into the preference data construction loop, regenerating rationale-answer variants. By tuning on these rationale-answer pairs, the model improves its predictive performance. Experiments on multiple EHR prediction tasks demonstrate substantial gains of up to 19.9 percent over state-of-the-art baselines in terms of F1 score, underscoring ReMedi's effectiveness in real-world clinical prediction.

Aishik Nagar, Arun-Kumar Kaliya-Perumal, Yu-Hsuan Han et al.

Inpatient clinical reasoning is a sequential decision under partial observability: the clinician sees the admission so far and must choose the next action whose downstream consequences are not yet visible. Existing clinical-LLM evaluations and RL rewards signals collapse this into closed-form retrieval, clinical journey leakage, or unanchored LLM-as-judge scoring. We introduce CLR-voyance, a framework that reformulates inpatient reasoning as a Partially Observable Markov Decision Process (POMDP) and supervises it with rewards that are simultaneously outcome-grounded and clinician-validated. We instantiate the formulation as CLR-POMDP, which partitions successful patient journeys into a policy-visible past and an oracle-only future. Using the past information, an oracle LLM generates a case-specific query-answer pair, and the first adaptive rubric for clinical reasoning which is verifiable in the future of the patient journey. These rubrics are used for both post-training and evaluation of models for inpatient clinical reasoning. We post-train Qwen3-8B and MedGemma-4B with GRPO followed by model merging, yielding state-of-the-art inpatient clinical reasoning while retaining generalist capabilities. CLR-voyance-8B achieves 84.91% on CLR-POMDP, ahead of frontier medical reasoning models like GPT-5 (77.83%) and MedGemma-27B (66.66%) and has comparable or better performance on existing medical benchmarks. To ensure a clinically meaningful setting, we conduct a large-scale clinician alignment study, where physicians curate per-case rubrics, grade candidate responses, and provide blinded pairwise preferences of model reasoning. This study provides insights on clinical LLM-as-a-judge and clinical preference-model selection, which can inform the community at large. CLR-voyance has been deployed for 6+ months at a partner public hospital, drafting thousands of reasoning-heavy inpatient notes.

Hongchao Jiang, Yiming Chen, Yushi Cao et al.

Large Language Models (LLMs) have significantly advanced the state-of-the-art in various coding tasks. Beyond directly answering user queries, LLMs can also serve as judges, assessing and comparing the quality of responses generated by other models. Such an evaluation capability is crucial both for benchmarking different LLMs and for improving response quality through response ranking. However, despite the growing adoption of the LLM-as-a-Judge paradigm, its effectiveness in coding scenarios remains underexplored due to the absence of dedicated benchmarks. To address this gap, we introduce CodeJudgeBench, a benchmark explicitly designed to evaluate the performance of LLM-as-a-Judge models across three critical coding tasks: code generation, code repair, and unit test generation. Through comprehensive benchmarking of 26 LLM-as-a-Judge models, we find that recent thinking models significantly outperform non-thinking models on our carefully designed code judging tasks. Notably, even relatively small thinking models, such as Qwen3-8B, can outperform specially trained LLM-as-a-Judge models up to 70B in size. Nevertheless, all models still exhibit significant randomness in their judgment of coding tasks. For pairwise judging tasks, simply changing the order in which responses are presented can substantially impact accuracy. In addition, when judging code and unit tests written by different LLMs, LLM-as-a-Judge models also show variance in performance. This sensitivity raises concerns about the reliability and consistency of LLM-as-a-Judge in coding scenarios. Lastly, we study optimal prompting strategies for LLM-as-a-Judge. We find that using pair-wise comparison outperforms scalar point-wise judging. Furthermore, retaining comments and reasoning in the full, unprocessed LLM response leads to improved judge performance.