Kaihua Hou

Rajiv Movva, Divya Shanmugam, Kaihua Hou et al.

Healthcare data in the United States often records only a patient's coarse race group: for example, both Indian and Chinese patients are typically coded as "Asian." It is unknown, however, whether this coarse coding conceals meaningful disparities in the performance of clinical risk scores across granular race groups. Here we show that it does. Using data from 418K emergency department visits, we assess clinical risk score performance disparities across 26 granular groups for three outcomes, five risk scores, and four performance metrics. Across outcomes and metrics, we show that the risk scores exhibit significant granular performance disparities within coarse race groups. In fact, variation in performance within coarse groups often *exceeds* the variation between coarse groups. We explore why these disparities arise, finding that outcome rates, feature distributions, and the relationships between features and outcomes all vary significantly across granular groups. Our results suggest that healthcare providers, hospital systems, and machine learning researchers should strive to collect, release, and use granular race data in place of coarse race data, and that existing analyses may significantly underestimate racial disparities in performance.

Jiaxing Qiu, Kaihua Hou, Roxana Daneshjou et al.

Model editing aims to correct errors in large, pretrained models without altering unrelated behaviors. While some recent works have edited vision-language models (VLMs), no existing editors tackle reasoning-heavy tasks, which typically require humans and models to reason about images. We therefore propose ReasonEdit, the first VLM editor to let users explain their reasoning during editing, introducing a new, practical model editing setup. ReasonEdit continuously stores human reasoning in a codebook, and retrieves only relevant facts during inference using a novel topology-balanced multimodal embedding method inspired by network science. Across four VLMs on multiple rationale-based visual question answering datasets, ReasonEdit achieves state-of-the-art editing performance, ultimately showing that using human reasoning during editing greatly improves edit generalization.

Kaihua Hou, Abhijith Varma Mudunuri, Jiaxing Qiu et al.

Test-time scaling (TTS) methods have proven highly effective for LLMs, yet their application to vision-language models (VLMs) remains relatively underexplored. Existing VLM TTS methods largely require open-weight model access or expensive repeated sampling, and are evaluated primarily on multimodal mathematical and scientific reasoning benchmarks rather than general visual understanding tasks. In this paper, we propose Test-Time Hinting, a method that improves VLM performance via a single VLM call and requiring only black-box API access, which makes it broadly applicable to frontier closed-weight models. Our method is motivated by the observation that VLM errors tend to cluster around recurring failure patterns. We therefore train a lightweight hint generator model to predict, for a given test input, which "hint" should be prepended to the prompt, providing targeted contextual or procedural guidance that steers the VLM away from its characteristic failure modes. We show that Test-Time Hinting improves the accuracy of multiple closed-weight VLMs on natural-image VQA benchmarks and that these gains generalize to unseen benchmarks and VLMs without retraining the hint generator.

Divya Shanmugam, Kaihua Hou, Emma Pierson

Estimating the prevalence of a medical condition, or the proportion of the population in which it occurs, is a fundamental problem in healthcare and public health. Accurate estimates of the relative prevalence across groups -- capturing, for example, that a condition affects women more frequently than men -- facilitate effective and equitable health policy which prioritizes groups who are disproportionately affected by a condition. However, it is difficult to estimate relative prevalence when a medical condition is underreported. In this work, we provide a method for accurately estimating the relative prevalence of underreported medical conditions, building upon the positive unlabeled learning framework. We show that under the commonly made covariate shift assumption -- i.e., that the probability of having a disease conditional on symptoms remains constant across groups -- we can recover the relative prevalence, even without restrictive assumptions commonly made in positive unlabeled learning and even if it is impossible to recover the absolute prevalence. We conduct experiments on synthetic and real health data which demonstrate our method's ability to recover the relative prevalence more accurately than do baselines, and demonstrate the method's robustness to plausible violations of the covariate shift assumption. We conclude by illustrating the applicability of our method to case studies of intimate partner violence and hate speech.