Xuming Hu

Peng Xu, Sijia Chen, Junzhuo Li et al.

Group-based reinforcement learning effectively post-trains LLM agents for long-horizon, sparse-reward tasks by deriving step-level credit from trajectory outcomes. However, this ties a step's credit to its rollout's final outcome: semantically near-identical intermediate steps receive opposite credit depending on whether their trajectory eventually succeeded or failed. Such semantic credit inconsistency sends conflicting gradients to similar actions and wastes the partially-correct progress inside failed rollouts. Motivated by this, we propose Semantic Consistency Policy Optimization (SCPO), a value-free reward-shaping method that mitigates this inconsistency by recovering step-level credit from successful siblings in the same rollout group. Concretely, SCPO scores each failed step against a successful sibling and adds positive step-level credit for new progress along that sibling. On ALFWorld and WebShop, SCPO matches or exceeds strong group-based baselines, reaching 93.7+/-4.1 percent success on ALFWorld and 74.8+/-2.0 percent on WebShop at 1.5B parameters, with gains concentrated on the hardest multi-step tasks.

Runwei Guan, Yi Zhou, Heyi Lin et al.

Post-discharge clinical follow-up is critical for maintaining continuity of care and mitigating long-term health risks. However, traditional follow-up paradigms suffer from shortage of health workforce, fragmented patient histories, and information silos across clinical departments. While large language models have demonstrated potential in medical question-answering, their deployment in continuous care is hindered by hallucination risks and a fundamental inability to reason over longitudinal, patient-specific constraints. Here we present Healink, a memory-enhanced multi-agent framework to support AI-assisted post-discharge follow-up by generating prescription-grounded, traceable responses that improved completeness and perceived clinical utility in retrospective and physician-blinded evaluations. The architecture seamlessly integrates a triage routing mechanism, a unified memory enhancement module utilizing a robust relational database for optimal latency, and a strict constraint-based retrieval-augmented generation engine. By vectorizing historical clinical records and employing weighted similarity functions across diverse phenotypic and intervention dimensions, Healink ensures precise inter-patient and intra-patient case matching while actively preventing cross-departmental drug conflicts. We evaluated Healink on a dataset comprising 400 continuous and 85 highly complex real-world follow-up cases, alongside the webMedQA benchmark. In a rigorous single-blind evaluation conducted by clinical experts, the framework outperformed human physician baselines in both authoritativeness and clinical safety. By generating a traceable, white-box evidence chain, Healink provides a scalable, safe, and highly effective paradigm for intelligent patient management, ultimately enhancing societal healthcare outcomes.