NEJM AI Paper Adds a Missing Dimension to Medical LLM Benchmarks: Cost of Recommended Care

dvir_a · x · 2026-10-16

The author announces the paper's publication in NEJM AI. Three years ago he and Shelly Shahar began experimenting with LLMs for clinical decision support and felt something was missing in how these models were evaluated: most benchmarks focus on accuracy and safety, while medical decisions involve trade-offs — order an MRI, recommend a biopsy, refer or wait. They added the cost of recommended care as an evaluation dimension.

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