arXiv AI By Rotem Gershon, Seffi Cohen, Dean Ariel, Havatzelet Bilavsky-Yarden, Amiel Sberro, Shai Yitzhaki, Osnat Tausky, Naama Golan, Maayan Rabinovitch, Ariel Avraham Hasidim, Itay Arianu, Maya Dagan, Ran Balicer, Noa Dagan

Decision language models as affordable and rapid alternatives to LLM judges of clinical generative AI

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The article reports on a study comparing Jev, a decision language model that provides structured judgments, with large language model (LLM) judges for evaluating clinical AI outputs. Across multiple use cases—including pediatric answer quality, binary HealthBench criteria, MedHELM open‑ended tasks, and HealthBench Professional—Jev matched or exceeded the performance of several frontier and open‑weight LLM judges. Moreover, Jev was significantly cheaper and faster, costing 73–294 times less and taking 7–57 times less time than frontier judges, suggesting it could enable efficient, scalable clinical AI evaluation.

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