Mobile health (mHealth) programs utilize automated voice messages to deliver health information, particularly targeting underserved communities, demonstrating the effectiveness of using mobile technology to disseminate crucial health information to these populations, improving health outcomes through increased awareness and behavioral change. India's Kilkari program delivers vital maternal health information via weekly voice calls to millions of mothers. However, the current random call scheduling often results in missed calls and reduced message delivery. This study presents a field trial of a collaborative bandit algorithm designed to optimize call timing by learning individual mothers' preferred call times. We deployed the algorithm with around $6500$ Kilkari participants as a pilot study, comparing its performance to the baseline random calling approach. Our results demonstrate a statistically significant improvement in call pick-up rates with the bandit algorithm, indicating its potential to enhance message delivery and impact millions of mothers across India. This research highlights the efficacy of personalized scheduling in mobile health interventions and underscores the potential of machine learning to improve maternal health outreach at scale.

Direct Preference Optimization (DPO) has become a popular method for fine-tuning large language models (LLMs) due to its stability and simplicity. However, it is also known to be sensitive to noise in the data and prone to overfitting. Recent works have proposed using distributionally robust optimization (DRO) to address potential noise and distributional shift in the data. However, these methods often suffer from excessive conservatism and high computational cost. We propose DPO-PRO (DPO with Preference Robustness), a robust fine-tuning algorithm based on DPO which accounts for uncertainty in the preference distribution through a lightweight DRO formulation. Unlike prior DRO-based variants, DPO-PRO focuses solely on uncertainty in preferences, avoiding unnecessary conservatism and incurring negligible computational overhead. We further show that DPO-PRO is equivalent to a regularized DPO objective that penalizes model overconfidence under weak preference signals. We evaluate DPO-PRO on standard alignment benchmarks and a real-world public health task. Experimental results show that our method consistently improves robustness to noisy preference signals compared to existing DPO variants.

RMAB environment, and (3) iterate on the generated reward functions using feedback from grounded RMAB simulations.

Social Security Administration Commissioner Frank Bisignano provides an update on the agency's work on'The Claman Countdown.' President Donald Trump's pick to head the nation's Social Security apparatus, Commissioner Frank Bisignano, told Fox News Digital that criticisms of the Trump administration's approach to Social Security are politically motivated and misleading. Democrats have expressed a wide range of concerns about Social Security under the current administration, including claims the Trump administration is making it more difficult for seniors and people with disabilities to access their benefits. The Trump administration's critics have also expressed concern that the president is seeking to privatize the program and is exaggerating fraud concerns to justify sweeping reforms. Democrats in Congress have gone as far as launching a "Social Security War Room" to coordinate their efforts to fight back.

This paper introduces an innovative framework for the periodic evaluation of defined-contribution pension funds. The performance of the pension fund is evaluated not only at retirement, but also within the interim periods. In contrast to the traditional literature, we set the dynamic risk measure as the criterion and manage the tail risk of the pension fund dynamically. To effectively interact with the stochastic environment, a model-free reinforcement learning algorithm is proposed to search for optimal investment and insurance strategies. Using U.S. data, we calibrate pension members' mortality rates and enhance mortality projections through a Lee-Carter model. Our numerical results indicate that periodic evaluations lead to more risk-averse strategies, while mortality improvements encourage more risk-seeking behaviors.

Trump is expected to roll out a DOGE-backed plan to "encourage more seamless sharing of health-care data" between states and the federal government. The White House is poised to unveil new details on Wednesday surrounding the Trump administration's efforts to advance healthcare technology and partnerships with private-sector technology companies. The "Make Health Tech Great Again" event is expected to provide more details on how the administration is advancing a "next-generation digital health ecosystem," after securing partnerships with companies including Amazon, Anthropic, Apple, Google, and OpenAI to better share information between patient and providers within Medicare and Medicaid services. U.S. Health and Human Services Secretary Robert F. Kennedy Jr., announced that the HHS will ban illegal immigrants from accessing taxpayer-funded programs. "For decades, bureaucrats and entrenched interests buried health data and blocked patients from taking control of their health," Department of Health and Human Services Secretary Robert F. Kennedy, Jr. said in a statement Wednesday ahead of the event.

Automated voice calls with health information are a proven method for disseminating maternal and child health information among beneficiaries and are deployed in several programs around the world. However, these programs often suffer from beneficiary dropoffs and poor engagement. In previous work, through real-world trials, we showed that an AI model, specifically a restless bandit model, could identify beneficiaries who would benefit most from live service call interventions, preventing dropoffs and boosting engagement. However, one key question has remained open so far: does such improved listenership via AI-targeted interventions translate into beneficiaries' improved knowledge and health behaviors? We present a first study that shows not only listenership improvements due to AI interventions, but also simultaneously links these improvements to health behavior changes. Specifically, we demonstrate that AI-scheduled interventions, which enhance listenership, lead to statistically significant improvements in beneficiaries' health behaviors such as taking iron or calcium supplements in the postnatal period, as well as understanding of critical health topics during pregnancy and infancy. This underscores the potential of AI to drive meaningful improvements in maternal and child health.

We investigate the existence and persistence of a specific type of gender bias in some of the popular LLMs and contribute a new benchmark dataset, RealWorldQuestioning (released on HuggingFace ), developed from real-world questions across four key domains in business and health contexts: education, jobs, personal financial management, and general health. We define and study entropy bias, which we define as a discrepancy in the amount of information generated by an LLM in response to real questions users have asked. We tested this using four different LLMs and evaluated the generated responses both qualitatively and quantitatively by using ChatGPT-4o (as "LLM-as-judge"). Our analyses (metric-based comparisons and "LLM-as-judge" evaluation) suggest that there is no significant bias in LLM responses for men and women at a category level. However, at a finer granularity (the individual question level), there are substantial differences in LLM responses for men and women in the majority of cases, which "cancel" each other out often due to some responses being better for males and vice versa. This is still a concern since typical users of these tools often ask a specific question (only) as opposed to several varied ones in each of these common yet important areas of life. We suggest a simple debiasing approach that iteratively merges the responses for the two genders to produce a final result. Our approach demonstrates that a simple, prompt-based debiasing strategy can effectively debias LLM outputs, thus producing responses with higher information content than both gendered variants in 78% of the cases, and consistently achieving a balanced integration in the remaining cases.

Medicare fraud poses a substantial challenge to healthcare systems, resulting in significant financial losses and undermining the quality of care provided to legitimate beneficiaries. This study investigates the use of machine learning (ML) to enhance Medicare fraud detection, addressing key challenges such as class imbalance, high-dimensional data, and evolving fraud patterns. A dataset comprising inpatient claims, outpatient claims, and beneficiary details was used to train and evaluate five ML models: Random Forest, KNN, LDA, Decision Tree, and AdaBoost. Data preprocessing techniques included resampling SMOTE method to address the class imbalance, feature selection for dimensionality reduction, and aggregation of diagnostic and procedural codes. Random Forest emerged as the best-performing model, achieving a training accuracy of 99.2% and validation accuracy of 98.8%, and F1-score (98.4%). The Decision Tree also performed well, achieving a validation accuracy of 96.3%. KNN and AdaBoost demonstrated moderate performance, with validation accuracies of 79.2% and 81.1%, respectively, while LDA struggled with a validation accuracy of 63.3% and a low recall of 16.6%. The results highlight the importance of advanced resampling techniques, feature engineering, and adaptive learning in detecting Medicare fraud effectively. This study underscores the potential of machine learning in addressing the complexities of fraud detection. Future work should explore explainable AI and hybrid models to improve interpretability and performance, ensuring scalable and reliable fraud detection systems that protect healthcare resources and beneficiaries.