Daily Papers

Transformers are slow and memory-hungry on long sequences, since the time and memory complexity of self-attention are quadratic in sequence length. Approximate attention methods have attempted to address this problem by trading off model quality to reduce the compute complexity, but often do not achieve wall-clock speedup. We argue that a missing principle is making attention algorithms IO-aware -- accounting for reads and writes between levels of GPU memory. We propose FlashAttention, an IO-aware exact attention algorithm that uses tiling to reduce the number of memory reads/writes between GPU high bandwidth memory (HBM) and GPU on-chip SRAM. We analyze the IO complexity of FlashAttention, showing that it requires fewer HBM accesses than standard attention, and is optimal for a range of SRAM sizes. We also extend FlashAttention to block-sparse attention, yielding an approximate attention algorithm that is faster than any existing approximate attention method. FlashAttention trains Transformers faster than existing baselines: 15% end-to-end wall-clock speedup on BERT-large (seq. length 512) compared to the MLPerf 1.1 training speed record, 3times speedup on GPT-2 (seq. length 1K), and 2.4times speedup on long-range arena (seq. length 1K-4K). FlashAttention and block-sparse FlashAttention enable longer context in Transformers, yielding higher quality models (0.7 better perplexity on GPT-2 and 6.4 points of lift on long-document classification) and entirely new capabilities: the first Transformers to achieve better-than-chance performance on the Path-X challenge (seq. length 16K, 61.4% accuracy) and Path-256 (seq. length 64K, 63.1% accuracy).

DeepSeek Sparse Attention (DSA) enables efficient long-context modeling through its Lightning Indexer. However, practical deployment remains constrained by the indexer's expensive O(L^2) scoring overhead and the hardware-inefficient, discontinuous memory-access patterns induced by its outputs. To address these system-level bottlenecks, we introduce LongCat Sparse Attention (LSA), a hardware-algorithm co-designed framework comprising three complementary and orthogonal strategies: (1) Streaming-Aware Indexing, which selectively converts scattered KV entries into hardware-aligned contiguous layouts to enable coalesced HBM access; (2) Cross-Layer Indexing, which amortizes indexing overhead by reusing the results produced by a single layer across consecutive layers, supported by cross-layer distillation; and (3) Hierarchical Indexing, which adopts a coarse-to-fine scoring scheme to progressively narrow the candidate set for each query, thereby substantially reducing indexing computation. Extensive scaling experiments, ranging from 69B-A3B to 560B-A27B models, demonstrate that LSA consistently achieves performance on par with full attention across both general-purpose and long-context benchmarks. Moreover, LSA supports native training with context lengths of up to one million tokens and underpins the development of LongCat-2.0 (1.6T-A48B). To facilitate further research, we also introduce and open-source LongCat-Flash-Lite-Sparse (69B-A3B), which integrates LSA into LongCat-Flash-Lite and incorporates an updated long-context training corpus.

Large language models (LLMs) have achieved remarkable performance across a wide range of tasks, but their inference efficiency remains a critical bottleneck due to rapidly growing parameters. Recent advances in dynamic computation allocation address this challenge by exploiting the highly uneven contributions of different tokens and layers, enabling selective execution that significantly reduces redundant computation while preserving model accuracy. However, existing hardware platforms and accelerators are primarily optimized for uniform, static execution, limiting their ability to efficiently support such dynamic inference patterns. In this work, we propose SkipOPU, an FPGA-based overlay processor that dynamically allocates computation across tokens and layers with high flexibility through a lightweight routing mechanism. First, we decouple reduction operations from element-wise computation in nonlinear modules and perform reductions incrementally, which enables both stages to be fused with adjacent linear operations (router or matrix multiplication) for effective latency hiding. Second, motivated by asymmetric sensitivity to numerical precision between activation and weight, we design a PE array that efficiently supports float-fixed hybrid execution. A novel DSP overpacking technique is introduced to maximize hardware utilization while minimizing resource overhead. Finally, we develop a proactive on-chip KV history buffer that exploits cross-layer KV invariance of pruned tokens, eliminating irregular HBM accesses during decoding and supplementing off-chip bandwidth through high-locality on-chip reuse. Experimental results demonstrate that SkipOPU on an AMD U280 FPGA outperforms GPU and other FPGA-based accelerators by 1.23x-3.83x in bandwidth efficiency for LLMs inference with dynamic computation allocation and can reduce up to 25.4% KV storage overhead across varying sequence lengths.

While Trusted Execution Environments provide a strong foundation for secure cloud computing, they remain vulnerable to access pattern leakages. Oblivious Maps (OMAPs) mitigate this by fully hiding access patterns but suffer from high overhead due to randomized remapping and worst-case padding. We argue these costs are not fundamental. Modern accelerators featuring High-Bandwidth Memory (HBM) offer a new opportunity: Vaswani et al. [OSDI'18] point out that eavesdropping on HBM is difficult -- even for physical attackers -- as its memory channels are sealed together with processor cores inside the same physical package. Later, Hunt et al. [NSDI'20] show that, with proper isolation, HBM can be turned into an unobservable region where both data and memory traces are hidden. This motivates a rethink of OMAP design with HBM-backed solutions to finally overcome their traditional performance limits. Building on these insights, we present BOLT, a Bandwidth Optimized, Lightning-fast OMAP accelerator that, for the first time, achieves O(1) + O(log_2(log_2 (N))) bandwidth overhead. BOLT introduces three key innovations: (i) a new OMAP algorithm that leverages isolated HBM as an unobservable cache to accelerate oblivious access to large host memory; (ii) a self-hosted architecture that offloads execution and memory control from the host to mitigate CPU-side leakage; and (iii) tailored algorithm-architecture co-designs that maximize resource efficiency. We implement a prototype BOLT on a Xilinx U55C FPGA. Evaluations show that BOLT achieves up to 279x and 480x speedups in initialization and query time, respectively, over state-of-the-art OMAPs, including an industry implementation from Facebook.

Long-context inference in large language models is bottlenecked by Key--Value (KV) cache loading during the decoding stage, where the sequential nature of generation requires repeatedly transferring the KV cache from off-chip High-Bandwidth Memory (HBM) to on-chip Static Random-Access Memory (SRAM) at each step. While Multi-Head Latent Attention (MLA) significantly reduces the total KV cache size, it suffers from a sharding bottleneck during distributed decoding via Tensor Parallelism (TP). Since its single latent head cannot be partitioned, each device is forced to redundantly load the complete KV cache for every token, consuming excessive memory traffic and diminishing TP benefits like weight sharding. In this work, we propose Multi-Head Low-Rank Attention (MLRA), which enables partitionable latent states for efficient 4-way TP decoding. Extensive experiments show that MLRA achieves state-of-the-art perplexity and downstream task performance, while also delivering a 2.8times decoding speedup over MLA. Code is available at https://github.com/SongtaoLiu0823/MLRA. Pretrained weights, along with the training and evaluation data, are available at https://huggingface.co/Soughing/MLRA.

Hepato-pancreato-biliary (HPB) disorders represent a global public health challenge due to their high morbidity and mortality. Although large language models (LLMs) have shown promising performance in general medical question-answering tasks, the current evaluation benchmarks are mostly derived from standardized examinations or manually designed questions, lacking HPB coverage and clinical cases. To address these issues, we systematically eatablish an HPB disease evaluation benchmark comprising 3,535 closed-ended multiple-choice questions and 337 open-ended real diagnosis cases, which encompasses all the 33 main categories and 465 subcategories of HPB diseases defined in the International Statistical Classification of Diseases, 10th Revision (ICD-10). The multiple-choice questions are curated from public datasets and synthesized data, and the clinical cases are collected from prestigious medical journals, case-sharing platforms, and collaborating hospitals. By evalauting commercial and open-source general and medical LLMs on our established benchmark, namely ClinBench-HBP, we find that while commercial LLMs perform competently on medical exam questions, they exhibit substantial performance degradation on HPB diagnosis tasks, especially on complex, inpatient clinical cases. Those medical LLMs also show limited generalizability to HPB diseases. Our results reveal the critical limitations of current LLMs in the domain of HPB diseases, underscoring the imperative need for future medical LLMs to handle real, complex clinical diagnostics rather than simple medical exam questions. The benchmark will be released at https://clinbench-hpb.github.io.

Large language model (LLM) inference serving is increasingly constrained by memory rather than compute. As long-context and long-form reasoning workloads become more prevalent, the key-value (KV) cache dominates both memory footprint and memory traffic during LLM token generation, i.e., decode. In particular, HBM capacity has become a scarce and costly resource that heavily limits inference batch size and system throughput. This paper presents OasisKV, a memory-centric LLM inference system design that alleviates HBM capacity pressure by decoupling full KV-cache storage from HBM during LLM decoding. Because decode-time attention is naturally sparse, OasisKV keeps only the KV entries of the most relevant tokens in HBMs for attention computation. We observe that future important tokens can be predicted accurately in advance using lookahead tokens drafted by speculative decoding (SD). OasisKV employs an efficient attention background pipeline to identify important KV blocks. They are then prefetched from higher-capacity memory tiers (e.g., host or remote memory) and staged in HBMs before being used in the next decode step. We implement OasisKV based on vLLM. The lookahead prediction is accurate enough to keep accuracy within 0.7 points of full attention under a 2,048-token KV budget. This lets OasisKV turn sparsity into throughput gain: 1.69times over dense vLLM on the reasoning workload at 0.1 points of accuracy loss, and up to 2.1times on multi-GPU long-context serving. Under prefill--decode disaggregation, OasisKV reaches about 2times dense throughput while admitting each request with 6.5--9.7times less KV and holding 2.2-2.6 less decode-node host memory than full KV transfer.

Given a database S and a natural language question Q, text-to-SQL systems aim to generate an SQL query that correctly answers Q when executed against S. Currently, popular text-to-SQL benchmarks mostly assume unrestricted access to S; in practice, however, user access is often restricted, e.g., through role-based access control (RBAC) policies. This leads to a potential disconnect between benchmarking results and real-world performance: an LLM with high benchmark scores might perform poorly in an access-controlled environment, by frequently violating RBAC, or rejecting a query q that could be answered with only permitted data in S. Motivated by this, we present a comprehensive text-to-SQL benchmarking framework with realistic RBAC constraints, which features an LLM-assisted workflow that augments existing text-to-SQL benchmarks with plausible user roles and access policies. To do so, we formulate the problem of role synthesis as a structured reasoning process over the database schema, in which the LLM first infers the application context from the schema, and then derives role responsibilities and access scopes consistent with this context. This process is audited by human-in-the-loop quality control, in which domain experts perform metric-guided screening on the generated roles. Besides the augmented dataset, the proposed framework also contains evaluation metrics that identify RBAC-specific failure modes, and disentangle SQL utility from access-control compliance. We apply the proposed framework to several widely-used benchmarks, and conduct a systematic empirical study of state-of-the-art text-to-SQL systems. The results show that many solutions (especially open-weight LLMs) with high benchmarking scores under an unrestricted setting suffer sharp performance degradation once access constraints are in place, due to frequent RBAC violations.

This paper proposes a chatbot framework that adopts a hybrid model which consists of a knowledge graph and a text similarity model. Based on this chatbot framework, we build HHH, an online question-and-answer (QA) Healthcare Helper system for answering complex medical questions. HHH maintains a knowledge graph constructed from medical data collected from the Internet. HHH also implements a novel text representation and similarity deep learning model, Hierarchical BiLSTM Attention Model (HBAM), to find the most similar question from a large QA dataset. We compare HBAM with other state-of-the-art language models such as bidirectional encoder representation from transformers (BERT) and Manhattan LSTM Model (MaLSTM). We train and test the models with a subset of the Quora duplicate questions dataset in the medical area. The experimental results show that our model is able to achieve a superior performance than these existing methods.

Long-context inference is increasingly constrained by the KV cache: resident memory grows with context length, and decoding becomes limited by repeated High Bandwidth Memory (HBM) streaming rather than arithmetic. Existing methods such as eviction, windowing, quantization, and offloading reduce footprint, but often leave the critical-path bottleneck only partially addressed, especially when compressed states must still be reconstructed into dense vectors during decoding. We present Spherical KV, a long-context inference method that treats KV allocation as a rate-distortion problem grounded in attention geometry for efficient decoding. The method is built on two ideas: (i) represent directional information cheaply in the decode hot loop, and (ii) allocate retention and precision according to estimated future utility. Its first component, Angle-Domain Attention (ADA), stores keys in a spherical parameterization consisting of a scalar radius and compact angle codes, and computes attention logits directly from these codes without reconstructing dense keys. This preserves a paged, block-local, fusion-friendly decode path and directly targets HBM traffic in realistic serving settings. Its second component, Rate-Distortion Retention (RDR), jointly chooses keep/drop decisions and precision tiers per token and head under a fixed budget, producing tier-homogeneous pages with lightweight metadata and coalesced reads. Together, ADA and RDR provide a deployment-oriented mechanism for reducing KV residency while preserving decode efficiency.

While increasing patients' access to medical documents improves medical care, this benefit is limited by varying health literacy levels and complex medical terminology. Large language models (LLMs) offer solutions by simplifying medical information. However, evaluating LLMs for safe and patient-friendly text generation is difficult due to the lack of standardized evaluation resources. To fill this gap, we developed MeDiSumQA. MeDiSumQA is a dataset created from MIMIC-IV discharge summaries through an automated pipeline combining LLM-based question-answer generation with manual quality checks. We use this dataset to evaluate various LLMs on patient-oriented question-answering. Our findings reveal that general-purpose LLMs frequently surpass biomedical-adapted models, while automated metrics correlate with human judgment. By releasing MeDiSumQA on PhysioNet, we aim to advance the development of LLMs to enhance patient understanding and ultimately improve care outcomes.

Transformers have significantly advanced the modeling of Electronic Health Records (EHR), yet their deployment in real-world healthcare is limited by several key challenges. Firstly, the quadratic computational cost and insufficient context length of these models pose significant obstacles for hospitals in processing the extensive medical histories typical in EHR data. Additionally, existing models employ separate finetuning for each clinical task, complicating maintenance in healthcare environments. Moreover, these models focus exclusively on either clinical prediction or EHR forecasting, lacking the flexibility to perform well across both. To overcome these limitations, we introduce EHRMamba, a robust foundation model built on the Mamba architecture. EHRMamba can process sequences up to four times longer than previous models due to its linear computational cost. We also introduce a novel approach to Multitask Prompted Finetuning (MTF) for EHR data, which enables EHRMamba to simultaneously learn multiple clinical tasks in a single finetuning phase, significantly enhancing deployment and cross-task generalization. Furthermore, our model leverages the HL7 FHIR data standard to simplify integration into existing hospital systems. Alongside EHRMamba, we open-source Odyssey, a toolkit designed to support the development and deployment of EHR foundation models, with an emphasis on data standardization and interpretability. Our evaluations on the MIMIC-IV dataset demonstrate that EHRMamba advances state-of-the-art performance across 6 major clinical tasks and excels in EHR forecasting, marking a significant leap forward in the field.

A key advantage of Recurrent Neural Networks (RNNs) over Transformers is their linear computational and space complexity enables faster training and inference for long sequences. However, RNNs are fundamentally unable to randomly access historical context, and simply integrating attention mechanisms may undermine their efficiency advantages. To overcome this limitation, we propose Hierarchical Sparse Attention (HSA), a novel attention mechanism that enhances RNNs with long-range random access flexibility while preserving their merits in efficiency and length generalization. HSA divides inputs into chunks, selecting the top-k chunks and hierarchically aggregates information. The core innovation lies in learning token-to-chunk relevance based on fine-grained token-level information inside each chunk. This approach enhances the precision of chunk selection across both in-domain and out-of-domain context lengths. To make HSA efficient, we further introduce a hardware-aligned kernel design. By combining HSA with Mamba, we introduce RAMba, which achieves perfect accuracy in passkey retrieval across 64 million contexts despite pre-training on only 4K-length contexts, and significant improvements on various downstream tasks, with nearly constant memory footprint. These results show RAMba's huge potential in long-context modeling.

Hospital administration departments handle a wide range of operational tasks and, in large hospitals, process over 10,000 requests per day, driving growing interest in LLM-based automation. However, prior work has focused primarily on patient-physician interactions or isolated administrative subtasks, failing to capture the complexity of real administrative workflows. To address this gap, we propose H-AdminSim, a comprehensive simulation framework that combines realistic data generation with multi-agent-based simulation of hospital administrative workflows. These tasks are quantitatively evaluated using detailed rubrics, enabling systematic comparison of LLMs. Through FHIR integration, H-AdminSim provides a unified and interoperable environment for testing administrative workflows across heterogeneous hospital settings, serving as a standardized testbed for assessing the feasibility and performance of LLM-driven administrative automation.

Healthcare administration accounts for over $1 trillion in annual spending, making it a promising target for LLM-based computer-use agents (CUAs). While clinical applications of LLMs have received significant attention, no benchmark exists for evaluating CUAs on end-to-end administrative workflows. To address this gap, we introduce HealthAdminBench, a benchmark comprising four realistic GUI environments: an EHR, two payer portals, and a fax system, and 135 expert-defined tasks spanning three administrative task types: Prior Authorization, Appeals and Denials Management, and Durable Medical Equipment (DME) Order Processing. Each task is decomposed into fine-grained, verifiable subtasks, yielding 1,698 evaluation points. We evaluate seven agent configurations under multiple prompting and observation settings and find that, despite strong subtask performance, end-to-end reliability remains low: the best-performing agent (Claude Opus 4.6 CUA) achieves only 36.3 percent task success, while GPT-5.4 CUA attains the highest subtask success rate (82.8 percent). These results reveal a substantial gap between current agent capabilities and the demands of real-world administrative workflows. HealthAdminBench provides a rigorous foundation for evaluating progress toward safe and reliable automation of healthcare administrative workflows.

Deploying Large Language Models (LLMs) for regulatory compliance demands rigorous traceability via comprehensive citations across multi-tiered authority structures. Unlike traditional multi-hop or legal QA, this task requires structured procedural lookups and evidence-set closure rather than entity resolution or case-law reasoning. Existing RAG systems struggle here due to flattened citation edges, fragmented retrieval expansions, and fragile post-hoc attribution. We formalize Regulatory Compliance QA with RegOps-Bench, a novel benchmark featuring an Operational Knowledge Graph derived from complex national R\&D regulations. To address these bottlenecks, we propose RefWalk, a unified framework driven by a shared topic anchor. RefWalk traverses cross-document citations, fuses multi-view candidates via max-based aggregation, and enforces per-rule attribution to explicitly map claims to sources. We establish a strong baseline with substantial improvements in retrieval recall and citation accuracy. Finally, a contrastive evaluation on a U.S. health compliance dataset (HIPAA) reveals that existing systems exhibit saturation on flat-structure rules, underscoring the need for RegOps-Bench. Our code is available at https://github.com/yeongjoonJu/RefWalk.

Electronic Health Records (EHRs) are integral for storing comprehensive patient medical records, combining structured data (e.g., medications) with detailed clinical notes (e.g., physician notes). These elements are essential for straightforward data retrieval and provide deep, contextual insights into patient care. However, they often suffer from discrepancies due to unintuitive EHR system designs and human errors, posing serious risks to patient safety. To address this, we developed EHRCon, a new dataset and task specifically designed to ensure data consistency between structured tables and unstructured notes in EHRs. EHRCon was crafted in collaboration with healthcare professionals using the MIMIC-III EHR dataset, and includes manual annotations of 3,943 entities across 105 clinical notes checked against database entries for consistency. EHRCon has two versions, one using the original MIMIC-III schema, and another using the OMOP CDM schema, in order to increase its applicability and generalizability. Furthermore, leveraging the capabilities of large language models, we introduce CheckEHR, a novel framework for verifying the consistency between clinical notes and database tables. CheckEHR utilizes an eight-stage process and shows promising results in both few-shot and zero-shot settings. The code is available at https://github.com/dustn1259/EHRCon.

We present Eir Thai Medical LLM, a large language model with 8 billion parameters, specifically designed to enhance the accuracy of handling medical tasks in the Thai language. This model focuses on providing clear and easy-to-understand answers for both healthcare professionals and patients, thereby improving the efficiency of diagnosis and treatment processes. Human evaluation was conducted to ensure that the model adheres to care standards and provides unbiased answers. To prioritize data security, the model is deployed within the hospital's internal network, ensuring both high security and faster processing speeds. The internal API connection is secured with encryption and strict authentication measures to prevent data leaks and unauthorized access. We evaluated several open-source large language models with 8 billion parameters on four medical benchmarks: MedQA, MedMCQA, PubMedQA, and the medical subset of MMLU. The best-performing baselines were used to develop Eir Thai Medical LLM. Our evaluation employed multiple questioning strategies, including zero-shot, few-shot, chain-of-thought reasoning, and ensemble/self-consistency voting methods. Our model outperformed commercially available Thai-language large language models by more than 10%. In addition, we developed enhanced model testing tailored for clinical use in Thai across 18 clinical tasks, where our model exceeded GPT-4o performance by more than 11%

Electronic Health Record (EHR) retrieval plays a pivotal role in various clinical tasks, but its development has been severely impeded by the lack of publicly available benchmarks. In this paper, we introduce a novel public EHR retrieval benchmark, CliniQ, to address this gap. We consider two retrieval settings: Single-Patient Retrieval and Multi-Patient Retrieval, reflecting various real-world scenarios. Single-Patient Retrieval focuses on finding relevant parts within a patient note, while Multi-Patient Retrieval involves retrieving EHRs from multiple patients. We build our benchmark upon 1,000 discharge summary notes along with the ICD codes and prescription labels from MIMIC-III, and collect 1,246 unique queries with 77,206 relevance judgments by further leveraging powerful LLMs as annotators. Additionally, we include a novel assessment of the semantic gap issue in EHR retrieval by categorizing matching types into string match and four types of semantic matches. On our proposed benchmark, we conduct a comprehensive evaluation of various retrieval methods, ranging from conventional exact match to popular dense retrievers. Our experiments find that BM25 sets a strong baseline and performs competitively to the dense retrievers, and general domain dense retrievers surprisingly outperform those designed for the medical domain. In-depth analyses on various matching types reveal the strengths and drawbacks of different methods, enlightening the potential for targeted improvement. We believe that our benchmark will stimulate the research communities to advance EHR retrieval systems.