arXiv:2603.29893v1 Announce Type: cross Abstract: Healthcare conversational AI agents shouldn't be optimized only for clean benchmark accuracy in production-first regime; they must be optimized for the lived reality of patient conversations, where audio is imperfect, intent is indirect, language shifts mid-call, and compliance hinges on how guidance is delivered. We present a production-validated framework grounded in real-time signals from 115M+ live patient-AI interactions and clinician-led testing (7K+ licensed clinicians; 500K+ test calls). These in-the-wild cues -- paralinguistics, turn-taking dynamics, clarification triggers, escalation markers, multilingual continuity, and workflow confirmations -- reveal failure modes that curated data misses and provide actionable training and evaluation signals for safety and reliability. We further show why healthcare-grade safety cannot rely on a single LLM: long-horizon dialogue and limited attention demand redundancy via governed orchestration, independent checks, and verification. Many apparent "reasoning" errors originate upstream, motivating vertical integration across contextual ASR, clarification/repair, ambient speech handling, and latency-aware model/hardware choices. Treating interaction intelligence (tone, pacing, empathy, clarification, turn-taking) as first-class safety variables, we drive measurable gains in safety, documentation, task completion, and equity in building the safest generative AI solution for autonomous patient-facing care. Deployed across more than 10 million real patient calls, Polaris attains a clinical safety score of 99.9%, while significantly improving patient experience with average patient rating of 8.95 and reducing ASR errors by 50% over enterprise ASR. These results establish real-world interaction intelligence as a critical -- and previously underexplored -- determinant of safety and reliability in patient-facing clinical AI systems.

arXiv:2603.13224v1 Announce Type: cross Abstract: Vision-to-code tasks require models to reconstruct structured visual inputs, such as charts, tables, and SVGs, into executable or structured representations with high visual fidelity. While recent Large Vision Language Models (LVLMs) achieve strong results via supervised fine-tuning, reinforcement learning remains challenging due to misaligned reward signals. Existing rewards either rely on textual rules or coarse visual embedding similarity, both of which fail to capture fine-grained visual discrepancies and are vulnerable to reward hacking. We propose Visual Equivalence Reward Model (Visual-ERM), a multimodal generative reward model that provides fine-grained, interpretable, and task-agnostic feedback to evaluate vision-to-code quality directly in the rendered visual space. Integrated into RL, Visual-ERM improves Qwen3-VL-8B-Instruct by +8.4 on chart-to-code and yields consistent gains on table and SVG parsing (+2.7, +4.1 on average), and further strengthens test-time scaling via reflection and revision. We also introduce VisualCritic-RewardBench (VC-RewardBench), a benchmark for judging fine-grained image-to-image discrepancies on structured visual data, where Visual-ERM at 8B decisively outperforms Qwen3-VL-235B-Instruct and approaches leading closed-source models. Our results suggest that fine-grained visual reward supervision is both necessary and sufficient for vision-to-code RL, regardless of task specificity.