One Panel Does Not Fit All: Case-Adaptive Multi-Agent Deliberation for Clinical Prediction

Yuxing Lu, Yushuhong Lin, Jason Zhang


Abstract
Large language models applied to clinical prediction exhibit case-level heterogeneity: simple cases yield consistent outputs, while complex cases produce divergent predictions under minor prompt changes. Existing single-agent strategies sample from one role-conditioned distribution, and multi-agent frameworks use fixed roles with flat majority voting, discarding the diagnostic signal in disagreement. We propose CAMP (Case-Adaptive Multi-agent Panel), where an attending-physician agent dynamically assembles a specialist panel tailored to each case’s diagnostic uncertainty. Each specialist evaluates candidates via three-valued voting (KEEP/REFUSE/NEUTRAL), enabling principled abstention outside one’s expertise. A hybrid router directs each diagnosis through strong consensus, fallback to the attending physician’s judgment, or evidence-based arbitration that weighs argument quality over vote counts. On diagnostic prediction and brief hospital course generation from MIMIC-IV across four LLM backbones, CAMP consistently outperforms strong baselines while consuming fewer tokens than most competing multi-agent methods, with voting records and arbitration traces offering transparent decision audits.
Anthology ID:
2026.acl-srw.75
Volume:
Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026)
Month:
July
Year:
2026
Address:
San Diego, California, United States
Editors:
Santosh T.Y.S.S., Juan Diego Rodriguez, Ona de Gibert
Venue:
ACL
SIG:
Publisher:
Association for Computational Linguistics
Note:
Pages:
844–860
Language:
URL:
https://preview.aclanthology.org/ingest-acl/2026.acl-srw.75/
DOI:
Bibkey:
Cite (ACL):
Yuxing Lu, Yushuhong Lin, and Jason Zhang. 2026. One Panel Does Not Fit All: Case-Adaptive Multi-Agent Deliberation for Clinical Prediction. In Proceedings of the 64th Annual Meeting of the Association for Computational Linguistics (ACL 2026), pages 844–860, San Diego, California, United States. Association for Computational Linguistics.
Cite (Informal):
One Panel Does Not Fit All: Case-Adaptive Multi-Agent Deliberation for Clinical Prediction (Lu et al., ACL 2026)
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PDF:
https://preview.aclanthology.org/ingest-acl/2026.acl-srw.75.pdf