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Aug 6

ACES: Automatic Cohort Extraction System for Event-Stream Datasets

Reproducibility remains a significant challenge in machine learning (ML) for healthcare. In this field, datasets, model pipelines, and even task/cohort definitions are often private, leading to a significant barrier in sharing, iterating, and understanding ML results on electronic health record (EHR) datasets. In this paper, we address a significant part of this problem by introducing the Automatic Cohort Extraction System for Event-Stream Datasets (ACES). This tool is designed to simultaneously simplify the development of task/cohorts for ML in healthcare and enable the reproduction of these cohorts, both at an exact level for single datasets and at a conceptual level across datasets. To accomplish this, ACES provides (1) a highly intuitive and expressive configuration language for defining both dataset-specific concepts and dataset-agnostic inclusion/exclusion criteria, and (2) a pipeline to automatically extract patient records that meet these defined criteria from real-world data. ACES can be automatically applied to any dataset in either the Medical Event Data Standard (MEDS) or EventStreamGPT (ESGPT) formats, or to *any* dataset for which the necessary task-specific predicates can be extracted in an event-stream form. ACES has the potential to significantly lower the barrier to entry for defining ML tasks, redefine the way researchers interact with EHR datasets, and significantly improve the state of reproducibility for ML studies in this modality. ACES is available at https://github.com/justin13601/aces.

What Is Your AI Agent Buying? Evaluation, Implications and Emerging Questions for Agentic E-Commerce

Online marketplaces will be transformed by autonomous AI agents acting on behalf of consumers. Rather than humans browsing and clicking, vision-language-model (VLM) agents can parse webpages, evaluate products, and transact. This raises a fundamental question: what do AI agents buy, and why? We develop ACES, a sandbox environment that pairs a platform-agnostic VLM agent with a fully programmable mock marketplace to study this question. We first conduct basic rationality checks in the context of simple tasks, and then, by randomizing product positions, prices, ratings, reviews, sponsored tags, and platform endorsements, we obtain causal estimates of how frontier VLMs actually shop. Models show strong but heterogeneous position effects: all favor the top row, yet different models prefer different columns, undermining the assumption of a universal "top" rank. They penalize sponsored tags and reward endorsements. Sensitivities to price, ratings, and reviews are directionally human-like but vary sharply in magnitude across models. Motivated by scenarios where sellers use AI agents to optimize product listings, we show that a seller-side agent that makes minor tweaks to product descriptions, targeting AI buyer preferences, can deliver substantial market-share gains if AI-mediated shopping dominates. We also find that modal product choices can differ across models and, in some cases, demand may concentrate on a few select products, raising competition questions. Together, our results illuminate how AI agents may behave in e-commerce settings and surface concrete seller strategy, platform design, and regulatory questions in an AI-mediated ecosystem.