medRxiv PreprintsInternational11 October 2026
Do Calibrated-Probability Claims Hold Up in Clinical Diagnosis? A Pre-registered Evaluation of a Decision Model Against Frontier Language Models
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Background: A new class of AI "decision models" returns a probability for every option in a single pass and is marketed as calibrated, which invites use in clinical triage. Whether those probabilities hold up on clinical diagnosis has not been independently tested. Objective: To test the diagnostic accuracy, calibration, and probabilistic coherence of a decision model (Jev 1.13, TypeSafe AI) against frontier language models, with and without reasoning. Methods: In a pre-registered study (OSF, registered 26 September 2026), we compared Jev with Claude Opus 5.5 (adaptive reasoning, always on) an
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