CURE Enough: When Multimodal EHR Models Finally Grow Up
Hospitals do not run on clean datasets. They run on discharge notes, lab panels, repeated admissions, missing context, and the occasional clinical abbreviation that looks like it escaped from a tax form. That is the awkward reality behind chronic-disease prediction. The patient record is not just text. It is not just lab values. It is not just a sequence of visits. It is all three, with timing doing much of the quiet work. A patient returning after 42 days does not mean the same thing as a patient returning after 420 days, even when the diagnosis code looks identical. Healthcare operations already know this. Many AI models, bless their expensive little hearts, still behave as if they do not. ...