Author name cluster

Avni Kothari

Possible papers associated with this exact author name in Arrow. This page groups case-insensitive exact name matches and is not a full identity disambiguation profile.

3 papers

2 author rows

AAAI Conference 2026 Conference Paper

When the Domain Expert Has No Time and the LLM Developer Has No Clinical Expertise: Real-World Lessons from LLM Co-Design in a Safety-Net Hospital

Avni Kothari
Patrick Vossler
Jean Digitale
Mohammad Forouzannia
Elise Rosenberg
Michele Lee
Jenneé Bryant
Melanie Molina

Large language models (LLMs) have the potential to address social and behavioral determinants of health by transforming labor intensive workflows in resource-constrained settings. Creating LLM-based applications that serve the needs of underserved communities requires a deep understanding of their local context, but it is often the case that neither LLMs nor their developers possess this local expertise, and the experts in these communities often face severe time/resource constraints. This creates a disconnect: how can one engage in meaningful co-design of an LLM-based application for an under-resourced community when the communication channel between the LLM developer and domain expert is constrained? We explored this question through a real-world case study, in which our data science team sought to partner with social workers at a safety net hospital to build an LLM application that summarizes patients' social needs. Whereas prior works focus on the challenge of prompt tuning, we found that the most critical challenge in this setting is the careful and precise specification of *what* information to surface to providers so that the LLM application is accurate, comprehensive, and verifiable. Here we present a novel co-design framework for settings with limited access to domain experts, in which the summary generation task is first decomposed into individually-optimizable attributes and then each attribute is efficiently refined and validated through a multi-tier cascading approach.

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NeurIPS Conference 2025 Conference Paper

Bayesian Concept Bottleneck Models with LLM Priors

Jean Feng
Avni Kothari
Lucas Zier
Chandan Singh
Yan Shuo Tan

Concept Bottleneck Models (CBMs) have been proposed as a compromise between white-box and black-box models, aiming to achieve interpretability without sacrificing accuracy. The standard training procedure for CBMs is to predefine a candidate set of human-interpretable concepts, extract their values from the training data, and identify a sparse subset as inputs to a transparent prediction model. However, such approaches are often hampered by the tradeoff between exploring a sufficiently large set of concepts versus controlling the cost of obtaining concept extractions, resulting in a large interpretability-accuracy tradeoff. This work investigates a novel approach that sidesteps these challenges: BC-LLM iteratively searches over a potentially infinite set of concepts within a Bayesian framework, in which Large Language Models (LLMs) serve as both a concept extraction mechanism and prior. Even though LLMs can be miscalibrated and hallucinate, we prove that BC-LLM can provide rigorous statistical inference and uncertainty quantification. Across image, text, and tabular datasets, BC-LLM outperforms interpretable baselines and even black-box models in certain settings, converges more rapidly towards relevant concepts, and is more robust to out-of-distribution samples.

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ICLR Conference 2024 Conference Paper

Prediction without Preclusion: Recourse Verification with Reachable Sets

Avni Kothari
Bogdan Kulynych
Tsui-Wei Weng
Berk Ustun

Machine learning models are often used to decide who receives a loan, a job interview, or a public benefit. Models in such settings use features without considering their *actionability*. As a result, they can assign predictions that are \emph{fixed} -- meaning that individuals who are denied loans and interviews are, in fact, *precluded from access* to credit and employment. In this work, we introduce a procedure called *recourse verification* to test if a model assigns fixed predictions to its decision subjects. We propose a model-agnostic approach for verification with *reachable sets* -- i.e., the set of all points that a person can reach through their actions in feature space. We develop methods to construct reachable sets for discrete feature spaces, which can certify the responsiveness of *any model* by simply querying its predictions. We conduct a comprehensive empirical study on the infeasibility of recourse on datasets from consumer finance. Our results highlight how models can inadvertently preclude access by assigning fixed predictions and underscore the need to account for actionability in model development.

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