Jev in Medicine: A Benchmark Evaluation

Jev is a commercial System One model from TypeSafe AI that does not generate text: given a state and typed questions, it returns a choice from fixed options, a position on a rubric, or the probability that a statement is true, with probabilities the vendor describes as calibrated. Such models target small decisions in information access pipelines, such as routing queries, checking grounding, moderating content, or rating against a rubric. We evaluate Jev (jev-1.13.0) zero-shot on 37 datasets spanning classification, routing, natural language inference, reading comprehension, commonsense reasoning, moderation, legal clause analysis and rubric scoring, with one frozen template per dataset and full evaluation splits: 346,009 requests for under USD 10. For reference, we score Qwen3.8-27B and Gemma-4-E4B on identical requests via their exact next-token probabilities over the options. Jev reaches 95-99% accuracy on IMDB, SST-2, HellaSwag and ARC and 86.7% on Belebele across 122 languages. It beats Qwen on 27 of 37 datasets, with none of Qwen's nine leads outside the bootstrap intervals, and Gemma on all 37. All three models degrade on low-resource languages, fine-grained or noisy labels, and rubric-based quality judgments. Jev's choice probabilities are well calibrated and support selective prediction. Binary probabilities rank well but are poorly placed relative to a fixed 0.5 threshold; thresholds tuned on training data raise micro-F1 on UNFAIR-ToS from 0.50 to 0.75. Jev answers MMLU's calculation-heavy questions more accurately than other MMLU questions (94% vs. 91%), whereas both open models, and all three on C-Eval, find them harder. Rotating the options leaves Jev's accuracy unchanged and withholding the question drops it to near chance, ruling out shallow memorization but not memorized question-answer pairs. We release the code, harness and all raw responses.

The appearance of Jev marked the era of System One Models, foundation models that return structured decisions with probability distributions rather than text. Aside from low cost and great speed, Jev's central promise is that these probabilities are calibrated: such claim is not backed by any public test and available external benchmarks evaluate confidence calibration, not whether every returned option probability has the right numerical meaning. To tackle this issue, we introduce Sys1Cal-v1, a dataset of True/False questions about a proposition $A$ for which the exact probability $P(A)$ is known by construction. Each item is queried through the three Jev primitives - Noul, Choice and Score - and evaluated by total variation distance from the ground-truth distribution, which can be used to estimate a soft accuracy of System One Models. We showcase the utility of Sys1Cal-v1 as a benchmark dataset by evaluating Jev and SemIf, an open-source Choice-style baseline. In this work, however, we focus even more deeply on Jev, by studying the calibration of its Score and Choice answers. In particular, we discover a peculiar behaviour that can be explained by assuming that Jev suppresses a third truth value, going beyond True and False. In other words, in \texttt{Choice} answers, $P(A)$ and $P(\neg A)$ are presented as if $P(A)+P(\neg A)=1$, while a term $P(U)\neq0$ is missing in the sum. Recovering $P(U)$ leads to an improvement of median soft accuracy in \texttt{Choice} answers from $0.771$ to $0.978$, suggesting that, even in binary decisions, Jev wants to answer with a third option:``I don't know''.

Medical models are judged not only on correctness, but on whether reported confidence matches actual accuracy. Generalist multimodal medical models have expanded what a single model can perceive, yet they still express bounded decisions such as diagnoses, findings or cell counts as generated text, so the reported probability reflects the next token rather than the decision itself. Motivated by decision-native interfaces such as Jev, we introduce OmniMed-Jev, which represents each medical decision as a Choice, Noul or Score decision over a runtime-supplied candidate set and returns a full distribution over that set: mutually exclusive classes, binary presence of a finding, or a bounded ordered value. The design is omni in three respects: it accepts diverse imaging modalities, covers different prediction tasks, and expresses them through one candidate-conditioned probability model, so heterogeneous outputs become comparable probabilities rather than task-specific strings. In an interface-controlled comparison against a generative baseline trained on the same backbone, data and schedule, OmniMed-Jev's reported probabilities track observed correctness far more closely, reducing calibration error by up to an order of magnitude and reliability error by up to two, while point-prediction performance remains comparable; counting is the one family where the generative baseline stays ahead. Making the decision distribution the model's output is not a format change but what turns reported numbers into probabilities that mean what they say. These results support explicit decision modeling as a way to make reported confidence meaningful within the evaluated tasks, and they are not evidence of clinical readiness: the comparison cannot separate the interface from associated training differences, which we state alongside the results. Code is available at github.com/lytang63/OmniMed-Jev.