MedMASLab: A Unified Orchestration Framework for Benchmarking Multimodal Medical Multi-Agent Systems

While Multi-Agent Systems (MAS) show potential for complex clinical decision support, the field remains hindered by architectural fragmentation and the lack of standardized multimodal integration. Current medical MAS research suffers from non-uniform data ingestion pipelines, inconsistent visual-reasoning evaluation, and a lack of cross-specialty benchmarking. To address these challenges, we present MedMASLab, a unified framework and benchmarking platform for multimodal medical multi-agent systems. MedMASLab introduces: (1) A standardized multimodal agent communication protocol that enables seamless integration of 11 heterogeneous MAS architectures across 24 medical modalities. (2) An automated clinical reasoning evaluator, a zero-shot semantic evaluation paradigm that overcomes the limitations of lexical string-matching by leveraging large vision-language models to verify diagnostic logic and visual grounding. (3) The most extensive benchmark to date, spanning 11 organ systems and 473 diseases, standardizing data from 11 clinical benchmarks. Our systematic evaluation reveals a critical domain-specific performance gap: while MAS improves reasoning depth, current architectures exhibit significant fragility when transitioning between specialized medical sub-domains. We provide a rigorous ablation of interaction mechanisms and cost-performance trade-offs, establishing a new technical baseline for future autonomous clinical systems. The source code and data is publicly available at: https://github.com/NUS-Project/MedMASLab/

SkillsBench: Benchmarking How Well Agent Skills Work Across Diverse Tasks

Agent Skills are structured packages of procedural knowledge that augment LLM agents at inference time. Despite rapid adoption, there is no standard way to measure whether they actually help. We present SkillsBench, a benchmark of 86 tasks across 11 domains paired with curated Skills and deterministic verifiers. Each task is evaluated under three conditions: no Skills, curated Skills, and self-generated Skills. We test 7 agent-model configurations over 7,308 trajectories. Curated Skills raise average pass rate by 16.2 percentage points(pp), but effects vary widely by domain (+4.5pp for Software Engineering to +51.9pp for Healthcare) and 16 of 84 tasks show negative deltas. Self-generated Skills provide no benefit on average, showing that models cannot reliably author the procedural knowledge they benefit from consuming. Focused Skills with 2--3 modules outperform comprehensive documentation, and smaller models with Skills can match larger models without them.

EVICPRESS: Joint KV-Cache Compression and Eviction for Efficient LLM Serving

Reusing KV cache is essential for high efficiency of Large Language Model (LLM) inference systems. With more LLM users, the KV cache footprint can easily exceed GPU memory capacity, so prior work has proposed to either evict KV cache to lower-tier storage devices, or compress KV cache so that more KV cache can be fit in the fast memory. However, prior work misses an important opportunity: jointly optimizing the eviction and compression decisions across all KV caches to minimize average generation latency without hurting quality. We propose EVICPRESS, a KV-cache management system that applies lossy compression and adaptive eviction to KV cache across multiple storage tiers. Specifically, for each KV cache of a context, EVICPRESS considers the effect of compression and eviction of the KV cache on the average generation quality and delay across all contexts as a whole. To achieve this, EVICPRESS proposes a unified utility function that quantifies the effect of quality and delay of the lossy compression or eviction. To this end, EVICPRESS's profiling module periodically updates the utility function scores on all possible eviction-compression configurations for all contexts and places KV caches using a fast heuristic to rearrange KV caches on all storage tiers, with the goal of maximizing the utility function scores on each storage tier. Compared to the baselines that evict KV cache or compress KV cache, EVICPRESS achieves higher KV-cache hit rates on fast devices, i.e., lower delay, while preserving high generation quality by applying conservative compression to contexts that are sensitive to compression errors. Evaluation on 12 datasets and 5 models demonstrates that EVICPRESS achieves up to 2.19x faster time-to-first-token (TTFT) at equivalent generation quality.