Survival prediction plays a central role for healthcare providers and clinical researchers. Accurate risk stratification enables early intervention and improved patient management. Most existing deep survival models learn one common feature representation for all patients, which may hide important differences between patient subgroups. In contrast, a Mixture-of-Experts (MoE) framework allows different parts of the model to focus on different patient patterns, leading to more individualized representations. Therefore, in this work, we propose a mixture-of-experts enhanced adaptive deep clustering survival framework (AdaCSM) for modeling such heterogeneous survival patterns. We introduce a routing-based expert mechanism that enables conditional specialization within a parametric survival modeling framework. The proposed architecture allocates patients to specialized risk predictors dynamically while preserving the patient survival and subtype clustering objectives. We compare our method with state-of-the-art survival and deep clustering models on multiple real-world longitudinal clinical cohorts spanning diverse disease domains. The proposed method demonstrates improved predictive performance and leads to interpretable results in survival analysis.
Clustering is increasingly used to support high-impact decisions, yet standard objectives such as $k$-means can produce clusterings that treat demographic groups unequally. Existing fair clustering methods typically optimize a single notion of fairness and often overlook how clustering costs interact with the geometry of the induced decision boundaries. We propose \textsc{UniFair}, a unified framework that jointly optimizes \emph{separation fairness} and \emph{social fairness}. Separation fairness encourages protected groups to lie farther from the induced decision boundaries, while social fairness reduces disparities in within-cluster distortion by penalizing group-wise clustering costs. We develop gradient-based optimization procedures for separation-fair and unified $k$-means objectives, and extend them to deep clustering by enforcing the same criteria in the latent space of an autoencoder. Experiments on tabular and image datasets show that \textsc{UniFair} reduces both boundary-related and cost-based group disparities with only a modest increase in clustering loss.