Trust-Time · Match deliverable careA care need, with a missing dependencyAn early opening alone cannot deliver the whole next step.
Illustrated mechanisms of the proposed protocol.
Capacity + authority
Assemble a next step that can actually happen.
Trust-Time matches capability, resources, timing, patient preferences and authority. VANTHEON Agent—in development—is intended to return compatible options; the team rechecks capacity before reservation. Reserving care is distinct from delivering it.
Patient
Chooses the plan and grants scoped permission.
Clinician
Owns clinical decisions and results review.
Primary-care nurse
Owns contact, follow-up and unresolved coordination.
Qualified humans, agents and robots contribute within their authority. Unresolved machine decisions go to people; machines do not deny care.
The same care journey · An illustrative next step
Results reviewed. Follow-up still unconfirmed.
The clinician records the review and its evidence. Follow-up stays open, with the primary-care nurse responsible for arranging it. Missing evidence remains uncertainty.
The completed review can support a payment claim while follow-up stays open. Recognition, outcome rewards and payment each require their own conditions.
Settlement · Execute and reconcileRecognized work creates an obligationWhat is owed remains distinct from what has been paid.
The Pool is designed to fund this care through member contributions and loss-bearing capital. The completed review earns payment when its agreed conditions are met.
Treasury checks authority and available funds, executes the payment and reconciles confirmation. The open follow-up remains a care responsibility; delayed payment cannot count as savings.
PTI evaluates human and machine providers by service, case context and uncertainty; one completed review does not establish better outcomes. Better demonstrated decisions and outcomes can earn stronger incentives and relevant Codex voting power.
Opportunity
Suitable work
Incentives
Performance rewards
Influence
Relevant proposals
Each follows separately adopted rules. Patient representation is independent. Machine copies create no extra votes.
Codex is designed to connect healthcare knowledge, care decisions and reviewed experience. Here, a recurring follow-up gap becomes a proposal for better coordination.
Test whether earlier coordination reduces missed follow-ups without displacing other patients or overloading care teams.
Deliberate
Vote
Evaluate
Authorize use
A vote does not prove benefit or authorize deployment. Independent evaluation, scoped approval and ongoing monitoring remain separate.
THEON · Born from VANTHEON
Develop the intelligence. Improve how it develops.
A proposed healthcare foundation-model family and multi-agent research program.
THEON · Compare before releaseAuthorized inputs inform a candidateReference and candidate are held in separate comparison bays.
Better models
Study unresolved follow-up across separately permitted care histories, and test whether models can better support the next step.
Better research methods
Recursive self-improvement (RSI) asks whether better research methods lead to better later experiments. Independent evaluation decides which changes can advance.
An evaluated, authorized improvement could let future care plans reserve follow-up earlier. Teams would check whether fewer patients miss care, without displacing others or increasing workload.
Patients retain choice, explanation, appeal and correction. When evidence changes, responsible people review the affected decisions and apply the appropriate remedy.