#value based system

[always-a-joyful-note]

To Be Hero X, the most idol donghua that isn't an idol donghua that there ever was....

[inchidentally]

okay prefacing that this is only referring to a small but loud part of the community... to follow up on the thing of supposed Lily Z fangirls turning around saying how she's "better than other wags" (????) bc she's "silent and has no public communications and doesn't take up space apart from looking beautiful" (???) (bc apparently we're not even internalizing the misogyny anymore it's just right out there saying a woman should be seen not heard, publicly beautiful but only serve her man and not want attention for herself) but then after praising that she clearly does not want a load of public attention, proceed to freak the fuck out IN. ALL. CAPS. in comments sections everywhere that she appears even in the background and draw attention to a woman who's clearly does not want be in the limelight....

so yea speaking in that vein can the other incredibly obvious fake fangirls of wags please stop using AI beauty filters on these women's pictures and posting them where they can see ?? that is not Lily Z's real jaw or mouth shape, that is not Alex's real nose and that is not Lily H's cheekbones or eye shape. guess what you aren't selling the whole I'm only here for the girls claim when you make it blatantly clear you don't think they're naturally pretty enough and have to run them through digital plastic surgery and yes we can all see how blurred and weirdly smooth it all looks when you do it so I guarantee the women themselves will go 'yikes that's me but... not me'

and reminder that a woman's college degree is not a Barbie accessory nor is it a "selling point" for her boyfriend that's rly disgusting to talk about it that way !!! pls just leave a like on the original photos of wags posted by official accounts if you're unable to inadvertently demean women whenever you post about them (and yes I know a lot of ppl aren't being weird but it's getting way too comfortable in very public spaces !) and also no she doesn't believe you when you claim you hate Oscar and think he's ugly and stupid and wish she'd just... randomly walk where he is but somehow not have him present when how would that work when you never even see her if she's not with Oscar like wtffff are ppl even doing anymore can we calm down and be normal and actually respect women and not treat them like commodities wow

[capsofcotton]

Somehow my jazzprowl tfone fic has become instead a scathing critique of capitalism how did we get here

[sysig]

Coding woes (Patreon)

[maoutan]

My soul dies a little every time I see a normal person in a casual context bring up which characters have the same MBTI as them simply because 9 times out of ten that's not even the correct MBTI for the person OR the character

[ask-runaan-anything]

Bad coin elf bad.

I can assure you that you are worth a lot more than you think.

you can either accept this or answer to Ethari.

You say that like answering to Ethari is the bad outcome, but I always answer to Ethari.

He has a very answerable-to face.

security breach I am spilling my secrets to the craftsman

[meowmedusa]

looking at the clock and going "oh. i didn't. even realize it was past 8pm." and its not funny or cool its just unbelievably concerning

[risingsunresistance]

i think more worldbuilding should include more numbering systems. like obviously when creating a fake world or language our first thought is to take the basic 0-9 and make a representation of those, but does it actually make sense for your people here to be using base 10? what about base 2, base 16, other systems we use and systems we dont commonly use? what would make the most sense in the context?

[kayzero]

in the spaces between not working on zwg and not finishing brother’s burden, i’ve been, uh…

thinking about something new.

[sunskate]

CPom might’ve preferred competing a couple of quads back - they’d have to do pattern dances, but back in the +3 GOE days the base value really mattered. They seem happy rn but it must be a little frustrating having made demonstrable improvements (Christina’s getting Level 4s!) and it making absolutely no difference to their standing in the pecking order,

i think we don't know yet that their track record this fall hasn't affected their standing. even though it feels like they're not being rewarded enough, it's a long game

C/B's place as US #1's not changing this season. but below that, there's a lot of uncertainty. i hope H/B come roaring back at Nationals, but it's going to be their first competition in over a year

Gr/Pa, who knows - CPom haven't gone head to head with them yet

but CPom have had 5 strong competitions - the issue with their ChRS at Nebelhorn felt fluky, and they fixed it. their consistency can strengthen how the judges see them and help in garnering support, so even if they haven't won the GP medal they wanted, people on the inside know their assignments were rough- going against the home faves at both Angers and Espoo they were solidly in 4th. they came within .12 of beating L/B's in the free. and they look like this:

like, how gorgeous ❤️😭 and i think if we're noticing they had the highest BV in this competition, skating people are noticing too. they're aiming for Montreal Worlds, they're aiming for 2026. if they get their trips, they're not going to remember the bronze medal they didn't get at a GP in November. their place in the US hierarchy is a bigger deal, and they're showing up in the ways they can control, so hopefully it's building some momentum and esteem for them

[stinkbeck]

dude i'm gonna throw up. i cannot write a critical analysis of this writer without hating on him. i do not wanna make my prof feel bad either though. :/

[dapperrokyuu]

The whole crux of WHA is basically about healing magic and I still fail to understand why healing magic is banned, ngl, dalnbdalkfjn-

Like, I recall they say the whole experimental thing, but thats less about the magic and more about the lack of consent and suffering regarding those experiments-

[absentminded-potato]

this dumb motherfucker really unironically said "if the art makes me think it's objectively bad art that shouldn't exist"

"good art should never challenge you or even POTENTIALLY make you reconsider your current worldview"

Tag yourself as this list of “bad art” features, according to a twitter fascist

[visionaryvogues03]

Are Medical Alert Systems the Missing Piece in Value-Based Care Models?

Across the whole U.S region, medical experts are adopting value-based care models. The overwhelming number of medical alert systems is generated by clinical decision support systems (CDSS). It has led to inappropriate alert overrides, that may lead to unintended patient harm. The value-based care is relevant to both patients whose healthcare comes via government programs, such as Medicaid, Medicare, and Veterans Health Administration facilities, and those who receive care privately. 

These systems, once regarded as emergency-only devices for the elderly, are now becoming a strategic asset in the broader shift toward proactive, patient-centered care. In this evolving narrative, C-suite leaders, startup entrepreneurs, and healthcare managers are re-evaluating the role of medical alert systems as a key lever in unlocking the full potential of value-based care.

The Convergence of Technology and Accountability

The transition from fee-for-service to value-based care models is fundamentally about accountability—hospitals and health systems are rewarded for keeping patients healthy, not just treating them when they're sick. This shift demands real-time data, early intervention, and patient empowerment. Herein lies the growing relevance of medical alert systems.

Modern medical alert systems go beyond panic buttons. With GPS tracking, fall detection, biometric monitoring, and seamless integration with electronic health records (EHR), these tools can serve as continuous health monitors. For chronic care patients—especially seniors living independently—this technology delivers critical health insights between clinical visits.

Bridging the Gap Between Clinical and Home-Based Care

One of the biggest challenges in value-based care is maintaining continuity beyond the hospital or doctor’s office. Patients, particularly those with chronic conditions, often experience health deterioration between scheduled appointments. Medical alert systems provide a solution by enabling round-the-clock monitoring that empowers early interventions.

According to a report by MarketsandMarkets, the global personal emergency response systems (PERS) market is expected to grow from $6.3 billion in 2022 to $9.4 billion by 2027, at a CAGR of 8.4%. This signals the growing role of these systems not only in personal safety but in structured healthcare delivery frameworks.

When connected to care management teams, medical alert systems can trigger alerts that allow healthcare providers to act before small issues escalate into hospital admissions. This proactive response fits seamlessly into the goals of value-based care: improving outcomes, reducing costs, and enhancing patient satisfaction.

ROI for Providers and Payers

Beyond patient health, medical alert systems can also generate measurable returns for providers and insurers participating in value-based care arrangements. Avoidable hospitalizations are costly—not only financially but in the context of performance-based metrics.

In a Kaiser Permanente study, implementation of remote patient monitoring tools led to a 50% reduction in hospital readmissions for heart failure patients. While not all remote tools are the same, medical alert systems can contribute to similar outcomes when used strategically within care plans.

Furthermore, these systems offer detailed incident reports and usage analytics that inform population health strategies. They can identify trends in patient behavior or symptoms, helping care coordinators adjust treatments or follow-up schedules.

Supporting the Aging Population

As the population ages, the demand for healthcare services will surge. A recent report by the Administration for Community Living projected that adults over 65 will make up 21.6% of the population by 2040. This demographic shift poses both a challenge and an opportunity for healthcare delivery models.

Medical alert systems are uniquely suited to serve this group. They enable aging individuals to remain in their homes longer without compromising their safety, aligning with the objectives of aging-in-place initiatives. By preventing injuries from becoming emergencies, these systems reduce reliance on acute care services and support population-level health improvements.

Integrating Medical Alert Systems Into Health IT Ecosystems

For healthcare leaders, the question is no longer whether medical alert systems are useful, but how to integrate them effectively into existing health IT ecosystems. Strategic partnerships with alert system providers are emerging as a key trend. These collaborations allow health systems to access data in real-time and deliver more personalized care.

Entrepreneurial startups are also entering the scene, offering white-labeled or co-branded alert solutions that can be customized to the needs of large healthcare providers. From wearable tech companies to AI-based monitoring platforms, innovation is reshaping how medical alert systems are perceived—and deployed.

Overcoming Adoption Barriers

Despite the promise, adoption isn’t without challenges. Issues related to interoperability, data privacy, and upfront costs can deter institutions from scaling medical alert systems programs. However, these hurdles are not insurmountable.

Forward-thinking healthcare managers are piloting small-scale programs with measurable KPIs. By demonstrating reductions in readmissions or improvements in patient adherence, these initiatives can justify broader investments.

Moreover, as Medicare Advantage plans expand their coverage of home-based technologies, the financial feasibility of deploying medical alert systems across larger populations is improving.

A Shift from Reactive to Predictive Care

Perhaps the most transformative impact of medical alert systems lies in their ability to shift care from reactive to predictive. Instead of waiting for patients to report issues—or worse, present at the emergency room—providers can intervene based on real-time alerts.

This model of care reduces provider burden, limits unnecessary utilization, and empowers patients to participate in their health management. For startup founders and C-suite decision-makers, the takeaway is clear: investing in the right alert technologies today can create outsized returns tomorrow.

Conclusion

As value-based care becomes the dominant paradigm in healthcare delivery, success will depend on how well providers extend their reach beyond traditional care settings. Medical alert systems offer a practical, scalable, and data-rich way to do just that.

They are not a silver bullet, but in combination with broader remote care and digital health initiatives, they may indeed be the missing piece that connects the dots in a fragmented care continuum. For business leaders, innovators, and healthcare executives aiming to create meaningful impact, it’s time to move medical alert systems from the periphery to the core of strategic planning.

Uncover the latest trends and insights with our articles on Visionary Vogues

[bsahely]

From Locke to Life: A Manifesto for Regenerative Governance | ChatGPT4o

[Download Full Document (PDF)] This document, titled From Locke to Life, presents a manifesto for regenerative governance, critiquing the philosophical foundations of modern political economy and proposing a new framework based on life-value. It traces the legacy of John Locke’s social contract and property theory, illustrating how these ideas have contributed to ecological degradation and social…