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ARPA-H · PARADIGM Program

Healthcare infrastructure, reimagined for the places care is hardest to reach.

Through our work with ARPA-H's PARADIGM program, Mission Mobile Medical is helping explore a new generation of modular, mobile care delivery platforms built for rural access, resilience, and future-ready healthcare systems.

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From ARPA-H

PARADIGM ~ MARCUS Bringing Hospital-Level Care to Rural America

ARPA-H produced this piece about the work, and published it on their own channel.

Video by ARPA-H. Plays from YouTube when you press play.

Mission Log

From a problem to a platform.

The PARADIGM story as it happens: what’s done, what’s underway, and what’s ahead. Follow the line.

  1. 2024Complete

    ARPA-H launches PARADIGM

    Platform Accelerating Rural Access to Distributed & InteGrated Medical care. Twelve teams across five technical areas, one brief: deliver hospital-level care where there is no hospital.

  2. 2024 · The proposalComplete

    The first sketch

    Before there was a vehicle there was an idea on paper: a modular mobile medical system: a rugged Care Delivery Platform built the way an aircraft carrier is built, in blocks, out of interchangeable modules. Drive the chassis in, drop in MRI, CT, or mammography, and let the community decide what rolls up to the curb. This is what we put in the application.

    Original concept render: the MARCUS chassis beside three interchangeable modules for MRI, CT, and mammography
  3. 2024Complete

    Team MARCUS is selected: TA2

    Mission Mobile Medical is awarded up to $26M to build the program’s Care Delivery Platform. MARCUS (Mobile Access to Revolutionary Care Connecting US) is the vehicle the rest of the program plugs into.

  4. Nov 18–19, 2024 · New OrleansComplete

    The kickoff

    Every PARADIGM team in one room for the first time. Two days to turn twelve separate proposals into one program.

    Team members beside the PARADIGM Kickoff Meeting sign in New OrleansAll PARADIGM performer teams gathered at the kickoff meeting
  5. 2025Complete

    Design & development

    Modular, all-electric platform concepts developed with partners including Duke University School of Medicine: pods that swap in and out like cars on a train, so one chassis serves many missions. Inside, the same discipline: a care experience designed around the person walking in, not the equipment.

    Design render of the MARCUS interior: a telehealth check-in screen greeting a patient, with a parent and child entering the waiting area
  6. 2025Complete

    The Roadshow

    Team MARCUS brings the partners together on our own floor: engineers, clinicians, and researchers walking the build and pressure-testing the plan in person, then taking it on the road.

    On our floor, Kernersville.
    On the road. First stop, Boston.
  7. 2025 · KernersvilleComplete

    The PI Meeting

    Every PARADIGM performer team came to our Kernersville headquarters to show what their systems could actually do, and to work through how those capabilities integrate into one Care Delivery Platform. The working session that set up demo day.

    Performers, capabilities, and one platform to fit them into.
  8. 2026Complete

    First drive

    The platform moves under its own power for the first time.

    The platform under its own power.
  9. 2026Complete

    Demo Day in Kernersville

    ARPA-H comes to Kernersville to see the work in person: the module open, the systems live, the questions hard. At the end of it, a ceremonial key: Specialty Care Unit, Module 01, powered by PARADIGM.

    ARPA-H joins the team in Kernersville to see the work firsthand.
    The Team MARCUS and ARPA-H group gathered in front of the finished Specialty Care Unit
    Everyone who built it, and everyone who came to see it.
    A visitor holding an oversized ceremonial key reading Congratulations, Powered by PARADIGM, laughing in front of MARCUS
    The key hand-off.
    A visitor behind the wheel of MARCUS, driving it for the first time
    Behind the wheel.
    Guests talking beside the MARCUS module during the demo day visit
    Questions, up close.
    MARCUS parked outdoors on a gravel lot with summer grass in the foreground
    Out of the shop, into the light.
    A team member walking visitors around the Specialty Care Unit Module 01 on the shop floor
    Walking the module, bay by bay.
    A large monitor showing live MARCUS telemetry: state of charge, high-voltage bus, chassis temperature and power traces
    Live telemetry: state of charge, HV bus, chassis temps.
    The full Team MARCUS and ARPA-H group standing together in front of the finished Specialty Care Unit, Module 01
    The people who got it here.
  10. 2026Winner

    Named a winner at CancerX

    MARCUS rolled onto campus for CancerX, where our team walked partners through the specialty care module and presented the Path to Market for rural hospital-level care: cancer, obstetrics, wound care, and home hospital. Mission Mobile Medical was named a winner.

    MARCUS specialty care unit parked outside the CancerX venue

    MARCUS On Site

    Specialty Care Unit, Module 01, parked at the venue

    Walking a partner through the MARCUS care module

    Module Tours

    Walking partners through the care suite, door to door

    The Mission Mobile Medical team on the CancerX panel

    On the Panel

    Our team on stage for the CancerX session

    The CancerX audience during the MARCUS session

    A Full Room

    The audience during the Path to Market talk

  11. Sep 17, 2026 · Washington, DCComplete

    Health250 Congressional Demo Day

    MARCUS went to Washington for the ARPA-H Health250 Congressional Demo Day, staged outside the Department of Health and Human Services alongside the other PARADIGM performers. Visitors stepped through the Specialty Care Unit and saw the on-board equipment and telehealth setup for themselves.

    MARCUS parked at the entrance to the Department of Health and Human Services

    On the Plaza

    Staged at the entrance with the other performers

    Specialty Care Unit, Module 01, on display outside the building

    Module 01

    Open to visitors all day

    Side profile of the MARCUS platform outside the building

    Full Profile

    The full platform, module and cab

    A team member showing on-board equipment to visitors beside the platform

    Hands On

    Showing visitors the on-board equipment

    Inside the care suite during a demonstration, with the telehealth screen and camera in use

    Inside the Suite

    A telehealth demonstration in the care suite

  12. NowIn Progress

    Two more prototypes

    Evaluated alongside the other platform performers, Team MARCUS was selected to carry on. The next two prototypes are in build.

  13. 2026 → 2029Ahead

    Path to market

    What the platform does after the prototypes: from first deployments to a manufacturing line.

    • 2026Six units deployed to North Carolina, Michigan, and Utah.
    • 2027Nine total units, with remote fleet management.
    • 2028The v2 platform integrates a miniaturized CT scanner and AI task guidance.
    • 2029Commercialization and manufacturing at scale.
The Film Library

The story, in motion.

From first concept to reveal, watch how the work is taking shape.

Featured Story

Violet’s story

Trailer

Compassion Behind MARCUS

Part 1

Meet Violet Chadwick, PNP

Part 3

Touring the MARCUS prototype

Part 4

“I could just see the patients lined up outside.”

Part 5

“You know it almost makes me want to come out of retirement.”

The Platform

Not just a vehicle. A flexible care delivery system.

Every layer is being designed to adapt, so a single platform can meet very different communities where they are.

The same module works at a fixed site or on the road

A specialty care module can sit in a brick and mortar clinic and then load onto the MARCUS platform, so a program can move capacity to where patients are that week.

Technical Walkthrough

Technical Walkthrough, Part 1

A deep look at how the platform is engineered, with CTO Raj Kammela and VP of Engineering Justin Schultz.

Technical Walkthrough

Technical Walkthrough, Part 2

A deep look at how the platform is engineered, with CTO Raj Kammela and VP of Engineering Justin Schultz.

PARADIGM modular care platform
MARCUS EV Platform

Modular · All-electric · Built to serve

Next-Gen Mobile Platform

A rugged, all-electric foundation designed to handle rural roads while reducing emissions and operating costs.

Modular Care Module

Swappable rear modules (from exam suite to imaging to lab) created to match a community’s actual needs.

Flexible Clinical Use

Built to reconfigure across primary care, diagnostics, and specialty services without a new vehicle.

Rural Deployment

Developed for distance, terrain, and limited infrastructure: the conditions where access breaks down today.

Constrained-Environment Response

Designed to operate where power, connectivity, and facilities are limited, including disaster response.

Data, Operations & Support Layer

AI-assisted guidance and EHR-ready workflows explored to support clinicians and keep the platform running.

Credibility

Built with serious partners.

Press & Media
Publications & Resources

Mission Mobile Medical’s work connected to ARPA-H PARADIGM is part of an innovation effort focused on exploring future models of care delivery. Content on this page is for storytelling and educational purposes and should not imply finalized commercial availability unless specifically stated.

Building the future of mobile care takes partners.

If your work touches rural access, resilience, or the future of care delivery, we’d like to hear from you.

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