PARADIGM is an ARPA-H program focused on expanding access to advanced care in rural communities through a scalable mobile care-delivery platform. Its five technical areas cover distributed hospital-level care, integrating medical devices into a vehicle platform, connecting device data with electronic health records, developing a ruggedized mobile CT scanner, and providing real-time task guidance to health workers. The program envisions services including cancer screening, hemodialysis, and perinatal care. Awardee teams are working across these areas to develop and evaluate the platform.