Loka + Stanford Mussallem Center for Biodesign Innovator
Award Winner

Grow your screening program.
Keep the patients you already have.

AI nurse agents that find, engage and navigate patients into cancer screening, and back onto coverage before it lapses.

HIPAA-ready Runs inside your EHR A clinician stays in control
What Maya does

Two gaps. One agent.

The patients who fall out of your funnel are the same patients either way. Maya works the front of the funnel so your nurses can work the part that needs a human.

Find the eligible patients you never reach

Eligibility for lung screening is buried in smoking histories that are incomplete, out of date, or sitting in free text nobody queries. The list is the easy part. Reaching every person on it is what never gets done.

#1cause of cancer death, and the front door to your cancer program
19%of eligible patients get screened today. The rest go unreached.
80%of lung cancers are caught late, when outcomes are worst

Builds the eligible cohort

Reads structured fields and free-text notes to surface eligible patients, then ranks them by risk.

Calls every patient on it

Maya reaches patients by phone in their own language, and takes the smoking history properly.

Runs shared decision-making

Maya guides the conversation. A clinician joins to complete and bill the visit.

Books the scan and closes the loop

Schedules the low-dose CT, sends reminders, tracks results, and notifies the PCP.

New for 2027

Keep the patients you are already treating

Under the One Big Beautiful Bill Act, Medicaid expansion adults must re-verify eligibility every six months and document 80 hours a month of qualifying activity. Patients who qualify for an exemption still have to prove it. Most of the coverage loss will be procedural rather than substantive, which means it lands on the patients who are mid-screening, mid-workup, or in active treatment.

7.5Mscreening-eligible adults projected to lose Medicaid coverage within two years
1M+mammograms and colorectal and lung screenings projected to be missed
$7–8Bin additional uncompensated care across expansion-state hospitals

Projections from JAMA Oncology (May 2026) and the Commonwealth Fund. Implementation dates are subject to ongoing litigation.

Flags the patients at risk

Cross-references your panel against redetermination dates and coverage status, and prioritises the patients with care already in flight.

Calls ahead of the deadline

Maya reaches patients in their own language, explains exactly what is needed and by when, and points them at the right form.

Captures exemption documentation

Structured intake against the medically frail criteria, with everything clinical routed to your nurse for sign-off.

Reports who is still exposed

Tracks who completed, who needs a human, and which patients are still at risk of lapsing before their next appointment.

01 · Inside a screening program

Identifies the eligible patient

Reads your records, structured and unstructured, to surface eligible patients and rank them by risk.

Fullstride · Priority Queue: Lung Screening
Robert J. · 71M
Current smoker · ~40 pack-years · no prior LDCT
Tier A9.6
Patricia B. · 63F
Former smoker · 28 pack-years · LDCT overdue
Tier A9.3
Margaret S. · 67F
30 pack-years documented · annual LDCT due
Tier A9.0
Maria C. · 64F
Smoking hx in notes · pack-years unquantified
Tier B8.2
Donald H. · 73M
Former smoker · quit date unconfirmed
Tier B7.7
02 · Inside a screening program

Engages the patient

Maya reaches out by voice, in the patient's language, so more people say yes.

Fullstride
Maya · AI voice agent
Outbound · Patricia B.
"Hi Patricia, this is Maya calling from your care team. You're due for a quick lung screening. Do you have a moment to set it up?"
EnglishEspañol中文Tiếng Việt+ more
03 · Inside a screening program

Completes shared decision-making

Maya guides shared decision-making. A clinician can join to complete and bill it.

Shared decision-making

Patricia B. · Lung screening (LDCT)

Reviewed benefits and risks of screening
Answered questions about the LDCT scan
Confirmed the patient wants to proceed
A clinician can join live to complete & bill the SDM visit
Join call
04 · Inside a screening program

Books the scan

Maya books the low-dose CT and sends the reminders that keep it.

Low-dose CT scheduled

Radiology · confirmed with patient

12Apr
9:00 AM · LDCT chest
Reminder set · SMS + call the day before
24/7outreach, around the clock
0added clicks for your physicians
05 · Inside a screening program

Closes the loop

Tracks results and follow-up, and keeps every patient moving.

Results & follow-up

Patricia B. · LDCT complete

Results back · Lung-RADS 2 (benign)
Annual follow-up scheduled
PCP notified · loop closed
What powers Maya

Built for the way your program actually runs

Does the front-of-funnel work. Hands off the moment a human should step in.

MMaya

AI voice agents

Real phone conversations that adapt to each patient, not robotic reminders.

Reached the patient
Completed SDM
Booking the scan…

Agentic workflows

Completes the work end to end, from outreach to booking.

A9.6
A9.1
B8.2

Risk-based prioritization

Scores and tiers patients so the highest-need are reached first.

EnglishEspañol中文Tiếng Việt+ more

Multilingual by default

Reaches patients in their own language.

Clinician joined the callDr

Human in the loop

A clinician can join any live call, and a nurse signs off on what Maya collects.

EHR-nativeHIPAA-ready0 new logins

Works inside your stack

EHR-native and HIPAA-ready. No new system to log into.

See it live

Watch Fullstride in action

How Maya finds, reaches, and navigates patients into screening.

Frequently asked questions

What does Fullstride actually do?
Fullstride deploys an AI nurse agent, Maya, that finds the right patients in your records, reaches out to them by phone, text, or email, has a real conversation, and completes the next step. Today that means navigating patients into cancer screening and keeping patients from losing coverage they are still eligible for.
What changed for Medicaid in 2027?
The One Big Beautiful Bill Act requires states to redetermine eligibility every six months for the Medicaid expansion population, and CMS's interim final rule adds a community engagement requirement of 80 hours a month for non-exempt adults, verified at application and renewal. Self-attestation for the medically frail exemption sunsets at the end of 2027. The provisions are the subject of active litigation, so dates may move. Our read is that most of the resulting coverage loss will be procedural rather than substantive.
Is coverage retention the same product as the screening agent?
Same agent, same architecture, different cohort and different script. Maya already reads your records to build a cohort, ranks it, calls patients in their language, captures structured answers, and routes anything clinical to a nurse. Coverage retention changes what defines the cohort and what the call is about. It does not change the EHR posture or the human review step.
Does Fullstride decide who stays covered?
No. Maya helps patients complete paperwork they are already entitled to complete, and surfaces documentation a clinician reviews and signs. Eligibility determinations are made by the state, never by us. We prioritise outreach by clinical need, and we will show you exactly how that prioritisation works.
How does Fullstride work with our EHR?
Fullstride reads from your existing records and works alongside your current systems. It is designed to add zero new clicks for your clinicians and to fit the way your program already runs. Pilots typically start with a read-only extract rather than a full integration.
Can a clinician stay in the loop?
Yes. Maya handles the routine outreach, but a clinician can join any live call to complete and bill the shared decision-making visit, and a nurse reviews and signs off on the information Maya collects. You decide where the human belongs.
How do you handle privacy and compliance?
Fullstride is built to be HIPAA-ready, with patient data handled securely throughout, and we execute a BAA before any patient data moves. We are happy to walk your security and compliance teams through the details on a call.
What does it take to get started?
Most programs start with a focused pilot on one line, often a few dozen patients to calibrate before scaling. Book a demo and we will map it to your workflow and volumes.
The proof

Shaped by 20 of the country's top screening programs

Working with

Stanford Health Care Community Health Centers of America
“

I strongly advocate for some automated, agentic approach, because the human way of doing this is pure madness.

ED Director, Stanford Health Care
“

My medical assistant would kill for this. Take the calls, the pre-screening, the scheduling all off her.

Program Manager, national health system
“

The one thing I'd most want to solve? How we get people to document tobacco use.

Program Manager, regional health system
Get started

Stride towards health, together

Book a 30-minute call. We'll map Maya to your program and your volumes.