Executive Health Screening: Definition and Renew Path

A Cochrane review by Krogsbøll and colleagues defined health checks as screening for more than one disease or risk factor in more than one organ system (Krogsbøll et al., Cochrane 2019). Korenstein and colleagues' 2019 study of executive physical packages at top-ranked US hospitals found that the most commonly included services were hearing examination (83%) and electrocardiogram (83%), both graded I by the USPSTF, and that low-dose CT screening for lung cancer (grade A) was not included in any package (Korenstein et al., 2019).

Executive health screening is a branded way to look for unrecognized disease or risk in a person who still feels well. WHO language, summarized in an NCBI Bookshelf screening review, defines screening as the presumptive identification of unrecognized disease in an apparently healthy population. A screening test sorts people who probably have a condition from people who probably do not. It is not the final diagnosis. Hospital "executive" packages often deliver that screening as a one-day or short-stay itinerary. Cleveland Clinic describes about six to eight hours.

Maybe you feel well, and your labs still came back worse than you expected. The plan on the table is a statin and "see you next year." You want to know what is happening in your arteries and what is driving it.

Created with BioRender.com (Industry).

What "screening" means

Wilson and Jungner (WHO, 1968), still cited in modern screening guides, treated screening as a rapid sort, not a complete workup. People with positive or suspicious findings need diagnosis and a plan. A later WHO Europe short guide adds that screening should identify higher-risk people so an intervention can be offered, and that more checks are not automatically better.

For the visit definition, see what is an executive physical. For the visit format, see executive physical. For cost, see executive physical cost.

What clinics mean by executive health screening

When people search executive health screening, they usually mean a packaged preventive battery sold to executives and other cash-pay or employer-pay adults. The package may be called a physical, a program, or a screening day. The shared feature is coordination. There isn't one shared protocol.

Public exam-day examples (format only):

Cleveland Clinic: discover potential problems, target risk factors, and produce a roadmap, in about six to eight hours.
Mayo Clinic: preventive exams, tests, and consults on a personalized itinerary.

Those programs can include guideline-based items (blood pressure, selected cancer screens) and extra items that are not USPSTF A/B services. USPSTF organizes prevention by condition and risk group. It does not publish an "executive battery." The VA evidence brief on annual comprehensive exams describes the move toward periodic, tailored services.

The comprehensive physical exam

Cleveland Clinic's exam page says every executive health appointment includes a thorough physical exam, nutrition consultation, exercise counseling and a review of vaccinations, and that your provider will ask questions about your medical history, any medications you take, what you eat and drink, your exercise habits and your overall lifestyle (Cleveland Clinic exam). Atlantic Health says a board-certified internal medicine doctor leads the exam and brings in specialists chosen for your specific health needs, and that you review your results face-to-face, with recommendations for nutrition, exercise, stress and follow-up care (Atlantic Health Executive Health). Vital signs are part of the guideline-based layer: the USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement (USPSTF hypertension screening).

Cardiovascular risk assessment

The 2019 ACC/AHA prevention guideline says that for adults 40 to 75 years of age, clinicians should routinely assess traditional cardiovascular risk factors and calculate 10-year risk of ASCVD by using the pooled cohort equations (PCE) (Arnett et al., Circulation 2019). The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors and an estimated 10-year risk of a cardiovascular event of 10% or greater (USPSTF statin use). The 2018 cholesterol guideline by Grundy and colleagues says an Lp(a) ≥50 mg/dL or ≥125 nmol/L constitutes a risk-enhancing factor (Grundy et al., Circulation 2019). Ask which risk calculator the program uses, which risk-enhancing factors it tests, and which result would change your treatment.

Advanced diagnostic imaging

Cleveland Clinic's exam page says its tests might include a calcium-score screening heart scan, a chest X-ray or CT scan, and vascular screening tests, and that an extended stay can add scans like a total body MRI or total body CT scan (Cleveland Clinic exam). Korenstein and colleagues' 2019 JAMA research letter grouped hospital package services into 6 domains, and total body computed tomography was one of them (Korenstein et al., 2019).

RadiologyInfo says CT images of internal organs, bones, soft tissue, and blood vessels provide greater detail than traditional x-rays (RadiologyInfo: Body CT). RadiologyInfo says MRI uses a powerful magnetic field, radiofrequency pulses, and a computer to produce detailed pictures of internal body structures, and that MRI does not use radiation (x-rays) (RadiologyInfo: Body MRI). RadiologyInfo describes a cardiac CT scan for coronary calcium as a noninvasive way of obtaining information about the presence, location and extent of calcified plaque in the coronary arteries (RadiologyInfo: Calcium scoring).

The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 50 to 80 years who have a 20 pack-year smoking history and currently smoke or have quit within the past 15 years (USPSTF lung cancer screening). The 2019 ACC/AHA prevention guideline by Arnett and colleagues says that in adults at intermediate risk, or selected adults at borderline risk, it is reasonable to measure a coronary artery calcium score if a statin decision remains uncertain (Arnett et al., Circulation 2019).

Genetic testing

Genetic testing in a screening program ranges from a structured family history to exome sequencing, and only some results lead to a clear action. The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with BRCA1/2 gene mutations with an appropriate brief familial risk assessment tool (USPSTF BRCA-related cancer). The USPSTF recommends against routine risk assessment, genetic counseling, or genetic testing for women whose personal or family history or ancestry is not associated with potentially harmful BRCA1/2 gene mutations (USPSTF BRCA-related cancer). Atrium Health says its Healthy Genome exam combines a detailed family history and consultation with a genetic counselor with custom DNA exome testing, and lists pharmacogenomics among its laboratory evaluations (Atrium Health Executive Physical). Ask who orders each genetic test, who explains the result, and whether a genetic counselor is involved before and after testing.

Nutritional counseling

Nutritional counseling works when it starts from what you actually eat and ends with targets someone rechecks. The USPSTF recommends offering or referring adults with cardiovascular disease risk factors to behavioral counseling interventions to promote a healthy diet and physical activity (USPSTF healthy diet and physical activity counseling). The 2019 ACC/AHA prevention guideline says a diet emphasizing intake of vegetables, fruits, legumes, nuts, whole grains, and fish is recommended to decrease ASCVD risk factors (Arnett et al., Circulation 2019). Mass General Brigham's executive physical includes a consultation with a registered dietitian including a SECA scale body composition analysis and results review (Mass General Brigham Executive Health). Ask whether the dietitian sets specific targets and when they will be reviewed.

Screening versus diagnosis versus follow-through

Step	Job	Executive-package risk if you stop here
Screening	Flag unrecognized risk or disease	A binder of results with no owner
Diagnosis / interpretation	Confirm what the flag means	Self-diagnosis from a portal PDF
Follow-through	Treat drivers and re-measure	One travel day, then a gap until next year

A coronary calcium CT, a stress test, or a full-body MRI can be screening in someone else's package. They answer different questions. For CIMT versus calcium scoring, see CIMT vs calcium score. For plaque language, see plaque in carotid artery.

Where Renew fits

Renew's public method on How it works is built for the follow-through row of the screening table above: image, find drivers, treat, prove change on the wall. CIMT is the imaging proof modality on executive health.

1. Image the wall. CIMT is a short carotid ultrasound. It measures intima-media thickness and can comment on plaque, including softer plaque that a calcium-only test may miss.

2. Test known drivers. Live site language is a 33-driver workup (inflammation, metabolic, genetic, infectious, sleep, and oral-pathogen domains as described on How it works and Pricing).

3. Treat and re-measure. Repeat imaging is how we check whether the wall is changing.

Inside Renew's driver workup: nutrition, genetics, and your team

Genetics and biomarkers. An AHA scientific statement on lipoprotein(a) (PMC9989949) reports that about 70% to 90% or more of the person-to-person variation in Lp(a) levels is genetically determined, and that Lp(a) remains a risk factor even when LDL cholesterol and apoB are lowered effectively. The same statement notes that various organizations have proposed obtaining a level once in every adult. Pricing lists the tests included in every membership: Advanced Inflammation Panel, Insulin Resistance Panel (with OGTT), Lipoprotein Panel (Lp(a), ApoB), Genetic Testing (ApoE, KIF6, 9p21), OralDNA Testing, Sleep Study, and Vitamin & Metabolic Panel. The comparison table lists a Root Cause Workup (OralDNA, Sleep, Genetics) 1x/year on every tier.

Oral pathogens. A joint consensus report of the European Federation of Periodontology and the World Heart Federation (PMC7027895) describes a significant body of evidence for independent associations between severe periodontitis and cardiovascular disease. That is association evidence.

Nutrition and sleep. The AHA's Life's Essential 8 advisory (PMC10503546) counts diet as one of its eight cardiovascular health metrics and added sleep health as a new one, alongside physical activity, nicotine exposure, body mass index, blood lipids, blood glucose, and blood pressure. Performance includes monthly nutritionist sessions. Executive includes unlimited nutritionist access. Performance and Executive add DEXA body composition scans and VO2 Max testing, so body composition is measured alongside the labs.

Who works the plan. The care team on How it works is a Physician, S&C Coach, Nutritionist, Dental Liaison, and Care Coordinator. On How it works, Month 2 is analysis: the physician builds a targeted protocol of medications, supplements, nutrition, and exercise based on your specific drivers.

The personalized health report

Cleveland Clinic's employer page says a written report is prepared by the physician with patient results and clear next steps (Cleveland Clinic Executive Health). National Jewish Health lists a personalized health report with actionable guidance for optimizing your health, and says a comprehensive medical report will be available within four to six weeks of your examination and finalized test results (National Jewish Health Executive Health).

The Executive Health Report

Performance lists "In-home phlebotomy + Executive Health Report" on Pricing, and the comparison table shows an "Annual Executive Health Report" row for Performance and Executive.

Cancer screening, concierge models, and provider credentials

Cancer screening. Korenstein and colleagues' 2019 JAMA research letter found that of 16 services included, 5 were for cancer screening (Korenstein et al., JAMA 2019). Cleveland Clinic's exam page says more targeted tests, depending on your care path, could include a mammogram, pelvic exam, pap smear or management of menopause symptoms (Cleveland Clinic exam).

Concierge care model. Mayo Clinic's Executive Health FAQ flyer says a medical concierge program is a membership program that provides members with ... provider access for an annual fee, and that Mayo is not a membership program (MC1927-43).

Provider credentials. Cleveland Clinic's exam page says that, depending on your specific needs, you might see board-certified physicians, audiologists, dietitians, exercise physiologists, and executive coaches (Cleveland Clinic exam). Renew Health's About page says its clinical approach is rooted in the BaleDoneen Method, and it lists a board-certified vascular neurologist and a Dental Liaison who is a BaleDoneen Method Preceptor on the team (About).

Mental health and wellness

The USPSTF recommends screening for depression in the adult population, including pregnant and postpartum persons, as well as older adults (USPSTF depression screening). The USPSTF recommends screening for anxiety in adults 64 years or younger, including pregnant and postpartum persons (USPSTF anxiety screening). The 2019 ACC/AHA prevention guideline says adults should be routinely assessed for psychosocial stressors and provided with appropriate counseling (Arnett et al., Circulation 2019). Cleveland Clinic's exam page says the appointment also includes executive coaching, a chance to talk to an expert about ways to feel more fulfilled, manage stress and find a better work-life balance (Cleveland Clinic exam). Ask which questionnaire the program uses and who follows up if you screen positive.

How often to screen, and what "annual" means

Exam-day programs often describe an annual return visit. Human Longevity, a separate cash-pay company, also recommends annual assessment days so results can be compared.

Annual is a calendar habit. It is not a proof interval for every marker. Some prevention services have their own intervals (for example, selected cancer screens). CIMT retest timing depends on the finding and the clinician. See CIMT test by age for how clinics time a first scan.

If you have sudden chest pain, one-sided weakness, speech change, or vision loss, that is emergency care. Screening blogs are the wrong next step.

Frequently asked questions

What is executive health screening?

A Cochrane review by Krogsbøll and colleagues defined health checks as screening for more than one disease or risk factor in more than one organ system (Krogsbøll et al., Cochrane 2019). The same review says general health checks aim to detect disease and risk factors for disease with the purpose of reducing morbidity and mortality (Krogsbøll et al., Cochrane 2019).

What does executive health screening include?

Cleveland Clinic's exam page says the tests might include a variety of blood tests, an electrocardiogram (EKG), a cardiac stress test, a calcium-score screening heart scan, spirometry, a chest X-ray or CT scan, vascular screening tests, and a bone density test (Cleveland Clinic exam).

Is screening the same as an executive physical?

Korenstein and colleagues' 2019 JAMA research letter describes executive physicals as 1- to 2-day comprehensive evaluations offering putative preventive testing and screening (Korenstein et al., JAMA 2019).

How is Renew's screening different from a Mayo or Cleveland day?

Cleveland Clinic's employer page says a thorough preventive exam is delivered in an efficient 6-to 8-hour, single-day experience (Cleveland Clinic Executive Health). Mayo Clinic's Executive Health FAQ flyer describes a career-long care relationship, centered around an annual visit (MC1927-43). Renew starts with arterial imaging and driver treatment, then continues all year.

How often should executives get screened?

Mayo Clinic's Executive Health FAQ flyer says most of its patients carve out time on their calendars for an annual appointment, and that executives without health issues or concerns may decide to come every-other-year (MC1927-43).

How do I start at Renew?

Renew Health's CIMT page says to pick a location near you and choose an available date, with no referral needed and no insurance required (CIMT).

Sources

NCBI Bookshelf: Screening (WHO definition summary)
WHO Europe: Screening programmes, a short guide
Evidence Brief: Annual Comprehensive Physical Examination (VA / NCBI Bookshelf)
USPSTF A and B Recommendations
Lipoprotein(a): A Genetically Determined, Causal, and Prevalent Risk Factor for ASCVD - AHA scientific statement (PMC)
Life's Essential 8 - AHA presidential advisory (PMC)
Periodontitis and cardiovascular diseases: Consensus report (PMC)
Korenstein et al., 2019
Krogsbøll et al., Cochrane 2019
Mayo Clinic Executive Health FAQ flyer, MC1927-43
About Renew Health
Cleveland Clinic exam
Atlantic Health Executive Health
USPSTF hypertension screening
USPSTF lung cancer screening
RadiologyInfo: Body CT
RadiologyInfo: Body MRI
RadiologyInfo: Calcium scoring
Arnett et al., Circulation 2019
Grundy et al., Circulation 2019
USPSTF statin use
USPSTF BRCA-related cancer
USPSTF healthy diet and physical activity counseling
USPSTF depression screening
USPSTF anxiety screening
Atrium Health Executive Physical
Mass General Brigham Executive Health
National Jewish Health Executive Health
Cleveland Clinic Executive Health for employers
Renew Health pricing
Mayo Clinic program page (exam-day itinerary)
Cleveland Clinic exam-day page
Renew Health membership program
Renew Health how it works
Renew Health CIMT

Author and medical review

Written by Andrew Le, MD. Andrew Le, MD reviews patient-facing guidance for Renew Health with a focus on preventive cardiology and functional medicine clarity.

Medically reviewed by Clinical Review Team.

Next step

If screening for you means seeing the arterial wall and treating drivers, start on executive health. Primary: Performance $999/mo. Secondary: Executive $5,000/mo. Or book CIMT.

Structured data

{
  "@context": "https://schema.org",
  "@type": "FAQPage",
  "mainEntity": [
    {
      "@type": "Question",
      "name": "What is executive health screening?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "A Cochrane review by Krogsbøll and colleagues defined health checks as screening for more than one disease or risk factor in more than one organ system (Krogsbøll et al., Cochrane 2019). The same review says general health checks aim to detect disease and risk factors for disease with the purpose of reducing morbidity and mortality (Krogsbøll et al., Cochrane 2019)."
      }
    },
    {
      "@type": "Question",
      "name": "What does executive health screening include?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Cleveland Clinic's exam page says the tests might include a variety of blood tests, an electrocardiogram (EKG), a cardiac stress test, a calcium-score screening heart scan, spirometry, a chest X-ray or CT scan, vascular screening tests, and a bone density test (Cleveland Clinic exam)."
      }
    },
    {
      "@type": "Question",
      "name": "Is screening the same as an executive physical?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Korenstein and colleagues' 2019 JAMA research letter describes executive physicals as 1- to 2-day comprehensive evaluations offering putative preventive testing and screening (Korenstein et al., JAMA 2019)."
      }
    },
    {
      "@type": "Question",
      "name": "How is Renew's screening different from a Mayo or Cleveland day?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Cleveland Clinic's employer page says a thorough preventive exam is delivered in an efficient 6-to 8-hour, single-day experience (Cleveland Clinic Executive Health). Mayo Clinic's Executive Health FAQ flyer describes a career-long care relationship, centered around an annual visit (MC1927-43). Renew starts with arterial imaging and driver treatment, then continues all year."
      }
    },
    {
      "@type": "Question",
      "name": "How often should executives get screened?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Mayo Clinic's Executive Health FAQ flyer says most of its patients carve out time on their calendars for an annual appointment, and that executives without health issues or concerns may decide to come every-other-year (MC1927-43)."
      }
    },
    {
      "@type": "Question",
      "name": "How do I start at Renew?",
      "acceptedAnswer": {
        "@type": "Answer",
        "text": "Renew Health's CIMT page says to pick a location near you and choose an available date, with no referral needed and no insurance required (CIMT)."
      }
    }
  ]
}

{
  "@context": "https://schema.org",
  "@type": "Article",
  "headline": "Executive Health Screening: Definition and Renew Path",
  "description": "Executive health screening looks for unrecognized disease before symptoms. See the definition, what the physical exam covers, and an arterial-first path.",
  "image": {
    "@type": "ImageObject",
    "contentUrl": "/images/blog/executive-health-screening/exec-arterial-screening.png",
    "name": "exec-arterial-screening",
    "caption": "Scientific figure of executive arterial screening with CIMT. Panel A: carotid ultrasound probe on the neck. Panel B: vessel wall layers labeled lumen (inside), intima, media, and adventitia (outermost); intima-media thickness bracket spans intima and media only and excludes adventitia. Panel C: optional plaque at the carotid bifurcation. Panel D: CIMT plus plaque findings and labs flow to clinician review, then a personalized prevention plan.",
    "creditText": "Created with BioRender.com (Industry)."
  },
  "author": {
    "@type": "Person",
    "name": "Andrew Le, MD",
    "description": "Andrew Le, MD reviews patient-facing guidance for Renew Health with a focus on preventive cardiology and functional medicine clarity."
  },
  "reviewedBy": {
    "@type": "Person",
    "name": "Clinical Review Team"
  },
  "datePublished": "2026-09-17",
  "mainEntityOfPage": "/evidence/executive-health-screening"
}

{
  "@context": "https://schema.org",
  "@type": "MedicalWebPage",
  "name": "Executive Health Screening: Definition and Renew Path",
  "description": "Executive health screening looks for unrecognized disease before symptoms. See the definition, what the physical exam covers, and an arterial-first path.",
  "medicalAudience": {
    "@type": "MedicalAudience",
    "audienceType": "Patients"
  },
  "reviewedBy": {
    "@type": "Person",
    "name": "Clinical Review Team"
  },
  "lastReviewed": "2026-09-17"
}