The Eight Focus Areas.

Core to every Kosmos membership.

The eight focus areas are the backbone of proactive care at Kosmos. They shape how every member’s health is managed, regardless of membership program. Standard annual physicals were designed for sick care, catching disease after it arrives. Our focus areas are built for something different: finding problems before they surface, and building a precise picture of your health trajectory so you can act early.

Optimal Care members receive the full suite of advanced preventive testing and diagnostics across all eight areas. Premium Care members can add these diagnostics a la carte. Either way, the diagnostics are not billed to insurance or Medicare, your physician reviews every result personally, and everything is synthesized into a written plan tailored to your goals.

The eight focus areas

Health, organized.

Focus area 01

Kosmos Mindset

Cognitive and mental health, relationships, stress management, and sleep are inseparable from physical health. Your physician integrates them into your plan.

  • Cognitive and mental health screening
  • Sleep, stress, and relationship review
  • Lifestyle and behavior coaching
Focus area 02

Metabolic health

How well your body uses fuel sets the trajectory for chronic disease, energy, and longevity.

  • Continuous glucose monitoring, two weeks twice yearly
  • DEXA total body composition scan
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Focus area 03

Cardiopulmonary fitness

Aerobic capacity is one of the strongest predictors of long-term health and longevity. Building and maintaining it is the goal.

  • VO2 Max testing, twice yearly
Focus area 04

Strength, mobility, and balance

Falls and frailty drive most preventable decline after 65. The earlier we measure and intervene, the better the trajectory.

  • 1:1 movement assessment with a personal trainer
  • Grip strength testing
  • DEXA total body composition scan
  • Initial musculoskeletal evaluation with a physical therapist
Focus area 05

Women’s and men’s health

Sex hormones shape energy, sleep, mood, and long-term health. Screening and supplementation are individualized.

  • Women: perimenopause focus, sex hormone screening and supplementation as indicated
  • Men: sex hormone screening and supplementation as indicated
Focus area 06

Advanced cardiovascular screening

Cardiac risk is identifiable decades before symptoms. AI-assisted analysis turns subclinical signals into actionable risk.

  • Advanced lipids and inflammatory markers: Lp(a), ApoB, hsCRP, ESR
  • Coronary CT angiography (CCTA) with AI analysis
  • Routine screenings as indicated: abdominal aortic aneurysm, carotid artery stenosis
Focus area 07

Genetics

Understanding how your DNA influences your health and disease risk lets us personalize prevention years earlier.

  • Genetic testing, every three years
Focus area 08

Advanced cancer screening

A coordinated annual program designed to catch cancer years before conventional screening would.

  • Multi-cancer early detection blood test
  • Whole-body MRI, annually
  • Routine cancer screenings by sex and age, as indicated
  • For consideration: annual full-body skin exam with a dermatologist

Who reviews your results

Every result is reviewed with you personally by your Kosmos physician, not delegated to a portal message. When a finding warrants specialist input, your physician coordinates that consultation directly and stays involved. The deliverable is a single personalized plan you can act on, updated as your numbers change.

Learn what your numbers mean.

Book a 30-minute call to talk through which focus areas matter most for your history and goals.