Clinical practice guidelines

Guidelines adopted by Humana

Clinical practice guidelines are resources* for Humana-contracted physicians and other Humana-contracted healthcare professionals. Humana has adopted the following guidelines:

Adult immunizations
Centers for Disease Control and Prevention (CDC)
Recommended immunization schedule for adults aged 19 years or older, United States 2020, opens new window

Asthma care
Global Initiative for Asthma (GINA)
2020 GINA Report: Global Strategy for Asthma Management and Prevention , opens new window

Atherosclerotic cardiovascular disease
American Heart Association (AHA) and the American College of Cardiology Foundation (ACC)
AHA/ACCF Secondary Prevention and Risk Reduction Therapy for Patients with Coronary and Other Atherosclerotic Vascular Disease: 2011 Update, opens new window

Atrial fibrillation guidelines
AHA/ACC/Heart Rhythm Society (HRS)
2019 Focused Update of the 2014 Guideline for Management of Patients with Atrial Fibrillation , opens new window

Back Pain (New for 2020)
Institute for Clinical Systems Improvement
Health Care Guideline: Adult Acute and Subacute Low Back Pain 16th Edition (March 2018), opens new window

Breast cancer screening
U.S. Preventive Services Task Force (January 2016)
Breast cancer: Screening, opens new window

Childhood immunizations
Centers for Disease Control and Prevention
Recommended immunization schedule for children and adolescents aged 18 years or younger, United States, 2020, opens new window

Cholesterol treatment
2018 AHA/ACC/American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR)/ American Academy of Physician Assistants (AAPA) /Association of Black Cardiologists (ABC) /American College of Preventive Medicine (ACPM) / American Diabetes Association (ADA) / American Geriatric Society (AGS) / American Pharmacist Association (AphA) / American Society of Preventive Cardiology (ASPC) / National Lipid Association (NLA) / Preventive Cardiovascular Nurses Association (PCNA)
Cholesterol Clinical Practice Guidelines 2018 Guideline on the Management of Blood Cholesterol, opens new window

Chronic obstructive pulmonary disease (COPD)
Global Initiative for Chronic Obstructive Lung Disease (GOLD)
Global Strategy for The Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease (COPD), 2020 Update, opens new window

Colorectal Cancer Screening Guideline
American Cancer Society
Guideline for Colorectal Cancer Screening , opens new window

Covid-19 (New August 2020)
National Institute for Health Covid-19 Treatment Guidelines (The NIH is constantly updating this guideline as additional information is obtained in managing Covid-19)
Guideline for the Management of Covid-19, opens new window

Depression
Institute for Clinical Systems Improvement (ICSI): Depression, Adult in Primary Care (March 2016)
Depression, Adult in Primary Care, 17th edition (March 2016), opens new window

Diabetes
American Diabetes Association
Standards of Medical Care in Diabetes – 2020, opens new window

Heart failure
2017 ACC/AHA/Heart Failure Society of America (HFSA) Task Force on Clinical Guidelines
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure, opens new window

Heart risk calculator
American College of Cardiology Foundation
Heart risk calculator, opens new window

Hypertension
ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA
2017 Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults. A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines., opens new window

Kidney disease
National Kidney Foundation
Guidelines and Commentaries, opens new window – Evidence-based clinical practice guidelines for all stages of chronic kidney disease

Obesity screening in adults
U.S. Preventive Services Task Force
Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions, September 2018, opens new window

Obesity screening in children
U.S. Preventive Services Task Force (USPSTF)
Obesity in Children and Adolescents – Screening, opens new window, June 2017

Opioid Guidelines (new for 2020)
ICSI
Pain: Assessment, Non-Opioid Treatment Approaches and Opioid Management 8th Edition, August 2017: Version 2 , opens new window

Health and Human Services (HHS)
HSS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics, opens new window

Perinatal guidelines
A compilation of pediatric guidelines in an eBook resulting from a joint effort by The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics (AAP)
(AAP 2017 eBook collection) Guidelines for Perinatal Care, 8th edition (e-book collection) , opens new window

Preventive care
U.S. Preventive Services Task Force
Electronic Preventive Services Selector (ePSS) (includes ‘BRCA1/2-Related Cancer, Risk Assessment, Genetic Counseling, and Genetic Testing, 2019’), opens new window

Primary Prevention of Cardiovascular Disease and Stroke
ACC/AHA Task Force on Clinical Practice Guidelines
2019 Guideline on the Primary Prevention of Cardiovascular Disease Guideline Made Simple, opens new window

Sickle Cell Anemia (new for 2020)
National Institute for Health (NIH)
Evidence-Based Management of Sickle Cell Disease: Expert Panel Report 2014 , opens new window

Smoking Cessation
Agency for Healthcare Research and Quality
Treating Tobacco Use and Dependence: 2008 Update—Clinical Practice Guideline, opens new window

Valvular heart disease
AHA/ACC Task Force on Clinical Practice Guidelines
2017 Focused Update of the 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease , opens new window

Well-woman routine care
The American College of Obstetricians and Gynecologists (ACOG)
Recommendations for Well-Woman Care , opens new window

Humana periodically monitors compliance with nationally recognized clinical practice guidelines.

*Humana publishes medical guidelines from a number of well-respected national sources. These guidelines may have some differences in recommendations. Information contained in the guidelines is not a substitute for a physician’s or other healthcare professional's clinical judgment and is not always applicable to an individual. Therefore, the physician or healthcare professional and patient should work in partnership in the decision-making process regarding the patient's treatment. Furthermore, using this information will not guarantee a specific outcome for each patient. None of the information in the guidelines is intended to interfere with or prohibit clinical decisions made by a treating physician or other healthcare professional regarding medically available treatment options for patients.

Publication of these guidelines is not a promise or guarantee of coverage. Individuals should review their coverage to determine benefits.

Links to other websites are provided for your convenience only and do not constitute or imply endorsement by Humana of these sites, products or services described on these sites, or of any other material contained therein. Humana disclaims responsibility for their content and accuracy.