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
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Asthma care
Global Initiative for Asthma’s Global Strategy for Asthma Management and Prevention —Updated October 2018 ginasthma.org/wp-content/uploads/2018/04/wms-GINA-2018-report-V1.3-002.pdf
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Atherosclerotic cardiovascular disease
2011 Update; Sidney C. Smith, Emelia J. Benjamin, Robert O. Bonow, Lynne T. Braun, Mark A. Creager, Barry A. Franklin, Raymond J. Gibbons, Scott M. Grundy, Loren F. Hiratzka, Daniel W. Jones, Donald M. Lloyd-Jones, Margo Minissian, Lori Mosca, Eric D. Peterson, Ralph L. Sacco, John Spertus, James H. Stein, Kathryn A. Taubert
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Breast cancer screening
U.S. Preventive Services Task Force (January 2016)
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Childhood immunizations
Centers for Disease Control and Prevention
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Cholesterol treatment
2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
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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), 2019 Report
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Depression
Institute for Clinical Systems Improvement (ICSI): Depression, Adult in Primary Care (March 2016)
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Diabetes
American Diabetes Association, Executive Summary: Standards of Medical Care in Diabetes – 2014
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Heart failure
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure; A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America; Clyde W. Yancy, Mariell Jessup, Biykem Bozkurt, Javed Butler, Donald E. Casey Jr., Monica M. Colvin, Mark H. Drazner, Gerasimos S. Filippatos, Gregg C. Fonarow, Michael M. Givertz, Steven M. Hollenberg, JoAnn Lindenfeld, Frederick A. Masoudi, Patrick E. McBride, Pamela N. Peterson, Lynne Warner Stevenson and Cheryl Westlake
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Heart risk calculator
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Hypertension
2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA 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. Paul K. Whelton, Robert M. Carey, Wilbert S. Aronow, Donald E. Casey Jr., Karen J. Collins, Cheryl Dennison Himmelfarb, Sondra M. DePalma, Samuel Gidding, Kenneth A. Jamerson, Daniel W. Jones, Eric J. MacLaughlin, Paul Muntner, Bruce Ovbiagele, Sidney C. Smith Jr., Crystal C. Spencer, Randall S. Stafford, Sandra J. Taler, Randal J. Thomas, Kim A. Williams Sr., Jeff D. Williamson and Jackson T. Wright Jr.
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Kidney disease
National Kidney Foundation Guidelines and Commentaries – Evidence-based clinical practice guidelines for all stages of chronic kidney disease
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Obesity screening in adults
Weight Loss to Prevent Obesity-Related Morbidity and Mortality in Adults: Behavioral Interventions, September 2018
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Obesity screening in children
Obesity in Children and Adolescents — Screening: U.S. Preventive Services Task Force (USPSTF) June 2017
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Preventive care
Guide to Clinical Preventive Services, 2014
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Valvular heart disease
2014 AHA (American Heart Association)/ACC (American College of Cardiology) Guideline for the Management of Patients With Valvular Heart Disease: Executive Summary; A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
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Well-woman routine care
ACOG (The American College of Obstetricians and Gynecologists)
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Additional preventive care guidelines from specialty organizations
Atrial fibrillation guidelines
2014 AHA /ACC/HRS (American Heart Association/American College of Cardiology/Heart Rhythm Society) Guideline for the Management of Patients With Atrial Fibrillation
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Clinical toolkit – atrial fibrillation
The Cardiosource® site produced by the American College of Cardiology Foundation
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Colorectal cancer screening guidelines
American Cancer Society guidelines for colorectal cancer early detection Updated 2018
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Primary prevention of cardiovascular disease and stroke
ACC (American College of Cardiology)/AHA (American Heart Association) Prevention Guideline: 2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk – A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines
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Smoking cessation
Treating Tobacco Use and Dependence: 2008 Update – Clinical Practice Guideline
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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.