Clinical practice guidelines

Clinical practice guidelines are resources* for Humana-contracted physicians. Humana has adopted the following guidelines.

Adult immunizations – recommended immunization schedule for adults aged 19 years and older

Advisory Committee on Immunization Practices (ACIP) Recommended Immunization Schedule for Adults Aged 19 Years and Older — United States, 2014

Asthma care

Global Initiative for Asthma Pocket Guide for Asthma Management and Prevention (updated December 2014)

Atherosclerotic cardiovascular disease

AHA (American Heart Association)/ACCF (American College of Cardiology Foundation)- Secondary Prevention and Risk Reduction Therapy for Patients With Coronary and Other Atherosclerotic Vascular Disease: 2011 Update; Sidney C. Smith, MD, FAHA, FACC; Emelia J. Benjamin, MD, ScM, FAHA, FACC; Robert O. Bonow, MD, FAHA, FACC; Lynne T. Braun, PhD, ANP, FAHA; Mark A. Creager, MD, FAHA, FACC; Barry A. Franklin, PhD, FAHA; Raymond J. Gibbons, MD, FAHA, FACC; Scott M. Grundy, MD, PhD, FAHA; Loren F. Hiratzka, MD, FAHA, FACC; Daniel W. Jones, MD, FAHA; Donald M. Lloyd-Jones, MD, ScM, FAHA, FACC; Margo Minissian, ACNP, AACC, FAHA; Lori Mosca, MD, PhD, MPH, FAHA; Eric D. Peterson, MD, MPH, FAHA, FACC; Ralph L. Sacco, MD, MS, FAHA; John Spertus, MD, MPH, FAHA, FACC; James H. Stein, MD, FAHA, FACC; Kathryn A. Taubert, PhD, FAHA

Copyright notice:

Childhood immunizations

Recommended immunization schedules for persons aged 0 through 18 years (2014)

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

Chronic obstructive pulmonary disease (COPD)

Global Initiative for Chronic Obstructive Lung Disease (GOLD)'s Global Strategy for Diagnosis, Management and Prevention of Chronic Obstructive Pulmonary Disease (COPD), January 2014


American Diabetes Association (ADA), Executive Summary: Standards of Medical Care in Diabetes – January 2014

Heart failure

2013 ACCF (American College of Cardiology Foundation)/AHA (American Heart Association) Guideline for the Management of Heart Failure: Executive Summary; Clyde W. Yancy, MD, MSc, FACC, FAHA; Mariell Jessup, MD, FACC, FAHA; Biykem Bozkurt, MD, PhD, FACC, FAHA; Javed Butler, MBBS, FACC, FAHA; Donald E. Casey, MD, MPH, MBA, FACP, FAHA; Mark H. Drazner, MD, MSc, FACC, FAHA; Gregg C. Fonarow, MD, FACC, FAHA; Stephen A. Geraci, MD, FACC, FAHA, FCCP; Tamara Horwich, MD, FACC; James L. Januzzi, MD, FACC; Maryl R. Johnson, MD, FACC, FAHA; Edward K. Kasper, MD, FACC, FAHA; Wayne C. Levy, MD, FACC; Frederick A. Masoudi, MD, MSPH, FACC, FAHA; Patrick E. McBride, MD, MPH, FACC; John J.V. McMurray, MD, FACC; Judith E. Mitchell, MD, FACC, FAHA; Pamela N. Peterson, MD, MSPH, FACC, FAHA; Barbara Riegel, DNSc, RN, FAHA; Flora Sam, MD, FACC, FAHA; Lynne W. Stevenson, MD, FACC; W. H. Wilson Tang, MD, FACC; Emily J. Tsai, MD, FACC; Bruce L. Wilkoff, MD, FACC, FHRS

Copyright notice:


2014 Evidence-Based Guideline for the Management of High Blood Pressure in Adults: Report From the Panel Members Appointed to the Eighth Joint National Committee (JNC 8)

Kidney disease

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

Medical records documentation guidelines

Humana has adopted guidelines based on federal and state medical record documentation requirements.

Obesity screening in adults

Screening for Obesity in Adults; U.S. Preventive Services Task Force (USPSTF) – November 2003

Obesity screening in children

Screening for Obesity in Children and Adolescents: U.S. Preventive Services Task Force (USPSTF) January 2010

Preventive care

USPSTF (U.S. Preventive Services Task Force) recommendations

Valvular heart disease

AHA/ACC Guideline: 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

Additional preventive care guidelines from specialty organizations

Atrial fibrillation guidelines

2011 ACCF (American College of Cardiology Foundation)/AHA (American Heart Association)/HRS (Heart Rhythm Society) Focused Update on the Management of Patients With Atrial Fibrillation (Updating the 2006 Guideline)

Cancer screening guidelines (all types)

American Cancer Society Guidelines for the Early Detection of Cancer

Clinical toolkit – atrial fibrillation

The Cardiosource® site produced by the American College of Cardiology Foundation

Colorectal cancer screening guidelines

American Cancer Society guidelines for colorectal cancer early detection

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

Smoking cessation

Treating Tobacco Use and Dependence: 2008 Update — Clinical Practice Guideline

Humana periodically monitors compliance with nationally recognized clinical practice guidelines.