--- title: "Case Study: Clinical Round Table | Intercare Insurance" description: Background A 49-year-old female is being treated for a five year injury. The injured worker had surgery on 4/10/2019. She is treated at various clinics and ... image: https://intercareins.com/hubfs/Website/sr-intercare/Images/three-person-looking-at-x-ray-result-1170979-1-1024x682.jpg --- # Case Study: Clinical Round Table 25 June 2020 By [Intercare Team](https://intercareins.com/resources/author/intercare-team) ![Case Study: Clinical Round Table](https://intercareins.com/hs-fs/hubfs/Website/sr-intercare/Images/three-person-looking-at-x-ray-result-1170979-1-1024x682.jpg?width=1200&height=820&name=three-person-looking-at-x-ray-result-1170979-1-1024x682.jpg) ### Background A 49-year-old female is being treated for a five year injury. The injured worker had surgery on 4/10/2019. She is treated at various clinics and sees different providers including her primary care physician and surgeon. Medications prescribed prior to roundtable discussion on May 28, 2019 include: ![casestudy-roundtable](https://intercareins.com/hs-fs/hubfs/Website/sr-intercare/Images/casestudy-roundtable.jpg?width=500&name=casestudy-roundtable.jpg) - Cyclobenzaprine 10 mg 2x day - Meloxicam 15 mg 1x day - Diclofenac 1% gel - Hydrocodone/Acetaminophen 5/325 #5/day - Ondansetron 8 mg #3/day - Tramadol 50 mg 5X day - Ketorolac 10 mg #4/day x 3 days - Gabapentin 100 mg 3x day - Duloxetine 60 mg 1x day Roundtable was scheduled to discuss the clinical escalation for polypharmacy (use of seven or more medications in 30 days); four different prescribers, duplication of therapy, treating for potential adverse drug reactions. ### Roundtable Observations Diclofenac gel/Meloxicam/ Ketorolac therapeutic overlap and should not be taken together. Ondansetron is prescribed, which is anti-nausea medication for cancer or post-surgical; also suspect possible GI upset from multiple NSAIDs. Tramadol dose exceeds the maximum; duplicate opioids with hydrocodone. The team referred the case for Pharmacy review and Peer-to-Peer with PCP and surgeon. ### Outcome The team was successful in reducing multiple prescribers to a single prescriber, and from nine medications down to three prescribed since November 2019 at lower dosages: ### Monthly medication costs went from $1,200 to $140 ![clip-art-red-arrow-down](https://intercareins.com/hs-fs/hubfs/Website/sr-intercare/Images/clip-art-red-arrow-down.png?width=80&name=clip-art-red-arrow-down.png) - Cyclobenzaprine 10 mg 1x day - Meloxicam 7.5 mg 1x day - Diclofenac gel 1% 100 gm/25 days ### About Intercare Intercare provides best-in-class Workers' Compensation and Liability claims administration, Managed Care Services and Risk Management Solutions to control its clients’ risk exposure and cost. To learn more, contact us at [info@intercareins.com](mailto:info@intercareins.com) ###### Explore Topics - [Liability](https://intercareins.com/resources/tag/liability) - [Workers' Comp](https://intercareins.com/resources/tag/workers-comp) - [Managed Care](https://intercareins.com/resources/tag/managed-care) - [Case Study](https://intercareins.com/resources/tag/case-study) ###### Recent Articles - [Intercare Awarded US Captive Review’s “Claims Handler of the Year”](https://intercareins.com/resources/intercare-awarded-us-captive-reviews-claims-handler-of-the-year) - [Plaintiff Attorneys Hunting for Social Media Posts Made by ED Staff, Expert Witnesses](https://intercareins.com/resources/plaintiff-attorneys-hunting-for-social-media-posts-made-by-ed-staff-expert-witnesses) - [Advanced Practice Providers See More Complex Patients, Sued More Often](https://intercareins.com/resources/advanced-practice-providers-see-more-complex-patients-sued-more-often) - [Emergency Medicine Residency Programs Devote Little Time to Malpractice Education](https://intercareins.com/resources/emergency-medicine-residency-programs-devote-little-time-to-malpractice-education) - [Can Communication and Resolution Programs Prevent ED Malpractice Lawsuits?](https://intercareins.com/resources/can-communication-and-resolution-programs-prevent-ed-malpractice-lawsuits) ###### Let Others Know [mailto:?subject=Case%20Study:%20Clinical%20Round%20Table&body=https://intercareins.com/resources/case-study-clinical-round-table](mailto:?subject=Case%20Study:%20Clinical%20Round%20Table&body=https://intercareins.com/resources/case-study-clinical-round-table) ## The latest from Intercare [View More](https://intercareins.com/resources) [![](https://intercareins.com/hs-fs/hubfs/Imported_Blog_Media/award-statue.jpg?width=500&height=500&name=award-statue.jpg) ](https://intercareins.com/resources/intercare-awarded-us-captive-reviews-claims-handler-of-the-year) [Liability](https://intercareins.com/resources/tag/liability) 5 November 2021 [Intercare Team](https://intercareins.com/resources/author/intercare-team) [Intercare Awarded US Captive Review’s “Claims Handler of the Year” ](https://intercareins.com/resources/intercare-awarded-us-captive-reviews-claims-handler-of-the-year) [![](https://intercareins.com/hs-fs/hubfs/Imported_Blog_Media/nofacebook.jpg?width=500&height=500&name=nofacebook.jpg) ](https://intercareins.com/resources/plaintiff-attorneys-hunting-for-social-media-posts-made-by-ed-staff-expert-witnesses) [Liability](https://intercareins.com/resources/tag/liability) 14 February 2021 [Intercare Team](https://intercareins.com/resources/author/intercare-team) [Plaintiff Attorneys Hunting for Social Media Posts Made by ED Staff, Expert Witnesses ](https://intercareins.com/resources/plaintiff-attorneys-hunting-for-social-media-posts-made-by-ed-staff-expert-witnesses) [![](https://intercareins.com/hs-fs/hubfs/Imported_Blog_Media/pexels-cedric-fauntleroy-4270365-scaled-e1613159832330.jpg?width=500&height=500&name=pexels-cedric-fauntleroy-4270365-scaled-e1613159832330.jpg) ](https://intercareins.com/resources/advanced-practice-providers-see-more-complex-patients-sued-more-often) [Liability](https://intercareins.com/resources/tag/liability) 12 February 2021 [Intercare Team](https://intercareins.com/resources/author/intercare-team) [Advanced Practice Providers See More Complex Patients, Sued More Often ](https://intercareins.com/resources/advanced-practice-providers-see-more-complex-patients-sued-more-often) Federal Transparency in CoverageNote – The following link leads to the machine-readable files (MRFs) that are made available in response to the Federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data. - UHC – [https://transparency-in-coverage.uhc.com/](https://transparency-in-coverage.uhc.com/) - Kaiser – [https://healthy.kaiserpermanente.org/front-door/machine-readable](https://healthy.kaiserpermanente.org/front-door/machine-readable) ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Intercare Team", "url" : "https://intercareins.com/resources/author/intercare-team" }, "dateModified" : "2025-08-29T06:24:27.442Z", "datePublished" : "2020-06-25T07:30:00.000Z", "headline" : "Case Study: Clinical Round Table | Intercare Insurance", "image" : [ "https://intercareins.com/hubfs/Website/sr-intercare/Images/three-person-looking-at-x-ray-result-1170979-1-1024x682.jpg" ], "mainEntityOfPage" : { "@id" : "https://intercareins.com/resources/case-study-clinical-round-table", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://intercareins.com/hubfs/Website/sr-intercare/Images/intercare_new.png" }, "name" : "AvonRisk" } } ```