Background: High health care costs and poor outcomes are associated with high hospitalization rates and are concentrated in a small fraction of the population. Fragmented patient care and socioeconomic disadvantage may further increase hospitalization rates. To defragment medical care for a socioeconomically diverse population of Medicare patients at increased risk of hospitalization, the University of [...]

Case Presentation: A 35-year-old male with a history of SPINK-1-associated hereditary pancreatitis presented to the emergency department with hematemesis. Hemoglobin (Hgb) of 11.2 g/dL (Baseline Hgb 15g/dl), and a lipase of 51 U/L were noted on admission. The patient was started on intravenous (IV) pantoprazole and esophagogastroduodenoscopy (EGD) was performed revealing a 3cm polypoid lesion [...]