NEW ORLEANS—“Currently, our payments in the U.S. are incredibly siloed, even though our patients aren’t in siloes, as they move from hospitals to outpatient facilities to nursing homes to home health. Therefore, we need to re-orient the payment to match the patient cycle,” said Craig D. Schneider, PhD, in a March 6 session at the Health Information and Management Systems Society (HIMSS) annual convention. The IMPACT program in Massachusetts has attempted just that.