Converting to electronic health records has not yet led to savings in health care costs, according to a study by the RAND Corporation and reported by The New York Times. The study also shows mixed results for improvements in efficiency and patient care. In 2005, RAND predicted that widespread use of electronic records would save U.S. health care at least $81 billion a year. Reasons offered by RAND for the lack of savings so far include: the current systems are hard to use; the rate of adoption has been slow; and the systems are increasing billing instead of improving care or saving money.

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