Doctors improve the quality of adopting new technologies in health care such as electronic medical records to help reduce errors and enhance communication, and are reluctant to expensive tests that might not be necessary.
Do these things to improve care increase their payments for their services like billing as many tests as possible did, if not more.
Some providers around the country have indeed implemented such a system, efforts to improve the quality of care and reduce costs of health care at the same time.
But researchers from the RAND Corporation, a nonprofit research organization, found that after a few years, such systems are not yet brought the result that everyone hoped.
RAND researchers reviewed seven health insurance plans from various California and over 0 physician groups in 6 years, reported Reuters .
The assessment of RAND? So far, no "substantial" gains.
"The true benefits of these programs may take longer to perform and it is likely that investments in other quality efforts will be needed in addition to compensation based on performance," said the principal investigator of the RAND policy, Cheryl Damberg.
separate studies by RAND found even pay-per-performance systems interfered with the doctor-patient relationships, has written the article.
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