What most people do not understand is that the US Health care system is a complex thing. Health care has connections with the Centers for Medicare and Medicaid, Department of Health and Human Services, State Medicaid Agencies, Private Insurance organizations, along with the professional licensure entities. This can be very convoluted; and then throw in the Office of Inspector General, Department of Justice, State Bureaus of Investigation. All of these services must attempt to work together at times. Of course staffing can also be an ongoing issue, especially with the growing fraud activity.
What do you attribute to the growth of fraud.