Thanks for the keyword pointers. This is a bit outside my expertise: family on provider side, but I work more on the insurance side of the house.
In insurance, there seem to be some moves towards cracking monolithic systems into pieces for reasons of development agility. ACA limiting admin costs is a huge driver, as companies rightly identified lack of technical agility as a existential threat (no agility = no ability to update automated processing pipelines to changing requirements = manual processing = penalties for exceeding allowed admin costs).
Also, I think there's a generational shift at the executive level from "Buy and trust vendor" to "Own, develop, and operate."
not just ACA but general market pressure to lower admin/PMPM costs due to increased competition and providers beginning to taking risk on directly in insurance
In insurance, there seem to be some moves towards cracking monolithic systems into pieces for reasons of development agility. ACA limiting admin costs is a huge driver, as companies rightly identified lack of technical agility as a existential threat (no agility = no ability to update automated processing pipelines to changing requirements = manual processing = penalties for exceeding allowed admin costs).
Also, I think there's a generational shift at the executive level from "Buy and trust vendor" to "Own, develop, and operate."