reuse of Medicaid technologies
See the following -
CMS To Invest $5+ Billion a Year in Open Source and Cloud-based IT Infrastructure for Medicaid
By Roger A. Maduro | August 18, 2016
After more than 40 years of relying on monolithic mainframe platforms to administer its services, the Centers for Medicare & Medicaid Services (CMS) has embraced a new modular, open and agile approach to Medicaid health information technology for the Federal government and States. In many ways, this is the best of what open source advocates and technology innovators could have hoped for when it comes to open source policy from a government agency. According to Andrew Slavitt, Acting Administrator of CMS, the agency will spend more than $5 billion a year to fund this transformation.