We've created so much regulation that no one person can know it all - not the legislators, not the agents/bureaucrats, not the judges, and certainly not the workers or patients who would be most affected by them.

It's an interesting question but probably covered by an NDA. I wouldn't be surprised if a lot of their enterprise software is bespoke, however.

And what sucks about this entire situation is even if you today fixed healthcare, because you havent fixed regulatory capture it will end up screwed up in some other direction as soon as the grifters finish planning out their graft and ringing personal phone numbers in washington DC and state capitols. Fixing regulatory capture is therefore required to solve the big problems we have, like climate change, housing, and healthcare, otherwise no fix will ever be long term and meaningful. The incentive structures with regulatory capture favor personal profit over public good every time.