Interesting read on a very old (1950s) Medicaid system that the State of NC is struggling to modernize. The new language for the modern system is COBOL. This is causing some 'heads to turn':
State of NC modernization to COBOL
Recently I have had conversation with a number of people that are selling and implementing 'cloud' solutions. I put cloud in quotes as implementations like co-location (aka co-lo) and managed services (sometimes referred to as 'your mess for less') have become popular options for companies moving to the cloud. These are obviously not pure public cloud offerings and probably more of hybrid cloud implementations as the infrastructure (PasS and IaaS)is dedicated to a specific customer. This eliminates the security, multi-tenancy, performance and other concerns that companies have regarding public cloud.
Are co-location and managed services cloud to you? Are they something your company is considering when you think about cloud ?