The document discusses tech-enabled managed services (TEMS) as an alternative to traditional outsourcing. TEMS aims to reduce costs for health systems while maintaining performance, employees, and culture. It achieves this through specialized partnering, alleviating financial pressures, and ensuring dependable performance using a combination of people, processes, technology, and data. TEMS rebadges existing employees and takes on open positions to prevent workforce reductions. It also maintains existing processes while implementing new technology. This model is said to create wins for Health Catalyst through new employees, the health system through reduced costs and governed performance, and employees through continued work and an improved experience.