"Over the last year, the traditional [business processing outsourcing (BPO)] services rose only 13 percent, even as 7.2 million new members enrolled in ACA plans and millions more gained coverage through Medicaid managed care.... At the same time, contracting has nearly doubled for ... 'inventive and unchartered administrative services' -- analytics, new plan design, claims modernization and alternative payment services. This kind of spending by commercial insurers, government payers, ACOs and provider-sponsored plans is increasing the payer BPO market from estimated $5 billion in 2014 to an expected $8 billion in 2016[.]"