I refer to the technical constraints of the on-promises model which affects the modernization of the healthcare sector in the DACH regions. There is a need for integrating with SaaS products for several use cases or having AI features. Both things are not easily possible will a fully isolated setup. Therefore, I have experienced that IT departments are becoming more open to adopting Saas solutions compared to a few years ago, where it was not rare for a solution to be immediately rejected because it was using a hyperscaler.