The only change right now is that NASA is no longer the only party designing missions, because entities such as SpaceX have enough integrated expertise to run their own show start to finish.
It's also the most successful space program in the world, so what's the benchmark we're comparing it to? The failings of the US space program had relatively little to do with private contractors, and a lot to do with politics and the voting public not liking risk.
Boeing has already openly stated that they won't bid on fixed price contracts anymore, and lately we have all sorts of other damning information like how repairs for the ground support systems for SLS are running so late they might cause Artemis 2 to be delayed further, while SpaceX effectively nuked their launch pad last year and was ready to fly, with upgrades, just 6 months later.