Actually this setup uses Plack, a framework whose first version was released in 2009.
A lot of our CI/CD is designed around mod_perl, and in-place updates. We run NewRelic configured to monitor Apache, which stops us from having to roll our own NewRelic connection through a CPAN module that we'd have to audit. In general for our needs, I actually believe mod_perl is superior to (F)CGI or a PSGI server reverse proxy.