LLHLS is darn good, but it's not as good as WebRTC-powered technologies have shown from a latency perspective. Whether that's required for particular use cases is really pertinent to the case. For non-interactive feeds, it's not really a value add.
That said, the biggest quality improvements MoQ has are how it recovers from a poor connection issue, which happens frequently even on the best of consumer networks and Internet connections, let alone on poorer quality WiFi and cellular networks.
Agree on no segments. WebRTC CDNs are built differently because of this. Your infrastructure looks like a tree, the nodes at the edges are what viewers connect too. One design is [1], but you can have others.
[0] https://blog.livekit.io/an-introduction-to-webrtc-simulcast-...
[1] https://blog.livekit.io/scaling-webrtc-with-distributed-mesh...