I'm not a network guy, but can someone explain how this is more significant than a multi-lateral peering agreement?
This service is also one that Cloudflare provides, except they don't charge for it. It sounds like what is happening here is that the cloud providers are egressing close to the end within their network directly to Cloudflare, who is then doing the more expensive work of transferring the data to close to the other end. This makes the traffic like intra-regional traffic for the cloud provider, which is often free or deeply discounted.
What Cloudflare et al are doing here is utilizing the peering connections that they have already in place and not billing at the usual egress rate when traffic routes over these peering connections.