SACRAMENTO, Calif; June 27, 2012 – Accenture (NYSE: ACN) has been selected by the State of California, following a competitive bid process, to implement a statewide health insurance exchange, the California Healthcare Enrollment, Eligibility and Retention System (CalHEERS). The contract award overall was valued at $359 million, comprised of $183 million for initial development and implementation (to be completed by October 2013) and $176 million for continued development and operating costs over approximately three and a half years following the implementation.
http://newsroom.accenture.com/news/a...e-exchange.htm
And as it turns out these companies have apparently contracted out most of the work to other cheap labor countries.