CMS is working to ensure they have a good selection of vendors so as not to become reliant on only one or two. Data Center consolidation talk began a few years ago and in many areas the “cloud” is also coming in to play as it stands to help save energy as well.
In addition CMS has 21 contractors accepting medical records via esMD which uses the CONNECT gateway. BD
Government Has Same Over Bloated Software Issues as Health IT-Costing Millions-Lack of Collaboration Is Building a Bubble
Federal Government Data Center Consolidation Gets Under Way To Reduce Data Centers by 40% By 2015
The Centers for Medicare and Medicaid Services has awarded a handful of contracts to manage its data center operations that could add up to $15 billion within 10 years.
The contacts with Accenture Federal 
Services, HP Enterprise Services, IBM, Lockheed Martin and other vendors are part of what CMS calls a virtual data center operation. It’s aimed at keeping the agency’s data operations dispersed so it’s not overly reliant on a single vendor while still operating in a unified way.
The indefinite-delivery-indefinite-quantity contracts are for one year with nine option years.
The ceiling for the entire contract with all option years is $15 billion. CMS first began the solicitation process in August 2011.
http://www.nextgov.com/cloud-computing/2012/11/medicare-awards-15-billion-data-centers/59663/?oref=ng-HPtopstory
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