As a former Accenture Consultant I do have to point out we rarely used hourly billing. Fixed fees were preferred and I think it actually works better as it forces everyone to keep talking about scope. That being said, the worse part of Accenture was working with the offshore developers. The only way to move a project forward was hand holding these guys. I ended up working around the clock to catch our Hydrabaud team at the beginning of their day and at the end of thier day. Keeping in mind I was suppsedly dealing with the "manager". Was Accenture perfect? No. But based on what I've seen, projects were well run with componetent local staff, good managers and the client side was usually in shambles.