We’ve been talking for a while about the impact Artificial Intelligence (AI) is having—not in the future, not months from now, but right now. Our focus continues to be Healthcare, particularly Consumer-Driven Health Data. But let’s be clear: this transformation is bigger than any one industry. As we’ve highlighted in earlier posts, it’s the white-collar and professional jobs that are most at risk.
And let me just say: until robots can cut my grass, paint my house, clean my pool, or fix my old truck—and yes, they will one day—those jobs are safe. But the office? That’s already under siege.
A Note on Venrock
I recently came across an article from the venture capital and private equity firm Venrock, founded in 1969 (I was in elementary school at the time). Venrock manages about $500 million in assets, has launched 10 funds, and invested in over 400 companies, including 14 unicorns, 73 IPOs, and hundreds of acquisitions. I became familiar with them while helping manage a $400M university endowment for 22 years—and as a healthcare entrepreneur, I’ve followed their investments, including those of my competitors, very closely.
I mention Venrock to underscore the seriousness of this moment. Their recent article, “The Great Legacy Extinction: AI’s $20T Takeover of Professional Services,” cuts to the core of what’s happening: professional services are undergoing massive disruption.
AI and the $20 Trillion Disruption of Professional Services
AI is not a future threat—it’s a present reality. And nowhere is that clearer than in professional services: law, consulting, accounting, marketing, medicine, and more. Venrock’s article argues, convincingly, that this $20 trillion global industry is about to be upended.
Professional services were long considered immune to automation. After all, they rely on years of specialized training and human judgment. But AI-native platforms are changing the rules. They’re not just faster and cheaper—they’re often better. The opportunity is clear: early adopters can use AI to cut costs, improve accessibility, and offer more predictable results.
What About Higher Education?
Having supported education for over 25 years, I have to ask: how will universities respond to this shift? Many of the high-revenue programs in higher ed—CPAs, law, engineering, architecture, medicine—are directly in AI’s crosshairs. In a previous blog, we celebrated the University of South Florida’s major leap forward with the new Bellini College of Artificial Intelligence, Cybersecurity and Computing. We’ll need more moves like that, and fast.
A Tectonic Shift in Value Creation
Traditionally, professional services relied on three things: specialized knowledge, trusted relationships, and custom service. But this model is expensive, inefficient, and opaque. Hourly billing rewards complexity, not results. Quality varies wildly depending on the individual.
AI changes the game. With Large Language Models (LLMs) and automation, AI-native companies can instantly scale expertise, deliver real-time responses, and produce high-quality outcomes—at a fraction of the cost.
Picture this:
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Legal contracts reviewed in minutes
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Marketing campaigns built overnight
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Radiology or pathology results analyzed with medical-grade accuracy
In fact, after a decade in radiology, I’d trust top AI tools to review my imaging, pathology, or genetics results over most doctors. For diagnosis and treatment? Not yet—humans are still too complex. But when AGI arrives, that may change too.
The End of Legacy Firms?
As we’ve discussed in previous blogs, even major firms like PwC are reacting—downsizing, pivoting. The reality is stark: legacy firms that stick to the old model are in danger of going the way of print media.
Junior roles are being automated. Clients are testing AI-first services. Fewer students are entering professional tracks. This is not just productivity enhancement—it’s category elimination. Entry-level law associates, junior consultants—many of these roles will disappear.
Legacy firms must radically reinvent themselves, launching AI-driven services, rethinking their value models, and embedding AI into their core.
The Rise of AI-Native Challengers
Venrock highlights the emergence of AI-native companies—not firms adding AI as a tool, but businesses built around AI from day one. These companies use subscription pricing, 24/7 digital service, and outcome-based guarantees.
Think:
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TurboTax for taxes
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LegalZoom for law
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WebMD (or our own HealthScoreAI™) for personalized health triage
These platforms are cheaper (up to 90% less), more accessible (no appointments necessary), and more consistent (fewer human errors). Over time, they’ll train on richer data and eventually surpass most human professionals in performance.
Predictability and Transparency
One of AI’s biggest wins is predictability. Services once based on intuition can now be modeled and tracked with data. This is a game-changer.
Imagine:
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Knowing the likely cost and outcome of a legal case before filing
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Choosing a healthcare path based on probabilistic success rates
With AI, these things are no longer science fiction—they’re here.
Who Will Win?
Winners will be those who embrace AI early, integrate it deeply, and reimagine how they deliver value. This includes professionals and institutions alike. Everyone—from healthcare providers to universities—must adapt.
Legacy firms that experiment with AI-based offerings, build hybrid teams, or partner with AI startups may survive. But most will struggle unless they move quickly and decisively.
Let’s be clear: AI is not just changing how professional services are delivered—it’s redefining what it means to be a professional.
The Future of Consumer Healthcare
This brings us back to healthcare, and the consumer’s role in it. AI isn’t just reshaping services—it’s empowering patients.
Our vision is clear: consumers should control their health data, and AI should help them make sense of it. That’s why we’re building the Universal Health Record (UHR™)—a central platform for a patient’s full electronic health record, powered by carefully curated AI (not generic LLMs).
This system will:
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Help consumers understand their health conditions
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Improve communication with care providers
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Surface relevant clinical trials
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Empower patients to challenge denied treatments or coverage
In an increasingly complex—and sometimes hostile—healthcare environment, our mission is simple: empower the consumer and advance the science of care.
This isn’t hype. It’s happening NOW.
The $20 trillion disruption has begun. The winners? Those who move first.
Let’s move.
About HealthScoreAI ™
Healthcare is at a tipping point, and HealthScoreAI is positioning to revolutionize the industry by giving consumers control over their health data and unlocking its immense value. U.S. healthcare annual spending has exceeded $5 trillion with little improvement in outcomes. Despite advances, technology has failed to reduce costs or improve care. Meanwhile, 3,000 exabytes of consumer health data remain trapped in fragmented USA systems of 500 EHRs, leaving consumers and doctors without a complete picture of care.
HealthScoreAI seeks to provide a unique solution, acting as a data surrogate for consumers and offering an unbiased holistic view of their health. Giving Consumers tools to respond to denial of care by insurers, we aim to bridge gaps in healthcare access and outcomes. By monetizing de-identified data, HealthScoreAI seeks to share revenue with consumers, potentially creating a new $100 billion market value opportunity. With near-universal EHR adoption in the USA, and advances in technology, now is the perfect time to capitalize on the data available, practical use of AI and the empowering of consumers, in particular the 13,000 tech savvy baby boomers turning 65 every single day and entering the Medicare system for the first time. Our team, with deep healthcare and tech expertise, holds U.S. patents and a proven track record of scaling companies and leading them to IPO.
Noel J. Guillama-Alvarez
https://www.linkedin.com/in/nguillama/
+1-561-904-9477, Ext 355