A SRIJAN SANCHAR FORESIGHT REPORT
Knowledge Organizations in Five Domains, 2026–2031
How design, law, consulting, education
and healthcare will change what they sell, to whom, and on what terms
4 November 2026
Contents
Part 1. Foresights
Part 2. Introduction
Part 3. Purpose
Part 4. Methodology and process
Part 5. Challenges
Part 6. Caveats
Part 7. Way forward
Annex. Sources
Part 1 is written to be read on its own. Parts 2 to 7 explain
why the foresight was made, how it was made, how far to trust it, and what to
do next.
Knowledge organizations sell scarce
expertise. AI is making routine expertise abundant, so the scarce thing becomes
trust: who stands behind the answer, and who is still being trained to give it.
Across design, law, consulting, education and healthcare the pattern is shared,
though its pace depends on how strongly regulation and liability protect the
human.
By 2031, execution becomes cheap and
judgment becomes the premium. Clients and patients stop paying for time. They
want fixed prices, proof of impact, verified skills and attention rather than
screens. Law and consulting are already moving: McKinsey reportedly ties about
a quarter of fees to outcomes, and clients are writing alternative fees into
legal budgets. Healthcare adopts ambient notes and AI-read scans first, while
diagnosis stays human. Design moves to subscriptions and outcome-linked
creative work. Education shifts toward verified skills and stackable
micro-credentials.
New business models follow: flat
fees, subscriptions, outcome-linked fees, living design systems, AI tutors with
employer alliances, and AI-run service lines under accountable professionals.
The weakest link is the apprenticeship pipeline, because routine work once
trained juniors and AI now does it. Winners will re-price commodity work,
productise accountability and rebuild apprenticeships deliberately. Those who
wait will compete on price alone.
In every domain
the profession splits into three layers. The speed of the split differs, but
its shape does not.
|
Layer |
What it contains |
How it is sold |
|
Accountable
autopilot |
Routine, measurable work: contract
review, production design, analysis and benchmarking, standard assessment,
documentation and coding. AI-run, with a named professional on exceptions and
sign-off. |
Per outcome, fixed price or
subscription |
|
Judgment
layer |
Strategy,
negotiation, brand direction, mentoring, diagnosis and treatment decisions,
regulated sign-off, change management. |
Premium
advisory, retainers, performance partnerships |
|
Squeezed
middle |
Routine work still sold by the hour,
seat or visit, with no automation advantage and no accountability premium. |
Hours, seats, visits. Deflating each
year |
|
Domain |
Pace of change |
Why |
|
Law |
Fast |
Output is easy to price; corporate
clients hold power and have their own AI capacity; but licence and liability
still protect sign-off. |
|
Consulting |
Fast |
No
licence protects the work; CFOs demand proof of return; outcome-linked fees
already exist. |
|
Design |
Fast for production, slower for
brand |
Production output is easy to measure
and AI-made; brand and direction rely on taste and trust. |
|
Education |
Medium |
Employers
push skills-based hiring quickly; accreditation and funding move slowly. |
|
Healthcare |
Fast for paperwork, slow for care |
Documentation and imaging automate
readily; payers and regulators fix the unit of sale and the liability. |
Five
houses of expertise around a common tree. The pattern at its centre: sell the
outcome, guard the judgment, grow the apprentices.
For each domain: the evidence now,
the outcome by 2031, how stakeholder needs change, the new business models, and
first moves. Confidence refers to the direction of change, not its pace.
|
Question |
Answer |
|
Evidence
now |
About 75% of designers use AI tools,
up from 35% in 2023 (AIGA figure via an aggregator). Adobe’s 2025 survey says
90% of creative professionals save time on menial tasks. Figma launched an AI
design agent on 20 May 2026. One report says the launch of Anthropic’s Claude
Design on 18 April 2026 knocked Figma’s shares by 7% (single source).
“Unlimited design” subscription services are reported to serve 100,000+
businesses. |
|
Outcome
by 2031 |
Layouts,
variants and prototypes are close to free. Value sits in briefing, taste,
research, brand coherence and integration with code and operations. Mid-size
generalist agencies are squeezed; one-person studios and domain-deep agencies
do well. Design tools turn into design agents that build working product, not
pictures of it. |
|
Stakeholder
needs |
Marketers and product teams want
working output inside their own systems and templates, in hours, with clear
ownership and provenance of AI-made assets and brand safety. Designers want
tools that keep authorship. |
|
New
business models |
Design-as-a-subscription
with unlimited variants; performance fees tied to campaign results; living
design systems kept on retainer; vertical specialist studios; a
creative-direction premium; studios that also run their own AI tooling. |
|
First
moves |
Price production work by
subscription or outcome; sell the design system rather than the artwork;
invest in research, taste and brand governance; train juniors as directors of
AI. |
|
Confidence
in direction |
Fairly
high |
|
Question |
Answer |
|
Evidence
now |
The billable hour was about 80% of
law-firm fee income, per a 2025 Harvard Center on the Legal Profession report
as cited by LexisNexis. Legora’s CEO says general counsel are acting on
alternative fees for the first time (April 2026). A Cleary Gottlieb senior
partner predicts a shift to speed- and outcome-based pricing. About 85% of
corporate legal teams reportedly have AI resources and use them to push for
alternative fees and pull work in-house. 46 Am Law 200 lawyers moved to AI
companies in H1 2026. Commentators stress that change will be incremental. |
|
Outcome
by 2031 |
Routine
drafting, review and diligence fall from hours to minutes. Firms keep
strategy, negotiation, litigation judgment and regulated sign-off. The
pyramid becomes a diamond. Some routine work moves in-house; AI-native
legal-service firms take standardised matters. |
|
Stakeholder
needs |
Corporate clients want fixed prices,
speed and predictable risk, tighter panels, confidentiality and audit trails,
and explainable AI-assisted advice. |
|
New
business models |
Flat
and capped fees, portfolio subscriptions, success fees; productised services
such as contract review; “legal engineer” roles; AI-native law firms; joint
ventures with legal AI vendors; licensing of firm knowledge assets. |
|
First
moves |
Price standard matters as products;
point associate time at judgment and client context; run apprenticeship
through supervised AI workflows; warrant outputs and insure them. |
|
Confidence
in direction |
Fairly
high |
|
Question |
Answer |
|
Evidence
now |
McKinsey reportedly runs about
25,000 AI agents beside about 40,000 people, down from 45,000 in 2023, and
earns about a quarter of fees from outcome-based work. Its leadership
describes underwriting outcomes by tying fees to client impact. PwC US
reportedly planned to cut graduate hiring by a third, and Big Four starting
pay has stagnated. Commentators note that no firm has standardised what an
outcome is worth. |
|
Outcome
by 2031 |
Analysis,
benchmarking and deck production are abundant. Scarce: problem framing,
change management, access and accountability for results. Pyramids shrink to
diamonds; specialist and AI-native boutiques take share; advisory moves
toward performance partnerships. |
|
Stakeholder
needs |
CFOs demand proof of return,
implementation rather than advice, outcome guarantees, speed, and visibility
into agent-produced work. |
|
New
business models |
Gain-share
and hybrid fixed-plus-success fees; consulting assets (agent platforms and
diagnostics) sold as subscriptions; embedded delivery teams; fees partly in
equity or performance; productised diagnostics. |
|
First
moves |
Write outcome contracts with
baselines and an agreed adjudicator; build reusable agent assets; hire people
who combine domain and AI-integration skill; protect apprentices through
rotation. |
|
Confidence
in direction |
Fairly
high |
|
Question |
Answer |
|
Evidence
now |
Coursera and Rep Data (Feb–Mar 2026,
a vendor survey): 98% of employers use skills-based hiring in some form, 86%
extensively for entry-level roles, and every surveyed Indian employer uses
it. Employers expect 39% of key skills to change by 2030 (a World Economic
Forum figure cited by Coursera). UPCEA expects colleges to fold continuing
education into core strategy, embed micro-credentials in degrees and treat AI
as core infrastructure in 2026. |
|
Outcome
by 2031 |
Content
delivery and routine assessment commoditise; a personal AI tutor is expected.
Degrees remain but unbundle into stackable credentials. Value moves to
mentoring, cohort, supervised practice, validation of skills and employer
pathways. Institutions that cannot prove outcomes lose enrolment. |
|
Stakeholder
needs |
Learners want verified, job-relevant
skills, quickly, affordably and flexibly. Employers want proof of applied
skill. Working adults want continuous reskilling. Everyone wants trustworthy
assessment. |
|
New
business models |
Credit-bearing
stackable micro-credentials; employer-designed pathways; AI tutoring built
into tuition; outcome-linked or income-share tuition; lifelong-learning
subscriptions; assessment as a service; apprenticeships paired with study. |
|
First
moves |
Map each course to demonstrable
skills and assessments; embed micro-credentials; pilot AI tutors under mentor
oversight; contract with employers around outcomes. |
|
Confidence
in direction |
Fairly
high |
|
Question |
Answer |
|
Evidence
now |
About two-thirds of Epic hospitals
use AI documentation (Q1 2026 round-up). Spending on ambient scribes grew 2.4
times in 2025 in a survey of 700+ executives. The US Veterans Affairs
department planned a national rollout across 170 medical centres in 2026.
Where scribes are offered to all clinicians, sustained use often settles at
20–50%. In a Stanford survey, 73.6% of 2,202 patients who experienced it
wanted it used again. More than 1,000 FDA-cleared AI devices are in
radiology. Adoption is concentrated in documentation, imaging and coding,
with humans responsible for diagnosis and treatment. MIT Technology Review
says it is not yet known whether this helps patients. |
|
Outcome
by 2031 |
Documentation,
coding, authorisation and imaging triage are largely machine-run under
clinician sign-off. Visits spend more time on the patient. An AI second
reader is standard in imaging. Patients arrive pre-informed by chatbots.
Whether freed capacity becomes better access depends on pay and liability
structures. |
|
Stakeholder
needs |
Patients want attention, speedy
access and clear explanation. Clinicians want less paperwork. Payers want
proof of outcomes and lower cost. Regulators want safety, consent and data
protection. |
|
New
business models |
Ambient
documentation as standard infrastructure; value-based or outcome-linked
payment for AI-enabled care pathways; AI-supported nurse-led and remote care;
subscription primary care; AI-read imaging as a service; automated revenue
cycle; consent and data stewardship as a trust asset. |
|
First
moves |
Measure patient outcomes and
time-to-care, not only note time; govern consent; turn AI savings into access
rather than only cost cuts; keep clinician sign-off accountable. |
|
Confidence
in direction |
Fairly
high |
|
Horizon |
What to expect across
the five domains |
Confidence |
|
2027 |
Pressure year. Alternative fees and outcome pilots
spread in law and consulting; graduate intake stays subdued; ambient clinical
documentation widens; employers hire more by demonstrated skill; design teams
adopt AI design agents. |
Fairly high |
|
2028 |
Re-pricing
year. Fixed, subscription and outcome-linked terms
become normal for routine work in law, consulting and design; AI-native firms
reach visible scale in legal and advisory work; credit-bearing
micro-credentials spread in universities. |
Medium |
|
2029 |
Apprenticeship reset. Firms that cut junior intake meet a
shortage of experienced judgment; structured, paid apprenticeships return in
new form; payers begin to link AI-enabled care pathways to outcomes. |
Medium |
|
2030–31 |
Split
professions. Routine work is machine-run under
accountable sign-off and sold per outcome; a premium judgment layer remains
human-led; education is stackable and employer-verified; healthcare spends
clinician time on patients rather than paperwork. |
Medium |
Six responses
recur across the domains. Each carries a first step for the next 90 days and
the main risk to guard against.
|
# |
Response |
First 90 days |
Main risk and guard |
|
1 |
Unbundle and re-price. Split services into a routine layer
(fixed, subscription or outcome terms) and a judgment layer (premium
advisory). |
List services; mark which are
routine and measurable; set a price per unit; offer a dual quote on the next
two proposals. |
Fixed-price overrun. Guard: scoped
definitions, volume bands, gain-share. |
|
2 |
Build
the AI-run line. Turn playbooks into agent workflows
with an exception queue and a named accountable professional. |
Pick
one service; measure auto-resolution, quality and cost per unit weekly. |
Quality
drift. Guard: sampling audits, escalation rules. |
|
3 |
Rebuild apprenticeship. Paid, supervised practice where
juniors review and correct AI output, plus simulation. |
Map vanishing junior tasks; design a
12-month programme; set an intake floor. |
Short-term cost cuts starve later
judgment. Guard: minimum intake, senior mentoring time. |
|
4 |
Productise
accountability. Warranties, attestations, audit trails
and consent records. |
Define
what the organization will stand behind in writing; agree insurance. |
Liability
exposure. Guard: scoped warranties, cover. |
|
5 |
Own the client’s context. Matter databases, design systems,
learner records, clinical pathways kept current. |
Choose one client or cohort; build
the living record. |
Lock-in backlash. Guard: portability
and clear data terms. |
|
6 |
Choose
a posture toward AI suppliers. Co-builder or
accountable integrator, not a reseller. |
Map
supplier moves into your clients; negotiate terms; design for more than one
supplier. |
Dependence.
Guard: multi-supplier architecture. |
|
Phase |
Period |
Moves |
Test of progress |
|
1. Wedge |
Nov 2026 – Dec 2027 |
Choose two or three routine,
measurable services; offer fixed, subscription or outcome terms alongside
hourly quotes; capture workflows as AI-run lines; redesign junior roles. |
At least two contracts on non-hourly
terms at gross margin at or above the hourly baseline. |
|
2.
Scale |
2028
– 2029 |
Move
renewals to new terms; run structured apprenticeships; partner or acquire
AI-native capability; publish outcome results. |
Most
routine work offered on non-hourly terms; junior pipeline stable. |
|
3. Crown |
2030 – 2031 |
Productise accountable sign-off and
the judgment premium; keep client context as the asset. |
Margin per professional and trust
scores above the 2026 baseline after deflation. |
|
What to look for |
Review |
|
Share of law-firm fees that are
non-hourly, and the share of corporate matters on alternative fees |
Jan 2027, then annually |
|
Share
of consulting fees tied to outcomes at McKinsey and the Big Four |
Nov
2027, Nov 2028 |
|
Graduate and entry-level intake at
Big Four firms, large law firms and consultancies |
Jan 2027, then annually |
|
Employer
and university acceptance of credit-bearing micro-credentials and
skills-based admission |
Jul
2027, Jul 2028 |
|
Sustained clinician use of ambient
scribes and measured effect on patient access and outcomes |
Nov 2027, Nov 2029 |
|
Share
of design production bought as subscription or outcome-linked work, and
designer entry-level hiring |
Nov
2027, Nov 2028 |
|
Regulator rulings on AI supervision
and liability in law, medicine, audit and assessment |
Annually from Nov 2027 |
The conditions that would prove each signpost wrong are set
out in Part 4.
Knowledge
organizations are bodies whose product is applied expertise: design studios and
agencies, law firms, consultancies, universities and training providers, and
hospitals and clinics. They share an economic model that is about to be tested.
They hire people with scarce skills, bill for their time, seats or visits, and
train juniors by giving them routine work.
Generative AI
attacks each part of that model at once. It makes routine expertise cheap, it
lets buyers see the saving, and it removes the routine work that trained the
next generation. Evidence of the change is already visible in 2026:
consultancies running fleets of AI agents, clients writing alternative fees
into legal budgets, hospitals adopting ambient clinical notes, employers hiring
by demonstrated skill, and design tools that generate working interfaces.
•
Domains: design, law, consulting, education
and healthcare. Software services were examined in an earlier Srijan Sanchar
foresight and are used here as the reference case.
•
Horizon: November 2026 to November 2031.
•
Questions
asked: What outcomes
will each domain reach? How will the needs of clients, learners and patients
change? How will knowledge organizations respond with new business models?
Leaders of
knowledge organizations deciding how to price, staff and structure their work;
professional bodies and regulators; funders and employers who buy expertise;
and educators preparing the next generation of professionals.
Part 1 stands
alone and contains the foresight itself. The remaining parts are written for
readers who want to judge it: Part 3 states the purpose, Part 4 describes how
the foresight was produced, Part 5 lists the difficulties met, Part 6 states
how far the findings can be trusted, and Part 7 proposes next steps.
The purpose of
the report is to help leaders of knowledge organizations decide, before 2028,
what to sell, on what terms and with what talent model, by showing how
outcomes, stakeholder needs and business models are likely to change to 2031.
•
Whether
to keep selling time, seats and visits, or to move routine work to fixed,
subscription or outcome-linked terms.
•
Which
services to automate first, and who will be accountable for the result.
•
How
many juniors to hire, and how to train them when routine work disappears.
•
Whether
to partner with AI suppliers, compete with them, or both.
•
It is
not a prediction. It names the most plausible shapes of the future and the
signs that would show which is arriving.
•
It is
not professional advice for any single firm, school or hospital. Each
organization must test the findings against its own context.
•
It is
not a forecast of company or market performance, and carries no investment
guidance.
The report
assumes a reader at the level of a board or head of a knowledge organization.
This assumption shaped what counts as valuable (durable trust and margin per
professional) and is open to change by the steward.
The foresight
was produced with Integrated Epistemic Foresight (IEF) version 4.0, a Srijan
Sanchar method, run in its Lite, AI-assisted mode. The method moves from
history to constraints, from constraints to a map of possible futures, from the
map to a weighed forecast, and from the forecast to actions and signposts. It
separates what is likely from what is valuable.
|
Step |
What was done |
|
Frame |
The phenomenon, purpose, assumed
actor, horizon, lenses, pressures and provisional axes were set (Parts 2 and
3). |
|
Gather
evidence |
Five
targeted web searches, one per domain, for 2026 evidence on pricing, hiring,
adoption and client demand. Results were read as search extracts, not full
pages, and are listed in the Annex. Findings from the earlier software
services foresight informed the reference case. |
|
Diverge |
Ten theses on where knowledge
organizations go were set out, including counter-theses and contrarian views,
and each was scored. |
|
Ground |
Historical
convergence points were mapped, seven constraints were identified with a
political filter, and the deepest tension was stated. |
|
Map |
Two independent axes were confirmed
and a four-cell futures matrix built, with one cell ruled out as a steady
state. Each domain was placed on the matrix. |
|
Weigh |
Every
thesis was tested against the constraints and a forecast state was named. A
forward forecast was drafted by year. |
|
Direct |
The likely path was separated from
the valuable path; gaps, a phased trajectory and six responses were derived. |
|
Integrate |
Signposts
with falsifiable tests and review dates were set; checks, reflexivity and
limits were recorded. |
P is plausibility on a 1–5 scale (not
a probability). E is the strength of current evidence on a 1–5 scale. Both are
AI-drafted for steward confirmation.
|
ID |
Thesis |
Origin |
P |
E |
Evidence note |
|
T1 |
The unit of sale moves from time,
seats and visits to outcomes, fastest where output is easy to measure and
slowest where payers and regulators fix the unit. |
Structural |
4 |
3 |
McKinsey reportedly earns about a
quarter of fees from outcome-based work; a Cleary Gottlieb senior partner
predicts a shift to outcome-based pricing. The billable hour is not
disappearing in 2026. |
|
T2 |
Execution
commoditises; judgment, taste and accountability earn the premium. |
Structural |
4 |
3 |
Adobe’s
2025 survey: 90% of creative professionals say generative AI saves time on
menial tasks. |
|
T3 |
The apprenticeship pipeline
collapses: entry-level work disappears before replacement training exists. |
Structural |
4 |
3 |
PwC US reportedly planned to cut
graduate hiring by a third; McKinsey headcount fell from 45,000 to about
40,000; law commentary describes a junior “training gap”. |
|
T4 |
Clients
bring routine work in-house and use AI capacity as leverage on price. |
Evidence-led |
4 |
3 |
About
85% of corporate legal teams reportedly have dedicated AI resources. |
|
T5 |
AI vendors and AI-native firms
become competitors and talent magnets. |
Structural |
3 |
3 |
46 Am Law 200 lawyers moved to AI
companies in H1 2026; Harvey is reported in 60+ Am Law 100 firms. |
|
T6 |
The
accountability moat is strongest where licences and liability bind and
weakest in design and general consulting. |
Structural |
4 |
3 |
Clinicians
stay responsible for diagnosis and treatment in current deployments. |
|
T7 |
Credentials unbundle: verified
skills become the currency of education and hiring. |
Structural |
4 |
3 |
Coursera and Rep Data (a vendor
survey): 98% of employers use skills-based hiring in some form. |
|
T8 |
Healthcare
automates the paperwork first and the diagnosis last; patient benefit is
unproven. |
Evidence-led |
4 |
3 |
About
two-thirds of Epic hospitals use AI documentation; sustained use often
settles at 20–50%. |
|
T9 |
Jevons expansion: cheaper expertise
raises total demand. |
Contrarian |
3 |
2 |
Thin direct evidence. |
|
T10 |
Stall:
outcome pricing and AI adoption move slower than expected. |
Contrarian |
3 |
3 |
Hourly-rate
RFPs persist; clinician uptake is uneven. |
Earlier points are
background knowledge, not from opened sources; dates are approximate.
|
Period |
Convergence point |
What hardened into a
constraint |
|
Medieval to 19th century |
Guilds, bar associations,
universities and medical colleges form to certify expertise. |
Licensing and apprenticeship become
the gates to the professions. |
|
1950–1970 |
US
law firms move to the billable hour as the main fee method. |
Time
becomes the unit of sale; efficiency lowers revenue. |
|
1960s–2000s |
Consulting and the Big Four perfect
the leverage pyramid. |
Junior-heavy staffing funds partner
profit. |
|
1990s–2010s |
Digital
tools wrap around the professional: design software, online courses,
electronic health records. |
Tools
help the human; they do not replace the sale of human time. |
|
2022–2026 |
Generative AI reaches production:
AI-native firms, agent fleets, AI design agents, ambient clinical scribes. |
Clients, learners and patients start
to ask for the saving. |
The political filter asks who gains
if a constraint persists, because that group will defend it.
|
ID |
Constraint |
Who gains (filter) |
Effect on futures |
|
C1 |
Licence and liability. A named, licensed human must sign
off in law, medicine and audit. |
Professional bodies, incumbent firms |
Protects a judgment layer; slows
full automation. |
|
C2 |
Buyer
procurement forms. Hourly rates in RFPs, credit-hour
accounting, fee-for-service payment. |
Procurement
teams, payers, accreditors |
Slows
outcome pricing; rewards dual quotes. |
|
C3 |
Trust and confidentiality. Client data, patient consent,
provenance of AI-made work. |
Incumbents with trusted
relationships |
Favours firms that can show audit
trails and consent. |
|
C4 |
Apprenticeship.
Skill is built by doing the routine work that AI now does. |
Short-term
margin seekers (they gain now, lose later) |
A
reflexive brake: today’s saving thins tomorrow’s judgment supply. |
|
C5 |
Outcome measurability. Defining and adjudicating an
outcome is hard; no standard value of an outcome exists. |
Large buyers, who benefit from
vagueness |
Limits outcome pricing to measurable
work. |
|
C6 |
Payer
and funder structures. Insurers, governments and
students pay in healthcare and education. |
Payers
and regulators |
Makes
those domains slower than law and consulting. |
|
C7 |
Supplier concentration. A few AI suppliers set capability
and cost, and some sell services directly. |
AI suppliers |
Knowledge firms depend on suppliers
who may compete with them. |
Knowledge
organizations sell scarce expertise, and AI makes routine expertise abundant.
What stays scarce is trust: who stands behind the answer, and who is still
being trained to give it. Every foresight in Part 1 is a different answer to
who keeps the saving and who carries the risk.
|
Axis |
Ends |
Shaped by |
Observable |
|
1. What the buyer pays for |
Time, seats and visits to outcomes
and verified results |
C2, C5, C6 |
Share of fees or tuition tied to
defined outcomes |
|
2.
Who does the work |
Humans
with AI help to AI executing under accountable human judgment |
C1,
C3, C4 |
Share
of routine work units resolved without human touch |
Independence test: AI can do much of the work while buyers still pay by
time (today’s state in most domains), and outcome contracts can be signed with
little automation behind them. The axes vary separately.
|
|
Pays for time, seats, visits |
Pays for outcomes and verified results |
|
Humans
with AI help Who
does the work |
A.
Productivity pass-through (NOW, all five) AI
helps staff; buyers still pay by time and ask for the saving back. Status:
feasible, unstable. |
C.
Fixed-price hedge The
firm takes outcome risk before automation protects its margin. Status:
contested. Viable on narrow, well-measured
scopes. |
|
AI
executes under accountable humans Who
does the work |
B.
Phantom hours AI
does the work while the buyer is billed for time. Status:
forbidden as a steady state. Buyers will not pay
for time no human spent. |
D.
Accountable autopilot AI-run
delivery with an accountable professional on exceptions and sign-off, priced
per outcome or subscription. Status:
feasible for measurable, routine work; excluded for
judgment-heavy work by C1. |
|
Domain |
Today |
Pull toward |
Output easy to measure |
Licence or liability
grip |
Buyer or payer power |
|
Law |
A, with alternative fees growing |
C then D for routine matters |
Medium |
High |
High (corporate clients) |
|
Consulting |
A
to C (about a quarter outcome-based, reported) |
C,
then D for assets and diagnostics |
Medium |
Low |
High
(CFOs) |
|
Design |
A, with subscription services
already present |
C and D for production work |
High |
Low |
Medium |
|
Education |
A
(credit hours), with micro-credentials growing |
C
(outcome-linked, stackable) |
Medium |
Medium
(accreditation) |
High
(employers), slow (regulators) |
|
Healthcare |
A (visits, fee-for-service), with D
pockets in documentation |
D for paperwork, C for pathways |
Medium |
Very high |
Very high (payers) |
Ratings are AI-drafted judgments from the evidence in the
Annex.
|
Thesis |
Constraints tested |
Result |
|
T1 Unit moves to outcomes |
C2, C5, C6 |
Narrowed. Holds for measurable routine work;
slower where payers or regulators fix the unit. |
|
T2
Execution commoditises |
C1,
C3 |
Survives.
Strongest in design and law. |
|
T3 Apprenticeship collapse |
C4 |
Survives. A reflexive constraint shared by
all five domains. |
|
T4
Clients insource |
C1,
C3 |
Narrowed.
Holds for routine work; regulated sign-off stays outside. |
|
T5 AI vendors compete |
C7 |
Survives. Partner-or-compete choice becomes
strategic. |
|
T6
Accountability moat |
C1 |
Survives.
Explains the different pace by domain. |
|
T7 Credential unbundling |
C2, C6 |
Narrowed. Accreditation and funding slow
recognition. |
|
T8
Healthcare paperwork first |
C1,
C3, C6 |
Survives.
Benefit to patients is the open question. |
|
T9 Jevons expansion |
C2, C6 |
Retained as a watch-thesis; evidence thin. |
|
T10
Stall |
C2,
C3 |
Narrowed
to a delay risk, not a reversal. |
Forecast state: Bifurcation inside every
domain, at different speeds. Two cells stay feasible at once, populated by
different kinds of work: a routine layer moves to D or C, a judgment layer
stays human-led, and the hours-based middle is squeezed. The label is
AI-drafted and should be checked against the v4.0 state rule.
Likely:
a split inside every domain, with the hours-based middle squeezed and the
apprenticeship pipeline thinning. Valuable (assumed lens: durable trust
and gross margin per professional by 2031): reach cell D or C early for
routine, measurable work, keep the accountable judgment layer as the premium,
and rebuild apprenticeship on purpose.
|
Dimension |
Typical firm now |
Target, 2031 |
Gap to close |
|
What is sold |
Hours, seats, visits, drawings,
decks |
Defined outcomes, subscriptions,
verified skills, living systems |
Product definition, pricing models,
outcome adjudication |
|
Delivery |
AI
assists individual staff |
AI-run
routine lines with exception queues |
Workflow
capture, evaluation, unit-cost tracking |
|
Talent |
Junior-heavy pyramid |
Diamond with structured
apprenticeship |
Paid supervised practice,
simulation, senior retention |
|
Assets |
People-hours |
Playbooks,
client context, data, audit trails |
Capture
and productise professional knowledge |
|
Trust |
Reputation and licence |
Warranties, attestations, consent,
provenance |
Governance, insurance, audit
capability |
|
Partnerships |
Tool
purchaser |
Co-builder
with AI suppliers and clients |
Partner
posture and multi-supplier design |
Thresholds are drafts
for the steward to set.
|
ID |
Observable |
Tests |
Falsified if |
Review |
|
S1 |
Share of law-firm fees that are
non-hourly (about 20% in 2025 per the cited report) and share of corporate
matters on alternative fees. |
T1, T4 |
Hourly share still about 80% in
2028. |
Jan 2027, then annually |
|
S2 |
Share
of consulting fees tied to outcomes at McKinsey (about a quarter, reported)
and at Big Four firms. |
T1 |
No
rise by Nov 2028. |
Nov
2027, Nov 2028 |
|
S3 |
Graduate and entry-level intake at
Big Four, Am Law 200 firms and consultancies. |
T3 |
Intake returns to 2023 levels while
revenue stays flat. |
Jan 2027, annually |
|
S4 |
Employer
and university acceptance of credit-bearing micro-credentials and
skills-based admission. |
T7 |
Employers
revert to degree-required entry roles. |
Jul
2027, Jul 2028 |
|
S5 |
Sustained clinician use of ambient
scribes (20–50% now) and measured effect on patient access and outcomes. |
T8, T10 |
Active use stays below 30% after
three years, or no outcome evidence appears. |
Nov 2027, Nov 2029 |
|
S6 |
Share
of design production work bought as subscription or outcome-linked, and
designer entry-level hiring. |
T2 |
Agencies
still bill most production by project hours in 2028. |
Nov
2027, Nov 2028 |
|
S7 |
Regulator rulings on AI supervision
and liability in law, medicine, audit and education assessment. |
T6 |
A major regulator permits AI-only
sign-off in a licensed practice. |
Annually from Nov 2027 |
•
Constraint
test run on every thesis: five survive, four narrowed, one kept as a
watch-thesis.
•
Axis
independence tested with a counter-example for each off-diagonal cell.
•
Forbidden
cell (B) justified by buyer behaviour, not assumed.
•
Sensitivity:
if regulators loosen C1, cell D reaches judgment work in law and healthcare
sooner. If apprenticeship collapses faster than firms rebuild it (C4), the
judgment supply tightens by about 2029 and premiums rise. If AI suppliers sell
services directly at scale (C7), the commodity layer moves outside traditional
firms.
The following
difficulties arose while producing the foresight. They explain several of the
choices in Part 4 and the limits in Part 6.
|
Challenge |
Why it matters |
How it was handled |
|
Uneven
evidence quality |
Some figures come from vendor
surveys, firms describing themselves, or aggregator sites rather than audited
or primary data. |
Sources were marked as indicative
where relevant; claims rest on more than one source where possible. |
|
Five
different professions |
Law,
medicine, design, consulting and education differ in licensing, payers and
measurability, so one simple story would mislead. |
A
shared frame was applied, and domains were rated on measurability, licence
grip and buyer power to explain different paces. |
|
Defining
an outcome |
Outcome pricing needs agreed
baselines and an adjudicator. No firm has standardised what an outcome is
worth. |
Outcome pricing was limited to
measurable routine work; the difficulty is built in as constraint C5. |
|
Direction
versus pace |
The
direction of change is clearer than its speed, which depends on regulation,
procurement and trust. |
Confidence
ratings apply to direction; pace is described by domain and tested by
signposts. |
|
The
apprenticeship effect |
The effect of automation on training
is slow, and little hard data exists on the later shortage of experienced
judgment. |
Treated as a reflexive constraint
and a signpost to watch, not as a measured fact. |
|
Interested
sources |
AI
suppliers, tool vendors and firms with something to sell are among the main
sources of evidence. |
Interest
is stated in Part 6; counter-theses and a stall scenario were included. |
|
Geographic
skew |
Evidence leans toward the United
States, with some from India. |
Stated as a limit; regional runs are
proposed in Part 7. |
|
Fast-moving
facts |
Adoption
figures, product launches and fee structures change within months. |
Dates
are given; review dates are set in the signposts. |
|
Method
access |
The full v4.0 specification was not
open during this run, so stage templates were reconstructed from earlier
runs. |
Flagged in Part 6; steward review is
the first step in Part 7. |
|
Paywalled
source for the earlier thesis |
The
source article behind the software foresight was readable only up to its
paywall. |
That
foresight used a secondary interview and other coverage; it is a reference
case here, not a base. |
Read the
foresight with the following in mind.
•
This
is a Lite, AI-assisted run. Plausibility and evidence scores, domain ratings, the assumed actor, the
action threshold and the forecast-state label are AI-drafted for steward
confirmation.
•
Plausibility
is not probability.
A score of 4 means a future is strongly consistent with the constraints and
evidence, not that it has an 80% chance.
•
Several
numbers are indicative. Coursera’s findings come from a vendor survey; McKinsey’s agent counts
and share of outcome-based fees are reported, not audited; the AIGA design
figure comes through an aggregator; the Claude Design effect on Figma’s shares
comes from a single source.
•
Claude’s
position. The
foresight was drafted by Claude, made by Anthropic. Anthropic sells AI into
these domains, hired eight Am Law 200 lawyers in the first half of 2026, and is
reported to have launched a design product. Weigh thesis T5 and response 6 with
that in mind.
•
Self-fulfilling
risk. If buyers read
this report, they will press harder for pass-through, strengthening the squeeze
it describes.
•
Coverage. Five domains are treated at overview
depth. Evidence is weighted to the United States and India. Each domain
deserves its own run.
•
No
second reader. No
second reader or human-node session tested the work, and the assumed actor and
value lens have not been confirmed.
•
No
novelty claim. Two
framings may be new: the apprenticeship pipeline as a shared reflexive
constraint across knowledge professions, and the comparison of domains by how
tightly licence, payer and buyer power fix the unit of sale. Neither has been
traced to prior art, so neither should be presented as original until that
check is done.
•
Time-sensitivity. Facts are as found in searches up to
early November 2026.
•
Not
advice. The report
is not legal, medical, financial or educational advice.
The following
steps would turn this working foresight into a tested, maintained one. Timings
are suggestions for the steward.
|
# |
Step |
Purpose |
Suggested timing |
|
1 |
Steward review of the draft
judgments. Confirm
or change the scores, domain ratings, assumed actor, action threshold and
forecast-state label against the v4.0 specification. |
Remove the main AI-drafted
uncertainty. |
Within 2 weeks |
|
2 |
Second
reader and human-node sessions. Test the constraint
field and the forbidden cell with practitioners from each domain. |
Add
lived knowledge the web evidence cannot supply. |
Within
2 months |
|
3 |
Strengthen the evidence. Replace indicative figures with
primary sources: law-firm fee surveys, consultancy disclosures, labour data,
education and health system reports. |
Raise evidence scores; cut reliance
on interested sources. |
Within 3 months |
|
4 |
Deepen
the domains. Run a full foresight for each domain,
starting with law and consulting where change is fastest. |
Move
from overview to decision-grade detail. |
Q1–Q2
2027 |
|
5 |
Add regional lenses. Run India-specific and other
regional versions, including the role of public universities and health
systems. |
Reduce the geographic skew. |
Q2 2027 |
|
6 |
Check
prior art. Trace the two candidate framings to
earlier work before any claim of thought leadership. |
Protect
credibility. |
Within
2 months |
|
7 |
Monitor the signposts. Keep a calendar of the seven review
dates and record what is found. |
Know early which branch of the fork
is arriving. |
From Jan 2027 |
|
8 |
Test
responses with pilots. Support two or three willing
organizations in trying responses 1 to 3 on one routine service. |
Turn
the foresight into evidence of what works. |
2027 |
|
9 |
Extend the set. Add accounting and audit,
architecture, journalism and public administration, and link to the software
services foresight. |
Build a family of foresights on
knowledge work. |
2027–2028 |
|
10 |
Refresh.
Re-run the foresight at least annually, or sooner if a signpost is crossed. |
Keep
it current. |
Annually,
first Nov 2027 |
The foresight’s central message is practical. Organizations that sell the
outcome, guard the judgment and grow the apprentices will set the terms of
knowledge work in 2031. Those that keep selling routine hours will find that
the saving belongs to someone else.
All items were read as
search extracts, not full pages. Dates are as shown by the sources.
1.
LawFuel: AI companies poach BigLaw
talent, H1 2026
2.
Legal.io: AI adoption pushes law firms
toward alternative fees (Apr 2026)
3.
Above the Law: corporate legal teams
and AI resources
4.
WebProNews: Harvey and Legora’s push
into Big Law
5.
Wisconsin Law Journal: AI puts
pressure on the billable hour (Aug 2026)
6.
Let’s Data Science: Cleary Gottlieb
shifts billing toward outcomes
7.
LexisNexis: generative AI and law-firm
billing (cites Harvard CLP 2025)
8.
HR Grapevine: McKinsey agents and
graduate AI test (Jan 2026)
9.
AI Weekly: McKinsey ties 25% of fees to outcomes
10.
Outsource Accelerator: McKinsey
headcount and agents
11.
Outlook Business: MBA campuses and
consulting (one in four engagements outcome-based)
12.
Praxis: PwC US graduate hiring plan, citing Business
Insider
13.
Colorlib: graphic design statistics
(AIGA figures, aggregator)
14.
925Studios: design agencies in the AI
era
15.
Framia: Figma AI design agent (20 May
2026)
16.
Definable: Claude Design and Figma
(single source)
17.
Coursera: Micro-Credentials Impact
Report 2026
18.
Online Manipal: micro-credentials
reshaping hiring (India findings)
20.
Deci: AI newsletter Q1 2026 round-up
(Epic hospitals, radiology devices)
21.
SCNSoft: Q4 2025 healthcare AI trends
(VA rollout, scribe spending)
22.
IntuitionLabs: AI adoption in US
hospitals
23.
MIT Technology Review: health-care AI
and patient benefit (24 Apr 2026)
24.
The Garden Island (syndicated):
Stanford patient survey on ambient scribes