The emergence of MEDVi as a $1 billion revenue firm with only one employee highlights a massive sea change in how GenAI and agents are disrupting traditional business models. By acting as a frictionless coordination layer, the company successfully navigated the complex and regulated telehealth market to provide affordable access to weight-loss medications. This case study serves as a primary example of a modern digital transformation strategy where agentic workers and AI interfaces replace human-heavy organizational structures.