The problem with design studios this large, and operating on this consultatory premise, is that they will never get to influence the business "why" of solving a problem - they will always be handed a brief, and will always have their solution bounded by decisions made prior to their involvement. They are compelled to do work on what someone else has determined to be the problem, not to uncover the problem themselves and work outwardly from there.
You actually see this all the time in finance - there are entire companies built around the idea of churning out datagrid UIs to banks that don't ever stop to consider the real underlying conditions of why a process is the way it is, or have the opportunity to change it. It just results in a lot of same-same being generated over and over again, and it's easy money for consulting groups to get into the biz - just buy a small (or several) design shop and start billing yourself as being in tune with "UX." Deloitte, KPMG, MarkIt On Demand, EY, PWC, Accenture, EMC, and a bunch of other places are doing it just that way.