Venture capital is shifting from just funding disruptors to acquiring incumbent businesses, like a nonprofit health system. This provides a real-world environment for their portfolio startups to deploy and scale AI solutions, bypassing traditional enterprise sales cycles.

Instead of selling software to traditional industries, a more defensible approach is to build vertically integrated companies. This involves acquiring or starting a business in a non-sexy industry (e.g., a law firm, hospital) and rebuilding its entire operational stack with AI at its core, something a pure software vendor cannot do.

Counter to the adage that "startups shouldn't buy startups," Cursor successfully uses M&A as a core recruiting strategy. They acquire small, talented teams working on complementary problems, viewing acquisitions as a way to onboard the best people who happen to already be working on their own companies.

The partnership where OpenAI becomes an equity holder in Thrive Holdings suggests a new go-to-market model. Instead of tech firms pushing general AI 'outside-in,' this 'inside-out' approach embeds AI development within established industry operators to build, test, and improve domain-specific models with real-world feedback loops.

The success of an AI roll-up hinges on effective technology implementation. Therefore, the primary filter for acquiring a company is not just its financials but whether its leadership and culture are genuinely eager to adopt AI and transform their operations. This cultural fit is non-negotiable.

OpenAI's launch of ChatGPT Health, which integrates medical records, signals a clear strategy to move beyond general-purpose APIs. Foundation model companies are now building specialized, vertical-specific products, posing a direct threat to "wrapper" startups that rely on the underlying models' existing capabilities.

Instead of competing on diagnostics, Anthropic is positioning its Claude model as an 'orchestrator' to unify disparate health data for patients and providers. This strategy targets a major pain point—system navigation and data integration—rather than directly challenging established medical AI use cases, carving out a unique enterprise niche.

With model improvements showing diminishing returns and competitors like Google achieving parity, OpenAI is shifting focus to enterprise applications. The strategic battleground is moving from foundational model superiority to practical, valuable productization for businesses.

Google's entry into AI code understanding was accelerated by acquiring the team and technology behind startup Mutable.AI's "AutoWiki." This "acqui-hire" strategy allowed Google to quickly integrate a proven concept, highlighting how big tech leverages startups to innovate and enter fast-moving developer tool markets.