I don't believe the innovation is

Diving deeper into

Marc Atiyeh, CEO of Pawp, on building telehealth for pets

Interview
I don't believe the innovation is in big tier-one cities.
Analyzed 5 sources

This reveals a land grab for veterinary access, not a prestige play for dense coastal neighborhoods. Pawp is using digital triage and follow up to reach places where getting a vet is already hard, because those markets can fill demand faster and support cheaper physical footprints. That also fits a telehealth model where the real product is the workflow, intake, scheduling, records, reminders, and ongoing care between visits.

  • Pawp’s operating logic is to keep clinics small and use them only when virtual care cannot do the job. In the interview, the company describes physical sites as a way to prove an end to end model cheaply, while the software handles matching, repeat provider routing, intake, and follow ups.
  • The broader veterinary market supports that thesis. Modern Animal built a dense urban clinic network, but 88% of its revenue still comes from in clinic services, diagnostics, procedures, and pharmacy, which makes expansion more capital and labor heavy than a digital first model. Pawp is trying to shift more of the care journey into software.
  • The supply imbalance outside major metros is real. In 2025, USDA designated 243 rural veterinary shortage areas across 46 states, the highest on record. At the same time, retail players like Chewy are adding clinics and virtual guidance, which raises the value of owning the digital relationship before bigger operators move deeper into care.

This points toward a hybrid market where software decides when a pet needs a chat, a video visit, meds, lab work, or a physical exam, and where the winning companies use scarce veterinarians more efficiently. The companies that build the best care workflow in underserved markets will be in the strongest position to license it, partner with chains, or layer on pharmacy and financial products.