Relationship-first pet telehealth
Marc Atiyeh, CEO of Pawp, on building telehealth for pets
The core bet is that the highest value in pet healthcare sits in the ongoing relationship, not in the exam room itself. Pawp is trying to make the vet the default place a pet owner checks in year round, then use physical care only when a hands on exam, test, or procedure is actually needed. That matters because specialist vets are scarce, routine access is fragmented, and digital triage can turn expensive emergency visits into cheaper, earlier interventions.
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Pawp built around this idea from the start. It positioned the membership as 24/7 access, said it had facilitated more than 100,000 consultations in about 18 months, and estimated it had deflected roughly $10 million of unnecessary vet visits through triage and follow up.
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The closest operating contrast is Modern Animal. It also starts with app based chat and virtual triage, but most of its revenue comes after triage, from clinic exams, diagnostics, procedures, and pharmacy. In 2024 it reached an estimated $100M annualized revenue, with only about 12% from membership fees and 88% from in clinic and related services.
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This is also the opposite of the first wave of human D2C telehealth. Ro and Hims grew by routing patients from online consults straight into recurring drug subscriptions. Pawp argues pet care does not have the same easy self diagnosis or single blockbuster prescription category, so the winning workflow is triage, continuity, testing, and then treatment.
The next phase of pet telehealth looks like digital first care with selective physical capacity attached to it. The companies that win should be the ones that own the app, the triage layer, the follow up loop, and the customer relationship, then plug in clinics, labs, pharmacy, or partners only where physical touch actually improves outcomes and economics.