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Compliance, Antitrust, Fee Splitting

When the Right Enforcer Acts: The Federal Prosecution of U.S. Compounding and What It Means for Veterinary Teleradiology

“The federal government prosecuted a six-year veterinary kickback scheme involving a publicly traded pharmaceutical company, secured a corporate guilty plea, a jury conviction, two individual guilty pleas, and up to $21 million in criminal exposure — all in a context where the primary federal anti-kickback statute did not apply. The tools it used are available to every state attorney general in the country. The conduct those tools were used to address is structurally present in the veterinary teleradiology industry today.”

Compliance, Fee Splitting, Kickbacks

The Wrong Target: How a Nevada Pharmacy Board’s Anti-Kickback Crusade Revealed the Real Enforcement Gap in Veterinary Medicine

“A state regulatory board spent two years trying to shut down a transparent pharmacy delivery company for alleged kickback violations — and lost. The same legal framework has never been applied to the corporate teleradiology platforms operating identical revenue-sharing arrangements at national scale. The question is not whether the law applies. The question is who has the standing to enforce it.”

Compliance, Fee Splitting, Kickbacks

The AVMA Says It’s Unethical. Multiple States Say It’s Illegal. Nobody Is Enforcing Either.

“Veterinary fee-splitting and kickbacks are prohibited by the profession’s own ethics code, outlawed by statute in multiple states across three categories of law, and documented as a growing regulatory concern by the legal community. They are also a routine feature of corporate veterinary consolidation. The gap between what the rules say and what the industry does is not a secret. It is a business model.”

Compliance, Industry

Champion or Gatekeeper? Matthew Wright, DICOM WG-25, and the Compliance Gap That Never Closed — You Decide.

“He was the ACVR’s DICOM standards chair, the compliance watchdog, and the owner of the platform that profited when compliance failed — all at the same time. A decade after his committee went dormant, 94.9% of veterinary DICOM files still don’t conform. The evidence is public and the question is simple: champion or gatekeeper?”

Antitrust, Compliance, Industry, Tying and Bundling, Uncategorized

The Stack: How IDEXX Built a Vertical Monopoly Over Veterinary Imaging — From the X-Ray Machine to the Radiologist’s Report

“IDEXX has spent fifteen years acquiring every layer of the veterinary imaging workflow — hardware, PACS, software, teleradiology, and the residency pipeline that trains new radiologists. The result is a referral architecture that routes toward IDEXX by design and away from everyone else by friction.”

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