Barker & Barker Consulting
Your operations already tell the story. The question is who reads it and what happens next.
We work with hospital systems, federally qualified health centers, federal & veteran programs, and international market-entry teams that know the results are not where they need to be. What they need is someone who can name what is actually wrong and what a different in-state would look like.
You already know
These are the signals leaders stop being able to ignore.
Not every organization has all of them. The ones that do usually try to fix them one at a time and wonder why nothing moves.
Denials that keep coming back
The same rejection reasons. The same rework loops. Cash that should be yours sitting on someone else's aging report.
Data you cannot trust
Two dashboards, two numbers, one meeting where nobody wants to be the one who asks which one is right.
Workflows held together by heroes
The whole operation depends on two or three people who know where the bodies are buried. When they take PTO, everything slows.
Proposals that read fine and still lose
You are compliant. You are qualified. You are also finishing third against firms who understood something you did not.
B.O.S.S. Moves.
Business Operations. Strategic Solutions. The proprietary Barker & Barker framework used with hospital systems, FQHCs, and federal programs that stopped trying to fix isolated problems and started rebuilding the system underneath them.
The four pillars are what we work on with clients. What each pillar actually looks like inside your organization is the conversation we have on the call.
Read the full pageWhat we work on
Seven practice areas. One operating philosophy.
Workflow & Revenue Cycle
The end-to-end path from a service delivered to cash in the door. When it leaks, it leaks in specific places.
See what this looks likeRevenue Integrity & Claims Reclamation
The claims already denied, closed, or written off that a properly built process can still recover.
See what this looks likeFederal Proposal & Contract Strategy
Why compliant proposals still lose, and what a proposal that actually competes looks like.
See what this looks likeOperational Excellence & Lean Six Sigma
Where waste actually lives in your operation versus where the last consulting project told you it lived.
See what this looks likeData Quality & DQI/DQA Compliance
What your data would say about your operation if it were clean, and what decisions you could make from there.
See what this looks likeInternational Market Entry & Trade Advisory
What a viable market looks like in the Philippines, Thailand, Dominican Republic, Panama, Colombia, Japan, Mexico, or Germany before you commit capital.
See what this looks likeIndependent certification program
VetsReady™.
An independent, privately administered certification that a hospital, clinic, employer, or veteran service organization has the workflows in place to serve veterans well. VetsReady™ is not VA-sponsored. It certifies veteran-ready workflows, not veteran-ready care.
Recent briefings
The evidence behind the work.
VA FMP throughput
What GAO-25-107149 actually shows about foreign medical program claim processing, and what it does not.
Read the briefingHRSA-funded providers & the revenue cycle question
What grant-supported providers are quietly asking about billing operations that grants alone will not fund.
Read the briefingCMS-0057-F prior authorization
What the final rule actually requires payers and providers to have in place, on what timeline, and what happens if they do not.
Read the briefingHospitals do not improve through slogans. They improve when the leader who owns the number and the operator who owns the work are looking at the same problem the same way for the first time.Vaughn Barker
Take 6 minutes. Know where you stand.
Are you ready for the kind of change that moves your numbers?
Answer the assessment. You get your readiness score. If we are the right fit for what you scored, you get on my calendar. If not, you keep the results.
Start the assessment →go.barker-barker.com · No email spam. Your results are yours to keep.