Barker & Barker Consulting
We work with hospital systems, federally qualified health centers, federal and 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 end-state would look like.
You already know
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.
The same rejection reasons. The same rework loops. Cash that should be yours sitting on someone else's aging report.
Two dashboards, two numbers, one meeting where nobody wants to be the one who asks which one is right.
The whole operation depends on two or three people who know where the bodies are buried. When they take PTO, everything slows.
You are compliant. You are qualified. You are also finishing third against firms who understood something you did not.
Flagship methodology
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.
The operational architecture the current model was never designed to carry.
The revenue, throughput, and decision cycles you are already paying for.
The gains, so the next leadership change does not reset the clock.
What works, into the next contract, the next region, the next market.
What we work on
Each practice is a system leaders can invest in on its own or roll into a full B.O.S.S. Moves engagement.
A proprietary charge-governance, adjudication-intelligence, pre-bill control, and executive-management operating system for hospitals and clinics that serve U.S. veterans through the VA Foreign Medical Program. Governed charge intelligence, documentation and eligibility controls, pre-bill hard stops, status-code routing, work queues, KPIs, and executive oversight, in one operating cadence.
Why compliant proposals still lose, and what a proposal that actually competes looks like. Positioning, past-performance narrative, teaming decisions, and pricing posture built for the way federal buyers actually evaluate.
Where waste actually lives in your operation versus where the last consulting project told you it lived. Value-stream, RACI, standard work, and control plans led by a Lean Six Sigma Master Black Belt inside your operating cadence.
The system that ties the other three together. Business Operations. Strategic Solutions. For leadership teams who are ready to rebuild the operating layer, not just tune it.
Independent certification program
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
What GAO-25-107149 actually shows about foreign medical program claim processing, and what it does not.
What grant-supported providers are quietly asking about billing operations that grants alone will not fund.
What the final rule actually requires payers and providers to have in place, on what timeline, and what happens if they do not.
Take 7 minutes. Know where you stand.
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.
Registrations & certifications
SDVOSB
PMP, current through Aug 30, 2029
Certified May 30, 2008
Practice founded 2016