Barker & Barker Consulting
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
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.
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
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.
See how RIOS is builtWhy 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.
See what this looks likeWhere 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.
See what this looks likeThe 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.
Read the full pageIndependent 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.
Read the briefingWhat grant-supported providers are quietly asking about billing operations that grants alone will not fund.
Read the briefingWhat 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.
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.