Federal & Veteran Programs

HERO

Eyebrow: Industry · Federal & Veteran Programs

H1: VA IHT 2.0 team member. SDVOSB verified. Duke MBA at the table.

Sub: Veterans Health Administration is the largest public integrated direct healthcare delivery system in the United States, 1,200+ sites of care. In 2023, 2.8 million veterans received community care. The Foreign Medical Program processed only 37% of claims within 45 days against a 90% goal in FY2024. These are federal programs whose scale, complexity, and audit exposure demand more than a contractor. They demand system architecture.

Primary CTA: Request a federal engagement → /engage/rfp Secondary CTA: Download the Federal Capability Statement → /about/capability-statement

The IHT 2.0 team

H2: VIT Eligible Partner, VHA Integrated Healthcare Transformation 2.0

Barker and Barker Consulting is a Veteran Integrated Team Eligible Partner (VITEP) on Team Agile4Vets (A4V), an all-Service-Disabled Veteran-Owned Small Business Joint Venture holding a prime position on the VHA IHT 2.0 IDIQ. the 10-year, $14 billion multiple-award vehicle for VA healthcare transformation services awarded on August 26, 2025. Nine SDVOSB primes were selected; Agile4Vets is contract number 36C10X25D0017.

A4V composition (three-firm SDVOSB JV):

• HRS Consulting. 15+ years delivering healthcare services in commercial and government settings
• Oxford Government Consulting. software operations, technology support services, and large-scale field operations including claims, benefits, loans, and digitalization
• 4th Sector. mission-driven integrator specializing in Agile software development, digital services, and human-centered design for health systems

A4V is publicly documented as a team-of-teams of 60+ partner companies, of which Barker and Barker Consulting is one, delivering under A4V's IDIQ prime authority.

What Barker and Barker commits to on the team

• Functional Category I, Health System Transformation and Innovation: Program and Project Management, Business Requirements Development, Strategic Planning, Program Evaluation, Business Process Reengineering, Change Management and Organizational Transformation, Quality Management, Strategic Communications and Executive Support (1A–1H)
• Functional Category II, Implementation and Operations Support: Implementation Support, Field Operations Support, Training Development, Training Delivery, Learning Management, and Program Integration Support
• Cross-commit depth: selected capability areas in FC III (Healthcare Business Enabling Services) and FC IV (Health Informatics)

Contract facts (public):

• IHT 2.0 IDIQ ceiling: $14,000,000,000 collective across 9 SDVOSB primes
• Agile4Vets contract: 36C10X25D0017. base 8/26/2025–8/25/2030 · option through 8/25/2035
• Set-aside: SDVOSB · NAICS 541611 · PSC R499
• Task-order execution has begun across VHA program offices; specific task orders are managed by Agile4Vets under separate contract cover.

Deep-dive: Full IHT 2.0 briefing → · Past-performance card →

Callout box (Blue-100 tint):

Public references route through agile4vets.com and SAM.gov. Task-order-specific opportunities on Team Agile4Vets are coordinated through the prime.

The three federal fronts we work on

Community Care and MISSION Act operations

VA's Community Care program has grown rapidly. 9 of 27 GAO access recommendations have been adopted; scheduling still uses dozens of separate systems. In May 2025, VA eliminated the required second VA-physician review for community care decisions, a policy simplification whose operational execution depends on the field.

We work on the operational chassis: scheduling, referral, network-adequacy, and eligibility-workflow architecture underneath the six MISSION Act eligibility criteria.

Foreign Medical Program (FMP) claims remediation

GAO's February 2025 report on FMP is the most consequential public artifact for this line of work. The program missed its own 90% 45-day processing goal by 53 points, with only 37% of claims processed on time in FY2024. Rejection-code discipline, packet completeness, and reconciliation workflow are the architecture that closes that gap.

Our founder has led veteran-focused FMP reclamation programs and modeled the packet-recovery architecture that governs those engagements.

Federal proposal and contract strategy

VA awarded $10.2 billion, 23% of prime contract dollars, to SDVOSBs in the most recent reporting cycle, well above the 5% statutory goal. SDVOSB status is only the entry ticket. The differentiators are proposal architecture, past-performance discipline, and the ability to write a technical volume that survives an audit two years later.

Federal registrations

CAGE: 9JRE1 UEI: CXT6QVA9N7K5 SBA SDVOSB: verified NMSDC certified (recertified 2026) WisDOT DBE: certified

NAICS: 541330 · 541611 · 541614 · 541618 · 611430 · 611710 PSC: R408 · R499 · U008

Address of record: 200 S Executive Dr, Suite 101, Brookfield, WI 53005

→ Full Federal Registrations →

Why federal buyers hire architecture firms

VA Health Care has been on the GAO High Risk List since 2015. Federal management improvement is not a rhetorical device. GAO documented ~$100 billion in financial benefits from high-risk-area improvements in a single two-year update. VHA itself has adopted a formal High Reliability Organization strategy resting on leadership commitment, culture of safety, and continuous process improvement.

The federal healthcare buyer is not looking for a task-order shop. They are looking for a firm that will hold the architecture standard through leadership turnover, task-order pivots, and audit cycles. That is the standard we hold ourselves to.

Adjacent capabilities

• Revenue Integrity & Claims Reclamation
• Federal Proposal & Contract Strategy
• Data Quality DQI/DQA & Compliance

Closing CTA

H2

Federal engagement, from a firm that treats the government like the customer.

Primary CTA (gold): Request a federal engagement → /engage/rfp Secondary: Download Capability Statement → /about/capability-statement

FOOTNOTES