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Tactical Back Office Expands Services to Grow HME Supplier Businesses
TBO is working with home medical equipment veteran Lauren Barranti.

February 17, 2026 by Laurie Watanabe

Lauren Barranti

Tactical Back Office (TBO) is expanding the services it’s offering to home medical equipment (HME) providers.

The company, best known for its staffing services, announced the addition of health care executive and HME veteran Lauren Barranti to its team in a Feb. 10 announcement.

“Health care organizations are facing increasing payer complexity, margin pressure and growth constraints that cannot be solved through staffing alone,” the announcement said. “By expanding its capabilities beyond traditional back-office support, Tactical Back Office is addressing a growing demand for operational execution that aligns people, process and payer strategy under a single delivery model.”

Tactical Back Office noted that Barranti “brings deep experience across homecare, managed care and medical supply organizations, with a particular focus on the California at-risk medical group market.” She has served as CEO of California Home Medical Equipment, as vice president of Apria’s managed care business, and as business development director at Baxter.

Barranti is currently a principal at AllRevup Healthcare Solutions, “where she has advised health care organizations on value-based contracting, payer strategy and sustainable revenue growth,” Tactical Back Office noted.

By partnering with Tactical Back Office, Barranti’s expertise “will be delivered directly to clients as part of TBO’s health care operating model,” the company said. “Her work will intersect with TBO’s trained back-office teams to support value-based capitation agreements, payer strategy and competitive differentiation analysis, and go-to-market planning for durable medical equipment, diagnostic, and medical supply organizations. The emphasis is not advisory recommendations alone, but execution that can be supported, monitored and sustained operationally.”

The collaboration will “help organizations stabilize operations while navigating payer requirements, reimbursement models, and expansion decisions,” Barranti said. “I’ve spent my career helping health care organizations turn complexity into operational advantage. What drew me to Tactical Back Office is the discipline behind their execution. This model connects strategy to real workflows, teams and accountability — which is where growth either succeeds or fails.”

“TBO clients are asking for more than staffing,” said Todd Usher, TBO’s founder and president. “They need infrastructure that supports growth without breaking under reimbursement pressure. Lauren has operated on every side of the equation — provider, operator and executive. By integrating her expertise into TBO, we’re giving health care organizations access to managed care and growth strategy that actually gets implemented.”

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