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Health Plan Bankruptcy Matters

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Bankruptcy courts have appointed BRG experts as conservator, special monitor, and trustee for managed healthcare plans undergoing liquidation or reorganization. Primary responsibilities on these engagements have included working with the courts, health plan management, and creditors to:

  • Preserve and recover assets
  • Review and reorganize operations
  • Monitor operational processes
  • Review and reconcile risk pools settlements
  • Review past and current claims adjudication operations and payment accuracy
  • Review incurred but not reported (IBNR) methodology and recalculate reserves
  • Review for potential fraudulent conveyance/fraudulent transfers
  • Liquidate assets, terminate non-executory contracts, and transition members
  • Monitor proofs of claim process

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