This panel will discuss the Puerto Rico health care crisis by providing an overview of the changes in the health care industry; the challenges confronting the health care system in bankruptcy cases, including maintaining value before and during the sale process, special considerations in health care asset sales, Medicare/Medicaid cost report and recoupment issues; and medical malpractice liabilities. Can a bankruptcy filing preserve Medicare and Medicaid provider agreements? The panel will also discuss the appointment of patient care ombudsmen in health care business cases and Medicare fraud.