A new survey finds when it comes to complying with health care reform, meeting medical loss ratio requirements, acquiring and retaining the best risk, establishing cost-effective distribution channels and working with exchanges are U.S. payers’ top priorities.

HealthPlan Services, which provides outsourcing solutions to insurers in the individual, small business, association and union trust markets, did an online survey of operational executives representing 26 health plans with a commercial product line and at least 50,000 members enrolled in individual/small group products.

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