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This survey has 20 questions and will take approximately 25 minutes of your time to complete.
Your thoughtful transparent responses will provide valuable insight to the health plan and will inform the strategic direction and influence the implementation of a Provider Payor Collaborative Workgroup across our hospital network in Q4 2023. Thank you in advance for your participation!

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1. Please provide your full name.

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3. What level is your role within the organization?

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4. The Provider Payor Collaborative Kick-Off Meeting will occur on the following dates and times below. Please select an option indicating your attendance.

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5. Please list the contact information of additional key stakeholders to be included in the Provider Payor Collaborative Workgroup for your hospital/health system. 

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