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Completion Date: July

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* 1. How many employees does your organization currently employ?

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* 2. How many high-cost claims (exceeding $50,000) have been reported in the last 24 months? Enter numerical amount below.

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* 3. What percentage of your total healthcare costs are attributable to high-cost claims?

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* 4. What type of high-cost claims have been most common in your organization?

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* 5. What strategies has your organization implemented to mitigate/manage the cost of high-cost claims?

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* 6. How aware are your employees of the resources available to them for managing high-cost healthcare needs?

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* 7. Would you like to participate in our High-Cost Claims (HCC) Learning Collaborative?**

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* 8. **3 Meetings (July, Aug., Sept): 2 virtual, 1 in-person; $500 stipend/per organization or free membership.

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