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This data aligns with ZS clients' experience. A key point to consider is what, if anything, is being removed from MSLs' activity remit to compensate for the extra responsibilities. Currently we only see MSL activities and responsibilities being added. 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Sixty-seven percent of respondents cited that they either have or plan to hire HEOR/payer liaisons, the highest among all other roles assessed. The need for liaisons with specialized knowledge of healthcare reimbursement and real-world evidence is on the rise due to the evolving healthcare landscape. 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