Eight Years of Advocacy, Policy Impact, and Action in Value-Based Payment brings together nearly a decade of insights from XtraGlobex’s advocacy-first approach to healthcare reform. Guided by lead researcher and editor Cathryn Hilliard, this book explores how value-based payment (VBP) is reshaping Medicaid, long-term services and supports (LTSS), and managed care. Drawing from rigorous research, policy analysis, and frontline advocacy, it examines whether VBP truly delivers on its promises of equity, sustainability, and better outcomes. More than a policy guide, this book is a roadmap for advocates, providers, and policymakers seeking to ensure that healthcare transformation is both meaningful and just.