On December 14, 2014, the Medicare Payment Advisory Commission (MedPAC) released a report addressing the impact of Affordable Care Act mandated home health payment rebasing on beneficiary access and quality of care. The required rebasing began in 2014, which was the first of four years of base-payment reductions in the home health prospective payment system. The Affordable Care Act required MedPAC to submit the report to Congress no later than January 1, 2015 – a deadline which hindered MedPAC from directly assessing the impact of rebasing because claims and quality data for 2014 was not yet available to MedPAC. MedPAC therefore examined data from 2001 through 2012 to assess whether past changes in the average payment per home health episode impacted quality or access and concluded that prior payment reductions did not have a negative effect on home heath quality or beneficiary access to care. MedPAC’s full report can be found here.