New Aging & Disability Health Policy Lab to tackle complex challenge of older adults’ access to care episode artwork

EPISODE · Jan 8, 2026 · 18 MIN

New Aging & Disability Health Policy Lab to tackle complex challenge of older adults’ access to care

from McKnight's Podcast · host Tim Engelhardt, Liza Berger

The SCAN Foundation has committed nearly $8 million over three years for the Aging & Disability Health Policy Lab, a nonprofit endeavor that will focus on advancing public policies at both the state and federal level to help improve access to care for low-income older adults and people with disabilities, Tim Engelhardt, executive director of the lab, said. Among the public policy work the lab will address on the state and federal levels are improving the healthcare system’s cost and complexity — two issues that often prevent older adults and people with disabilities from accessing care. In particular, the lab aims to streamline enrollment processes. He cited Virginia, where those who receive Supplemental Social Income (SSI) have to apply separately for Medicaid. This administrative burden taxes applicants, their families and government officials, he said. A total of 12 million people in this country are dual-eligible — on Medicare and Medicaid. This heterogeneous group consists of low-income older adults and people with disabilities who have, on average, high rates of disability and chronic illness and need significant supports to live in the community. About half of people in HCBS programs are dually eligible, he noted.Follow us on social media:X: @McKHomeCareFacebook: McKnight's Home CareLinkedIn: McKnight's Home CareInstagram: mcknights_homecareFollow The SCAN Foundation on social media:LinkedIn: The SCAN FoundationX: @TheSCANFndtnShow contributors:McKnight’s Home Care Editor Liza Berger; Tim Engelhardt, executive director, Aging & Disability Health Policy Lab Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

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The reconciliation law that passed over the summer will cut more than $900 billion from Medicaid over the next decade. The Aging & Disability Health Policy Lab, a new nonpartisan initiative funded by The SCAN Foundation, aims to help states navigate those cuts and find the right policy solutions to allow low-income older adults and people with disabilities to maintain access to home- and community-based services. Tim Engelhardt, executive director of the lab and former director of the Centers for Medicare & Medicaid Services’ Medicare-Medicaid Coordination Office, talked to McKnight’s Home Care in December about the new lab and its initiatives in a Newsmakers podcast.

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New Aging & Disability Health Policy Lab to tackle complex challenge of older adults’ access to care

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