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Tennessee is worst in the nation in supporting caregivers, but here’s how to change that

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Tennessee is worst in the nation in supporting caregivers, but here’s how to change that



It’s time for Tennessee to acknowledge the tireless efforts these family caregivers provide and pay them for their work

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  • Vanessa Zapata is an attorney and the director of health policy and equity at the Tennessee Justice Center.

Tennessee ranks last in all 50 states and D.C. in its treatment of family caregivers according to a 2023 AARP report.

This comes as no surprise to Tennessee families who must care for loved ones with disabilities and/or who are aging.

The expectations and stress related to family caregiving are too high and have become unsustainable.

Every day, families reach a breaking point, as one family caregiver explained, “I would like there to be 24/7 support for my son in the family home. He would get this support in any other residential setting, but since he lives with me, it’s expected that I will do everything over 40 hours a week for free. It’s just too much to expect of any person. It’s no wonder that family caregivers go into crisis. Can’t live on four hours of sleep indefinitely.”

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During the COVID-19 public health emergency, many states paid family caregivers as a method of protecting medically frail individuals during the pandemic. This experiment helped states understand that paying family caregivers is not only a tool to keep vulnerable community members safe and out of an institutional setting. It also provides critical relief for the family caregiver. It’s time for Tennessee to join this trend and pay these unsung heroes for their work. We can do this through Medicaid Structured Family Caregiving.

Change the system so it works for Tennessee families

Compensating family caregivers is a strategic investment in healthcare. Studies consistently show that family care at home significantly decreases health care utilization such as ER use. Paying family caregivers also recognizes caregivers as integral members of the healthcare team for the person supported. Not only will this prevent the undervaluing of their work but will also promote equity as Black and Hispanic households are more likely to take on family caregiving roles.

Right now, our state’s Medicaid program, TennCare, only has the option of “Consumer Direction” as an indirect way for family caregivers to be compensated.

However, many families have found this option to be impossible to implement. The most impractical barrier for many families is that immediate family members or any person that lives with the person supported, or even lived with the person in the last five years, cannot be paid through Consumer Direction. This structure just doesn’t work for many families.

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But we can change the system so that it does work for those who are aging, those that have disabilities, and their families. Implementing this policy requires thoughtful analysis of what Tennessee families experience today, the experience during COVID, and what other states are trying now.

One option that Tennessee can study is Georgia’s state agency, Health Force of Georgia, which manages hiring and paying family caregivers. Another option is the agency-directed model, where family members are hired by existing agencies, as seen in Oregon.

Care giving should not become a financial burden

It’s time to acknowledge the tireless efforts these family caregivers provide and pay them for their work.

They shouldn’t have to choose between caring for a loved one and financially supporting their family.

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This not only helps value their work but also reaches the heart of what our TennCare program is about – providing healthcare to Tennesseans.

Vanessa Zapata is an attorney and the director of health policy and equity at the Tennessee Justice Center. She provides direct services to individuals having issues navigating public benefits programs like TennCare Medicaid. She advocates for policies that strengthen public benefits programs, remove access barriers to these programs, and promotes health equity. 



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Tennessee drops series to Ole Miss with game two loss

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Tennessee drops series to Ole Miss with game two loss


KNOXVILLE, Tenn. (WVLT) – The Tennessee Volunteers baseball team dropped game two to Ole Miss on Saturday afternoon, 8-1. The Rebels clinch the series, the first time Ole Miss has won a series in Knoxville since 2016.

A bright spot for the Vols was Tegan Kuhns who threw 5.2 innings not allowing a run, striking out 10 batters on five hits.

Cam Appenzeller picked up his first loss of the season coming in out of the bullpen for Kuhns. The SEC Freshman of the Week did not have a great outing. Appenzeller went 2.1 innings giving up six earned runs.

Tennessee escaped a shutout as Trent Grindlinger hit a solo home run in the ninth inning. Grindlinger’s home run was one of Tennessee’s two hits on the night.

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The Volunteers look to avoid the series sweep as theY round out the series with Ole Miss on Sunday at Lindsey Nelson Stadium. First pitch is set for 1 p.m. on the SEC Network+.

Copyright 2026 WVLT. All rights reserved.



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Tennessee-Ole Miss baseball time change for Game 2

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Tennessee-Ole Miss baseball time change for Game 2


Tennessee (25-13, 7-9 SEC) will continue a three-game home baseball series on Saturday. The Vols will host No. 23 Ole Miss (28-11, 9-7 SEC) at Lindsey Nelson Stadium. Rankings reflect the USA TODAY Sports Coaches Poll.

Ole Miss won Game 1 on Friday, 7-4.

Saturday’s Game 2 was scheduled for 6 p.m. EDT. Due to possible inclement weather on Saturday, first pitch for Game 2 will take place at 4 p.m. EDT.

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“Due to the chance of inclement weather tomorrow night, tomorrow’s game versus Ole Miss will now start at 4 p.m. EDT,” Tennessee announced on Friday.

Below is how to watch information for Saturday’s Tennessee-Ole Miss Game 2.

What channel is Tennessee versus Ole Miss baseball on?

  • TV channel: SEC Network+
  • Livestream: Watch live on SECN+
  • Announcers: Myan Patel (play-by-play) and Cody Hawn (analyst)

Watch Tennessee baseball live

We occasionally recommend interesting products and services. If you make a purchase by clicking one of the links, we may earn an affiliate fee. USA TODAY Network newsrooms operate independently, and this doesn’t influence our coverage.

Follow Vols Wire on Facebook and X (formerly Twitter).



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Everything Tennessee HC Josh Elander Said Following Series-Opening Loss At Ole Miss | Rocky Top Insider

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Everything Tennessee HC Josh Elander Said Following Series-Opening Loss At Ole Miss | Rocky Top Insider


Photo By Kate Luffman/Tennessee Athletics

Tennessee baseball dropped its series opener against Ole Miss, 7-4, on Friday night at Lindsey Nelson Stadium. The Vols bats were quiet and could not find enough to overcome a mid game deficit.

Following the game, Tennessee head coach Josh Elander discussed Landon Mack’s start, young bullpen arms impressing and much more. Here’s everything Elander said.

More From RTI: Tennessee Baseball Moves Up First Pitch Time For Saturday Game Against Ole Miss

On what went sideways for Landon Mack

“I just thought some of the big fellas didn’t miss some pitches. Those balls were both really touched. The one that was hit to right center, and I think it was Mr. Utermark after the fact. And had them kind of in between early but they landed on a few right there. Again, competing over the white, we’ll take it. But they were able to scatter some hits around it. You have some free passes here and there that we don’t need to give up. And just credit to Mississippi’s hitters because they landed on those pretty good.”

On what Ole Miss starter Hunter Elliott did well

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“Just being a crafty vet. I mean, he was throwing some change ups. His slider-cutter was kind of blending tonight. Sometimes it had 11 inches horizontal, sometimes eight. Three almost backing up a little bit. But that’s a guy that knows how to pitch in this league. There’s a reason he throws on Friday night for that club, and we had two chances to get him. We punch out one time and hit into a double play the other. And I’ve always told the offense, these guys know on Friday night, you usually have one chance to get that guy, and if you don’t get him, you’re going to be in trouble (and) playing from behind the whole time. But credit to him. He did a good job of getting all the way through six, but then good job by our crew to kind of punch back and get (Walker) Hooks in the game. It’s a guy they have a lot of confidence in, and they’re going to have to bring him back at some point. So that was the one positive down there late.”

On young bullpen arms throwing well

“It was really good. I mean, I’ve continued to challenge those guys. We want to be able to kind of mix and match and have some options there. I thought Abraham did a really good job against the middle of the meat of the order. And then Chandler Day, just to see him pitch with emotion. And it was really cool. I mean, those three come in and punch out three guys. It was really, really good with the different look that he brings. And then Will Haas, I was really excited about. 93 (mph) and really running that heater. Completely different look from Chandler Day. So he’s a guy that I said on the radio a minute ago— we didn’t ever know if he was going to show up as well as he was thrown down the stretch (of his high school career). Gets hurt and ends up making it to campus, but he seems to continue to get better and better as he gets further away from being cleared. And that is definitely a big positive from the end of tonight, is having those two lefties, how they threw the ball.”

On Tennessee sophomore Jay Abernathy going 2-for-4 with a home run, two RBIs and two runs scored

 “Just playing baseball, and then we talked to him, he’s got to keep that ball in front. He knows that. Makes a good play on the backhand early in the game, but does a good job of beating a cutter to the spot and driving it out of the yard. He’s just an easy guy to bet on. Good makeup, and it’s nice to see him having some success, because stuck with him for a while, because we expect him to be able to have success in this league, and I know he believes that, too. So we need him to continue to string some things together because if he can play good defense, keep it in front on the dirt, and then in the outfield, he’s dynamic out there in centerfield, too.”

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On where Tennessee third baseman Henry Ford is physically after dealing with an illness for several weeks, if he’s still hampered by it

“I think so. It was a grind. His toughness was really cool to see, how he grinded through that. A lot of guys would have taken some time off, and he continues to work incredibly hard on defense. He’s come a long way, really, with Coach (Ross) Kivett and what those two have done together, but it seems like right now, a little bit of being in between (at the plate). There’s some sliders, he’s running out of bat, but again, he’s a guy that we expect — we’re going to leave him right there and let him do his deal, and he can change the game in one swing. And hey, two for four tonight. Would like to have maybe a little bit better at-bat late, but he’s a guy that, he’s a winner, and I’m glad he’s a Tennessee Vol.”

On if he anticipates using injured Tennessee catcher Stone Lawless (facial fractures) either of the next two days

“We’ll see. You know, the last box I wanted to get checked tonight was to actually catch live pitching. We were able to get him some live ABs yesterday. He got completely cleared by the doctors. Arm feels good, body feels good, so I’ll talk with the staff, and we’ll look at some matchup stuff for tomorrow. But yeah, he’s a guy that just the way he receives the baseball, whether it be framing runs above average or whatnot, he makes an impact on the game just by how he catches the baseball. So we’ll look at that, but we just want to make sure we put him in a good spot to have success. And anytime you have any kind of orbital deal or whatnot, I just want to be careful with it.”

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