Medicare physician pay has fallen 33 percent since 2001

Declining healthcare reimbursement chart showing physician payment decline from 2001 to 2026

This article by Dr. Kayvan Haddadan was originally published on KevinMD.com on May 21, 2026. Patient care is getting squeezed. For years now, the Medicare Physician Fee Schedule has failed to give doctors the resources they need to keep up with rising costs and deliver high-quality care. The result is real strain on practices, especially smaller and…

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The administrative burden crushing California medicine

Exhausted California physician overwhelmed by prior authorization paperwork while patient waits in background

This article by Dr. Kayvan Haddadan was originally published on KevinMD.com on May 16, 2026. Think of the entire health care system as a chess game where the goal is to achieve a healthier population by checkmating against the “darker side,” which represents disease, poor outcomes, inefficiency, and the human suffering of untreated or delayed chronic conditions…

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California opioid prescribing: What the data actually shows

Balance scale showing cost vs. outcomes in California opioid prescribing policy with evidence-based healthcare data

This article by Dr. Kayvan Haddadan was originally published on KevinMD.com on May 19, 2026. As a physician managing patients with chronic pain in California, I’ve witnessed the tension between necessary regulations and the daily reality of helping people in genuine distress. As chairman for the National Campaign to Protect People in Pain (NCP3), I know how…

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How to Treat Chronic Pain and Depression Together

chronic pain and depression treatment compassionate care APDSS Northern California

Originally published on KevinMD.com | April 23, 2026 Chronic pain and depression treatment must go hand in hand — because in my years of managing patients with persistent pain, I’ve seen the same frustrating cycle play out repeatedly. A patient arrives with unrelenting back pain that has lasted for months. They describe not just physical…

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How Workers Compensation Reform Can Cut Litigation Costs

workers compensation reform pain management physician QME APDSS Northern California

Originally published on KevinMD.com | May 5, 2026 Workers compensation reform is overdue — and as a pain physician treating injured workers daily, a qualified medical examiner (QME), an independent medical examiner (IME), and a business owner paying workers’ comp premiums, I see the system’s strengths and serious strains up close. It started with good…

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How Spinal Cord Stimulation Offers Relief for Chronic Pain

spinal cord stimulation chronic pain treatment consultation at APDSS Sacramento

Originally published on KevinMD.com | March 22, 2026 Spinal cord stimulation for chronic pain is one of the most effective minimally invasive options available for patients whose pain has not responded to medications, physical therapy, or injections. This approach delivers low-level electrical pulses through electrodes placed in the epidural space near the spinal cord, changing…

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How to Treat Sacroiliac Joint Pain Effectively

sacroiliac joint pain treatment evaluation at APDSS Northern California pain clinic

Originally published on KevinMD.com | April 3, 2026 Sacroiliac joint pain treatment is one of the most overlooked solutions for patients who have spent months chasing the wrong diagnosis. If you have nagging pain deep in your lower back or one buttock that never seems to settle, the real source may be the sacroiliac (SI)…

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AI in pain assessment: Balancing innovation with patient safety

AI-powered pain assessment overlay on a patient in a Sacramento pain management clinic — APDSS

Originally published on KevinMD.com | March 5, 2026   In Northern California and beyond, health care systems are rapidly integrating artificial intelligence (AI) and digital tools to transform how pain is recognized, measured, and managed. From algorithm-guided assessments to wearable sensors and predictive analytics, these tools promise to augment clinical decision-making and improve patient outcomes.…

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Why Doctors Struggle with Health Care System Delays

prior authorization pain management delays physician patient

Originally published on KevinMD.com | February 27, 2026   Prior authorization in pain management has long been a barrier — one I’ve fought on behalf of my patients until I became the patient myself. I write often on hurdles like restrictive opioid policy, excessive regulatory scrutiny, prior authorization, and administrative burdens that detract from patient…

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