Meet
Amy Schroeder

Principal Research Scientist

Amy Schroeder offers strategic guidance on issues related to clinical data, clinical practice guidelines, clinical decision support technologies (e.

g., clinical pathways), and drug and pharmacopeial compendia.

Amy leads the Clinical SME team of physicians, nurses, and pharmacists, and co-leads the technical science work track at Avalere Health. Amy leads primary research projects regarding the use of clinical decision support technologies that guide healthcare provider, payer, and patient care decisions, and provides real world expertise for inclusion/exclusion criteria and type of data to track in retrospective claims data analyses. Her perspective assists life science clients in understanding the landscape of different cancers, from screening, through diagnosis, treatment, and survivorship, and in interpreting the real-world experience of patients, barriers preventing access to critical treatments, and how to mitigate those barriers. Amy serves on the Medicare Evidence Development & Coverage Advisory Committee (MEDCAC) as a patient advocate for access to new technology and treatment advancements in oncology and endocrinology, and supports recognition of clinical drug compendia by CMS, for coverage determinations.

Amy began her clinical career in cancer research and subsequently held positions in retail, specialty, home infusion, and outpatient oncology pharmacies, as well as leadership roles developing clinical and pharmacopeial drug compendia. She helped to create the initial United States Pharmacopeia Medicare Model Guidelines to guide Part D plans in developing and maintaining their drug formularies, and drafted Level I clinical pathways content for US Oncology. She also provided consultation on the impacts of clinical drug data on payer coverage and reimbursement, subsequently becoming a senior consultant for Lash Group Healthcare Consultants and DK Pierce & Associates, Inc. At Resolution Health, Inc., an analytics subsidiary of Anthem, Inc., she served as the assistant director of clinical pharmacy research and development, assessing the alignment of claims data with evidence-based clinical guidelines, quality measures, and identifying cost-saving opportunities and safety concerns for members. Amy is the only pharmacist who has contributed to the content of three clinical drug compendia recognized by CMS and commercial payers, and helped draft the first iteration of the NCCN Drugs & Biologics Compenidum (NCCN Compendium®).

Amy holds a BS in science/microbiology from the Pennsylvania State University and a BS in pharmacy from the University of Maryland School of Pharmacy. She is a licensed pharmacist and has served as a preceptor to pharmacy students at several universities.

Authored Content


USP’s updated Drug Classification for plans outside of the Medicare Part D market reflects revisions and newly approved products through October 2024.

A detailed Avalere report offers insights into state-specific statutes guiding commercial payer coverage for off-label use of oncology drugs/biologics.

The USP DC 2025 Draft is open for public comment until October 31, allowing stakeholders to engage with the USP even in years without an update to the MMG.

Avalere’s report, updated semi-annually, is available now with insights into state policies on point-of-service substitution of biosimilar products.

An Avalere analysis shows that those who had received cervical cancer screening within five years prior to diagnosis were diagnosed at relatively younger ages.

In this video, Avalere market access experts discuss major takeaways from the 2024 NCCN (National Comprehensive Cancer Network) Annual Conference in the areas of reimbursement, early detection of cancer, consideration of a broader pool as provider decision makers, and patient involvement in their care decisions.

The majority of women are not receiving cervical cancer screenings in compliance with recommendations, with disparities by insurance and age.

Drug repurposing offers developers an opportunity to bring treatment options to patients at a reduced cost and shortened timelines, although challenges exist.

The FDA proposed to begin regulating LDTs as medical devices over the next 5 years. This has important implications for market dynamics and clinical care.

Avalere found disparate breast cancer screening rates by race/ethnicity and insurance type. Stakeholders are seeking to address barriers to patient access.

Manufacturers should adjust commercial and evidence generation strategies in response to the shifted incentives under the IRA and Enhancing Oncology Model.

To determine the attributes of triple-negative breast cancer treatment that play a direct role in patient treatment decision making at treatment initiation and following initial treatment selection, Avalere conducted focus groups to examine treatment experiences of patients with triple-negative breast cancer and elicit their treatment-related preferences.

An Avalere analysis found that the impact of removing low-risk/low-intensity episodes from the Oncology Care Model (OCM) reconciliation process would not have a notable impact for most practices. Among practices where performance would change, however, performance would improve for most practices if enrolled in 1-sided risk but worsen for most practices if enrolled in alternative 2-sided risk.

Tune into another episode of the Avalere Health Essential Voice series focused on disease education. In this segment, our Market Access experts discuss major takeaways from the 2021 NCCN annual conference in the areas of diagnostics, holistic approaches to cancer treatment, and how the pandemic has influenced cancer care.

Tune into another episode of the Avalere Health Essential Voice series focused on disease education. In this segment, our Market Access experts discuss major takeaways from the 2021 NCCN annual conference in the areas of diagnostics, holistic approaches to cancer treatment, and how the pandemic has influenced cancer care.

Avalere analysis finds that approximately 1 in 5 Medicare beneficiaries with advanced urothelial carcinoma (UC) or renal cell carcinoma (RCC) see a physician that has access to McKesson Value Pathways or Elsevier ClinicalPath vendor clinical pathways programs

An Avalere analysis found that among high-risk breast cancer episodes, those in later stages of the disease had higher episode expenditures relative to their benchmarks compared to those in earlier stages.

Tune into our first episode in the Avalere Health Essential Voice podcast series focused on disease education. In this segment, our experts discuss recent research that, using Medicare fee-for-service claims data, studied healthcare utilization, costs, outcomes, and other characteristics of patients who received CAR T-cell therapy for large B-cell lymphoma.

Tune into our first episode in the Avalere Health Essential Voice series focused on disease education. In this segment, our experts discuss recent research that, using Medicare fee-for-service claims data, studied healthcare utilization, costs, outcomes, and other characteristics of patients who received CAR T-cell therapy for large B-cell lymphoma.

Type 2 diabetes (T2D) rates have grown substantially over the years and have placed a significant burden on the US healthcare system. While prevention efforts continue to advance, including the availability of screening tools and early prevention therapies, systemic disparities still preclude equitable access to preventive services. These will need to be addressed as a key component of strengthening patient access to preventive care and lowering the incidence of disease.

Avalere analysis found that in 2017 and 2018, more than half (56%) of Medicare patients with breast cancer taking a medicine covered by Medicare Part B received a therapy that was not routinely covered by England’s National Health Service (NHS) or its Cancer Drug Fund (CDF).

Tune into another episode of Start Your Day with Avalere. In this segment, experts from Avalere’s Market Access continue their discussion on clinical pathways in oncology, exploring how they are developed and what cancers and treatment modalities are included.

Tune into another episode of Start Your Day with Avalere. In this segment, experts from Avalere’s Market Access practice discuss clinical pathways as they relate to value in oncology.

As treatment advancements in oncology continue, stakeholders are modifying their approaches to defining value and managing care

In this third episode, Sam Ferguson, a consultant in Avalere’s Market Access practice, along with Allison Petrilla, a managing director in Avalere’s Health Economics and Advanced Analytics practice, and Amy Schroeder, a senior consultant in Avalere’s Market Access practice, discuss how stakeholders are utilizing and translating real-world evidence (RWE) into value for oncology.

As COVID-19 deaths increase, the FDA is evaluating and considering approval of treatments more quickly, but the rush to find treatment options is creating new access considerations for patients and providers.

On Saturday, December 7, Karl Kilgore discussed “Medicare Patients Receiving Chimeric Antigen Receptor T-Cell Therapy for Non-Hodgkin Lymphoma: A First Real-World Look at Patient Characteristics, Healthcare Utilization and Costs” during a press briefing at the American Society of Hematology’s Annual Meeting.