
Andrew Keeley
FSA, MAAA
Principal & Consulting Actuary
Seattle, WA, US
Andrew Keeley is a principal and consulting actuary with the Seattle Milliman office. He joined the firm in 2010 and has 15 years of actuarial experience.
Experience
As a principal and consulting actuary, Andrew has experience with pricing, rating, and reserving commercial and Medicare business, software development for provider contracting, and in supporting government agencies in economic and financial forecasting and policy setting. Recent projects and responsibilities include:
- Acting as a certifying actuary for commercial rate development and filings across multiple health plans in several states, including large group, small group, individual, dental, and multiple-employer welfare plans
- Developing provider reimbursement benchmarking and comparison tools that enable the identification of contract improvement opportunities
- Supporting clients in developing provider risk sharing and capitation arrangements and valuation of divisions of financial responsibilities
- Assisting the Department of Veterans Affairs with financial forecasting, leading key areas such as the processing of baseline and workload data, mortality rate projections, forecasting of enrollee reliance on VA, community care analysis, regional and facility workload modeling, Long Term Services and Supports (LTSS) modeling, and policy costing
- Supporting state departments of insurance on economic and feasibility modeling for 1332 Waivers
- Estimating quarterly and year-end Incurred But not Reported (IBNR) claims and premium deficiency reserves
- Serving as an expert with Medicare fee schedules, including physician fee schedule and ancillary physician schedules
- Supporting Medicare Advantage and Part D bid modeling and feasibility studies, including serving as a certifying actuary for Medicare Advantage bids
Publications and Presentations
- A Comparison of Nursing Home Usage in states with and without Medicaid Managed LTSS. Milliman Insight, August 2018.
- E/M-erging payment rates: Effects of 2020 federal funding legislation on the 2021 Medicare Physician Fee Schedule. Milliman Insight, April 2021.
Professional Designations
- Fellow, Society of Actuaries
- Member, American Academy of Actuaries
Education
- BS, Mathematics and Actuarial Sciences, University of Minnesota, 2009
Publications
Read their latest work
Article
E/M-erging payment rates: Effects of 2020 federal funding legislation on the 2021 Medicare Physician Fee Schedule
08 April 2021 - by Jason Karcher, Andrew Keeley, Steven Rounsley
We examine the effects of recent federal funding on payment rates for evaluation and management services.
Article
A comparison of nursing home usage in states with and without Medicaid Managed LTSS
21 August 2018 - by Nicholas Johnson, Andrew Keeley
This paper examines Minimum Data Set frequency reports and U.S. Census Bureau American Community Survey population data to compare nursing home usage in states with managed long-term services and supports (MLTSS) to states without MLTSS.