
Drew Osborne
ASA, FSA, MAAA
Consulting Actuary
Seattle, WA, US
Drew Osborne is a consulting actuary with the Seattle office of Milliman. He joined the firm in 2010.
Experience
Drew’s primary areas of expertise include:
- Medicare prospective payment systems
 - Medicare prospective payment systems
 - Claims coding
 - Pricing of excess reinsurance
 - Building of actuarial models for client use
 - Provider contracting and reimbursement
 
Recent projects include:
- Managing the HCG Grouper software
 - Managing the GRVUs and Medicare Repricer and Medicare Reference Pricer software
 - Managing the Excess Pricing Tool (ExPrT)
 - Identifying mistakes in the reimbursement logic of claims adjudication systems
 - Evaluating risk-sharing contracts for a disease management program
 - Adding SNF, long-term care hospital, home health, rehab, and inpatient psych prospective payment system pricing for Milliman’s Medicare Reference Pricer
 
Publications and Presentations
- The Rural "Big Apple": How a single hospital can determine the Medicare acute facility wage index for an entire state. Presentation and paper:
 - https://www.milliman.com/en/video/the-big-rural-apple-medicare-reimbursement-changes-inpatient
 - https://us.milliman.com/en/insight/rural-big-apple-hospital-medicare-acute-facility-wage
 - Advantage plans: Synergies and potential opportunities. (https://www.milliman.com/en/insight/macra-and-medicare-advantage-plans-synergies-and-potential-opportunities)
 
Professional Designations
- Fellow, Society of Actuaries
 - Member, American Academy of Actuaries
 
Education
- BA, Economics, Seattle University
 - MA, Economics, University of British Columbia
 
Affiliations
- BA, Economics, Seattle University
 - MA, Economics, University of British Columbia
 
Publications
Read their latest work
Article
The Rural "Big Apple": How a single hospital can determine the Medicare acute facility wage index for an entire state
17 January 2025 - by Brian Regan, Drew Osborne, Maria Becker, Taylor Call
We show how a New York City provider increased wage indexes for most of the state by more than 10 percentage points by reclassifying itself as a rural hospital.
Video
The Big Rural Apple: Medicare reimbursement changes under the inpatient prospective payment system
13 November 2024 - by Taylor Call, Drew Osborne, Brian Regan, Sam Shellabarger
Join us for a discussion of the wage index calculations, including a case study of how one hospital in New York City was able to reclassify as “rural” and increase 2025 reimbursement in upstate New York by about 10%, after 2025 bids were submitted.
Article
MACRA and Medicare Advantage plans: Synergies and potential opportunities
21 February 2017 - by Drew Osborne, Christopher Kunkel, Lynn F. Dong, Michael J. Polakowski, Noah Champagne, Charlie Mills
While MACRA primarily affects Part B clinicians, there are numerous implications, synergies, and opportunities for Medicare Advantage plans.