Healthcare · Public Sector Analytics

Medicaid prescription cost analytics, 2020–2025

A Power BI report on CMS Medicaid State Drug Utilization Data — spend concentration, brand-to-generic substitution opportunity, per-capita state outliers, and a 12-month ensemble forecast. 5 report pages, 17 interactive visuals, refreshable on demand.

Public dataSource: CMS State Drug Utilization Data·Coverage: 2020–2025·Refreshed quarterly by CMS

Medicaid prescriptions

31M

claim-level records

Years analyzed

2020–2025

6-year history

States & territories

57

incl. DC + US territories

Forecast horizon

12 mo

SARIMA + Prophet ensemble

Medicaid State Drug Utilization Dashboard

5 pages · 17 visuals · CMS public data · Connecting to Power BI…

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For technical reviewers

How this was built — pipeline + 16-evaluator LLM audit harness

Spec → bronze → silver → forecast → TOM model → 3-tier scalable-oversight pass

Healthcare Dashboard Ops

Power BI evaluation harness · scalable-oversight pattern

16 evaluators across three tiers run against a generated Power BI dataset and emit a severity-banded AUDIT.md plus a weighted composite verdict. The canonical run uses CMS Medicaid State Drug Utilization Data — 31,028,144 rows across 6 years.

Portfolio demonstration · public data only

This page is a portfolio demonstration of a Power BI evaluation harness applied to the CMS Medicaid State Drug Utilization Data — a publicly-available dataset published by the Centers for Medicare & Medicaid Services. No protected health information, beneficiary identifiers, or claim-level records are included. SDUD is state-level aggregated by drug and quarter.

Forecasts shown are illustrative model output, not policy guidance. Figures are for software-design demonstration purposes and should not be used for clinical, financial, or regulatory decision-making.

dashboard_spec.yml drives every downstream phase.

Bronze rows

31,028,144

DAX measures

39

Pages × visuals

5 × 17

Evaluators

16

16 evaluators · click for rubric detail

Reuse

Drop in a new dashboard_spec.yml with a different domain and data sources — every judge except domain_relevance runs unchanged. The full harness, DAX templates, judge code, and the canonical Medicaid run are on GitHub.

github.com/JdeGraftJohnson/healthcare-cost-ops →