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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Operating activities    
Net earnings $ 9,350 $ 10,161
Noncash items:    
Depreciation and amortization 1,536 1,440
Deferred income taxes 327 114
Share-based compensation 426 388
Other, net (214) 124
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:    
Accounts receivable (1,218) (439)
Other assets (1,523) (3,784)
Medical costs payable 3,086 (2,353)
Accounts payable and other liabilities 298 7,591
Unearned revenues (523) (296)
Cash flows from operating activities 11,545 12,946
Investing activities    
Purchases of investments (8,847) (6,412)
Sales of investments 1,408 3,548
Maturities of investments 4,650 3,437
Cash paid for acquisitions, net of cash assumed (4,642) (3,952)
Purchases of property, equipment and capitalized software (1,130) (920)
Other, net (648) (186)
Cash flows used for investing activities (9,209) (4,485)
Financing activities    
Common share repurchases (2,900) (1,691)
Cash dividends paid (2,548) (2,212)
Proceeds from common stock issuances 764 870
Repayments of long-term debt (1,900) 0
(Repayments of) proceeds from short-term borrowings, net (176) 351
Proceeds from issuance of long-term debt 6,934 4,864
Customer funds administered 2,395 1,263
Purchases of redeemable noncontrolling interests (1,338) 0
Other, net (662) (421)
Cash flows from financing activities 569 3,024
Effect of exchange rate changes on cash and cash equivalents 6 (143)
Increase in cash and cash equivalents 2,911 11,342
Cash and cash equivalents, beginning of period 16,921 10,985
Cash and cash equivalents, end of period $ 19,832 $ 22,327