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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Operating activities    
Net earnings $ 10,347 $ 9,350
Noncash items:    
Depreciation and amortization 1,590 1,536
Deferred income taxes (15) 327
Share-based compensation 504 426
Other, net 215 (214)
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:    
Accounts receivable (4,204) (1,218)
Other assets (643) (1,523)
Medical costs payable 4,029 3,086
Accounts payable and other liabilities 807 298
Unearned revenues (440) (523)
Cash flows from operating activities 12,190 11,545
Investing activities    
Purchases of investments (8,903) (8,847)
Sales of investments 2,348 1,408
Maturities of investments 3,189 4,650
Cash paid for acquisitions, net of cash assumed (7,150) (4,642)
Purchases of property, equipment and capitalized software (1,212) (1,130)
Other, net (532) (648)
Cash flows used for investing activities (12,260) (9,209)
Financing activities    
Common share repurchases (5,000) (2,900)
Cash dividends paid (2,908) (2,548)
Proceeds from common stock issuances 756 764
Repayments of long-term debt (1,100) (1,900)
Proceeds from (repayments of) short-term borrowings, net 1,340 (176)
Proceeds from issuance of long-term debt 5,922 6,934
Customer funds administered 5,786 2,395
Purchases of redeemable noncontrolling interests (97) (1,338)
Other, net (1,449) (662)
Cash flows used for financing activities 3,250 569
Effect of exchange rate changes on cash and cash equivalents 57 6
Increase in cash and cash equivalents 3,237 2,911
Cash and cash equivalents, beginning of period 21,375 16,921
Cash and cash equivalents, end of period $ 24,612 $ 19,832