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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Operating activities      
Net earnings $ 20,639 $ 17,732 $ 15,769
Noncash items:      
Depreciation and amortization 3,400 3,103 2,891
Deferred income taxes (673) 130 (8)
Share-based compensation 925 800 679
Other, net (331) (944) (52)
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:      
Accounts receivable (2,523) (1,000) (688)
Other assets (1,374) (1,031) (2,195)
Medical costs payable 4,053 2,701 152
Accounts payable and other liabilities 1,964 1,162 5,348
Unearned revenues 126 (310) 278
Cash flows from operating activities 26,206 22,343 22,174
Investing activities      
Purchases of investments (18,825) (17,139) (16,577)
Sales of investments 5,907 7,045 6,489
Maturities of investments 6,081 8,251 7,252
Cash paid for acquisitions, net of cash assumed (21,458) (4,821) (7,139)
Purchases of property, equipment and capitalized software (2,802) (2,454) (2,051)
Cash received from dispositions 3,414 15 221
Other, net (793) (1,269) (727)
Cash flows used for investing activities (28,476) (10,372) (12,532)
Financing activities      
Common share repurchases (7,000) (5,000) (4,250)
Cash dividends paid (5,991) (5,280) (4,584)
Proceeds from common stock issuances 1,253 1,355 1,440
Repayments of long-term debt (3,015) (3,150) (3,150)
Proceeds from (repayments of) short-term borrowings, net 732 (1,302) 872
Proceeds from issuance of long-term debt 14,819 6,933 4,864
Customer funds administered 5,548 622 1,677
Purchases of redeemable noncontrolling interests (176) (1,338) 0
Other, net (1,944) (295) (459)
Cash flows from (used for) financing activities 4,226 (7,455) (3,590)
Effect of exchange rate changes on cash and cash equivalents 34 (62) (116)
Increase in cash and cash equivalents 1,990 4,454 5,936
Cash and cash equivalents, beginning of period 21,375 16,921 10,985
Cash and cash equivalents, end of period 23,365 21,375 16,921
Supplemental cash flow disclosures      
Cash paid for interest 1,945 1,653 1,704
Cash paid for income taxes $ 5,222 $ 3,966 $ 4,935