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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Operating activities    
Net earnings $ 5,774 $ 5,148
Noncash items:    
Depreciation and amortization 970 788
Deferred income taxes (332) 161
Share-based compensation 362 299
Other, net 69 17
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:    
Accounts receivable (4,306) (4,521)
Other assets (1,875) (1,089)
Medical costs payable 2,467 3,849
Accounts payable and other liabilities 1,796 589
Unearned revenues 11,402 78
Cash flows from operating activities 16,327 5,319
Investing activities    
Purchases of investments (4,894) (4,982)
Sales of investments 456 1,591
Maturities of investments 2,119 1,759
Cash paid for acquisitions, net of cash assumed (7,826) (1,231)
Purchases of property, equipment and capitalized software (760) (555)
Other, net (115) (255)
Cash flows used for investing activities (11,020) (3,673)
Financing activities    
Common share repurchases (2,000) (2,500)
Cash dividends paid (1,537) (1,363)
Proceeds from common stock issuances 344 551
Repayments of long-term debt (1,375) (1,100)
Proceeds from short-term borrowings, net 7,349 3,148
Proceeds from issuance of long-term debt 6,401 0
Customer funds administered 5,012 5,120
Other, net (1,004) (1,552)
Cash flows from financing activities 13,190 2,304
Effect of exchange rate changes on cash and cash equivalents 51 157
Increase in cash and cash equivalents 18,548 4,107
Cash and cash equivalents, beginning of period 23,365 21,375
Cash and cash equivalents, end of period $ 41,913 $ 25,482