XML 19 R10.htm IDEA: XBRL DOCUMENT

Medical Costs Payable (Notes)

9 Months Ended

Sep. 30, 2023

Short-Duration Insurance and Deposit Contracts

Medical Costs Payable

The following table shows the components of the change in medical costs payable for the nine months ended September 30:


(in millions)	2023		2022
Medical costs payable, beginning of period	$	29,056	$	24,483
Acquisitions	1		177
Reported medical costs:
Current year	180,423		157,601
Prior years	(760)		(350)
Total reported medical costs	179,663		157,251
Medical payments:
Payments for current year	(149,671)		(130,788)
Payments for prior years	(26,257)		(22,059)
Total medical payments	(175,928)		(152,847)
Medical costs payable, end of period	$	32,792	$	29,064

For the nine months ended September 30, 2023 and 2022, prior years’ medical cost reserve development included no individual factors that were significant. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $22.7 billion and $20.0 billion at September 30, 2023 and December 31, 2022, respectively.