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Medical Costs Payable (Tables)

12 Months Ended

Dec. 31, 2023

Insurance [Abstract]

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]

The following table shows the components of the change in medical costs payable for the years ended December 31:

(in millions)						2023						2022						2021
Medical costs payable, beginning of period						$	29,056					$	24,483					$	21,872
Acquisitions						1						308						88
Reported medical costs:
Current year						242,734						211,252						188,631
Prior years						(840)						(410)						(1,720)
Total reported medical costs						241,894						210,842						186,911
Medical payments:
Payments for current year						(211,380)						(184,049)						(165,524)
Payments for prior years						(27,176)						(22,528)						(18,864)
Total medical payments						(238,556)						(206,577)						(184,388)
Medical costs payable, end of period						$	32,395					$	29,056					$	24,483

Short-duration Insurance Contracts, Reconciliation of Claims Development to Liability [Table Text Block]

The following is information about incurred and paid medical cost development as of December 31, 2023:

						Net Incurred Medical Costs
(in millions)						For the Years Ended December 31,
Year						2022						2023
2022						$	211,252					$	210,476
2023												242,734
Total												$	453,210
						Net Cumulative Medical Payments
(in millions)						For the Years Ended December 31,
Year						2022						2023
2022						$	(184,049)					$	(209,564)
2023												(211,380)
Total												(420,944)
Net remaining outstanding liabilities prior to 2022												129
Total medical costs payable												$	32,395

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- References

No definition available.

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- Definition

Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 944
-SubTopic 40
-Name Accounting Standards Codification
-Section 50
-Paragraph 3
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480081/944-40-50-3

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- Definition

Tabular disclosure for the reconciliation of claims development to the liability for unpaid claims and claim adjustment expense for short-duration insurance contracts.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Section 50
-Paragraph 4C
-SubTopic 40
-Topic 944
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480081/944-40-50-4C

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