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Business Combinations Acquired Assets and Liabilities (Details) - USD ($)
$ in Millions
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Business Combination, Separately Recognized Transactions [Line Items]      
Acquired intangible assets $ 2,174 $ 5,814  
Goodwill 103,732 $ 93,352 $ 75,795
Acquisitions      
Business Combination, Separately Recognized Transactions [Line Items]      
Cash and cash equivalents 134    
Accounts receivable and other current assets 660    
Property, equipment and other long-term assets 634    
Acquired intangible assets 2,174    
Total identifiable assets acquired 3,602    
Medical costs payable (1)    
Accounts payable and other current liabilities (667)    
Other long-term liabilities (768)    
Total identifiable liabilities acquired (1,436)    
Total net identifiable assets 2,166    
Goodwill 10,121    
Redeemable noncontrolling interests 122    
Nonredeemable noncontrolling interests 1,925    
Net assets acquired $ 10,240