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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Operating activities    
Net (loss) earnings $ (1,221) $ 5,774
Noncash items:    
Depreciation and amortization 997 970
Deferred income taxes (27) (332)
Share-based compensation 372 362
Loss on sale of subsidiary 7,086 0
Other, net 179 69
Net change in other operating items, net of effects from acquisitions, dispositions and changes in AARP balances:    
Accounts receivable (6,162) (4,306)
Other assets (1,927) (1,875)
Medical costs payable 2,069 2,467
Accounts payable and other liabilities (231) 1,796
Unearned revenues 9 11,402
Cash flows from operating activities 1,144 16,327
Investing activities    
Purchases of investments (4,798) (4,894)
Sales of investments 2,976 456
Maturities of investments 2,314 2,119
Cash paid for acquisitions, net of cash assumed (3,006) (7,826)
Purchases of property, equipment and capitalized software (743) (760)
Other, net (3,083) (115)
Cash flows used for investing activities (6,340) (11,020)
Financing activities    
Common share repurchases (3,072) (2,000)
Cash dividends paid (1,729) (1,537)
Proceeds from common stock issuances 486 344
Repayments of long-term debt (750) (1,375)
Proceeds from short-term borrowings, net 6,189 7,349
Proceeds from issuance of long-term debt 5,925 6,401
Customer funds administered 1,745 5,012
Other, net (563) (1,004)
Cash flows from financing activities 8,231 13,190
Effect of exchange rate changes on cash and cash equivalents (48) 51
Increase in cash and cash equivalents 2,987 18,548
Cash and cash equivalents, beginning of period 25,427 23,365
Cash and cash equivalents, end of period $ 28,414 $ 41,913