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Medical Costs Payable (Notes)
9 Months Ended
Sep. 30, 2025
Insurance [Abstract]  
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)20252024
Medical costs payable, beginning of period$34,224 $32,395 
Acquisitions (dispositions), net20 (755)
Reported medical costs:
Current year231,984 197,750 
Prior years(30)(600)
Total reported medical costs231,954 197,150 
Medical payments:
Payments for current year(195,548)(165,544)
Payments for prior years(30,453)(29,095)
Total medical payments(226,001)(194,639)
Less: increase in medical costs payable included within businesses held for sale(16)(200)
Medical costs payable, end of period$40,181 $33,951 
For the nine months ended September 30, 2025 and 2024, 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 $27.8 billion and $23.7 billion at September 30, 2025 and December 31, 2024, respectively.