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Health Care Costs Payable (Tables)
3 Months Ended
Mar. 31, 2024
Health Care And Other Insurance Liabilities [Abstract]  
Components of Change in Health Care Costs Payable
The following table shows the components of the change in health care costs payable during the three months ended March 31, 2024 and 2023:
Three Months Ended
March 31,
In millions20242023
Health care costs payable, beginning of the period$12,049 $10,142 
Less: Reinsurance recoverables
Less: Impact of discount rate on long-duration insurance reserves (1)
(23)
Health care costs payable, beginning of the period, net12,067 10,129 
Add: Components of incurred health care costs
  Current year28,212 21,068 
  Prior years(479)(693)
Total incurred health care costs (2)
27,733 20,375 
Less: Claims paid
  Current year16,263 11,957 
  Prior years9,150 7,645 
Total claims paid25,413 19,602 
Health care costs payable, end of the period, net14,387 10,902 
Add: Reinsurance recoverables
Add: Impact of discount rate on long-duration insurance reserves (1)
(23)(12)
Health care costs payable, end of the period$14,368 $10,895 
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(1)Reflects the difference between the current discount rate and the locked-in discount rate on long-duration insurance reserves which is recorded within accumulated other comprehensive loss on the unaudited condensed consolidated balance sheets.
(2)Total incurred health care costs for the three months ended March 31, 2024 and 2023 in the table above exclude $23 million and $22 million, respectively, of health care costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets and $47 million and $51 million, respectively, of health care costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets.