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Significant Accounting Policies - Narrative (Details) store in Thousands, clinic in Thousands, people in Millions, $ in Millions |  | 3 Months Ended | 9 Months Ended |
--- | --- | --- | --- | ---
Sep. 22, 2025 USD ($) | Sep. 30, 2025 USD ($) people store clinic | Jun. 30, 2025 USD ($) | Mar. 31, 2025 USD ($) | Sep. 30, 2024 USD ($) | Sep. 30, 2025 USD ($) people segment clinic store | Sep. 30, 2024 USD ($) | Dec. 31, 2024 USD ($) program
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Number of pharmacy plan members | people |  | 87 |  |  |  | 87 |  |
Number of reportable segments | segment |  |  |  |  |  | 4 |  |
Allowance for credit losses |  | $ 178 |  |  |  | $ 178 |  | $ 407
Premium deficiency reserve |  | 728 |  |  | $ 670 | 728 | $ 670 |
Loss on Accountable Care assets |  |  |  |  |  | 288 |  |
Pre-tax loss on divestiture |  |  |  |  |  | 236 | 0 |
Gain on deconsolidation of subsidiary | $ 483 | 483 |  |  | 0 | 483 | 0 |
Omnicare, LLC |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Carrying value and fair value of equity investment |  | 0 |  |  |  | 0 |  |
Individual Exchange Product Line |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Total premium deficiency reserve charge |  |  |  | $ 448 | 270 |  |  |
Premium deficiency reserve, charge of unamortized acquisition costs |  |  |  | 17 | 11 |  |  |
Premium deficiency reserve, charge to health care costs |  |  |  | $ 431 | 259 |  |  |
Premium deficiency reserve |  | 335 |  |  |  | 335 |  | 0
Group Medicare Advantage Product Line |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Total premium deficiency reserve charge |  |  | $ 471 |  |  |  |  |
Premium deficiency reserve |  | $ 393 |  |  |  | $ 393 |  |
Medicare Product Line |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Total premium deficiency reserve charge |  |  |  |  | 766 |  | 766 |
Premium deficiency reserve, charge of unamortized acquisition costs |  |  |  |  | 383 |  | 383 |
Premium deficiency reserve, charge to health care costs |  |  |  |  | 383 |  | $ 383 |
Premium deficiency reserve |  |  |  |  |  |  |  | 0
Medicaid Product Line |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Premium deficiency reserve, charge to health care costs |  |  |  |  | $ 28 |  |  |
Premium deficiency reserve |  |  |  |  |  |  |  | $ 0
Pharmacy & Consumer Wellness |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Number of retail locations | store |  | 9 |  |  |  | 9 |  |
Health Services |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Number of walk in medical clinics (more than) | clinic |  | 1 |  |  |  | 1 |  |
Number of programs administered | program |  |  |  |  |  |  |  | 2
Loss on Accountable Care assets |  |  |  |  |  | $ 288 |  |
Loss on termination of program |  |  |  |  |  | 52 |  |
Health Services | Disposal Group, Disposed of by Sale, Not Discontinued Operations | MSSP |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Pre-tax loss on divestiture |  |  |  |  |  | 236 |  |
Intangible assets and goodwill removed due to divestiture |  |  |  |  |  | $ 342 |  |
Health Care Benefits |  |  |  |  |  |  |  |
Significant Accounting Policies [Line Items] |  |  |  |  |  |  |  |
Number of people served (more than) | people |  | 37 |  |  |  | 37 |  |

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