v3.8.0.1
Quarterly Selected Financial Information (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Quarterly Financial Information Disclosure [Abstract]                      
Total revenues $ 12,806 $ 11,898 $ 11,954 $ 11,724 $ 11,911 $ 10,846 $ 10,897 $ 6,953 $ 48,382 $ 40,607 $ 22,760
Earnings (loss) attributable to Centene Corporation:                      
Earnings from continuing operations, net of income tax expense 230 205 254 139 255 148 171 (15) 828 559 356
Discontinued operations, net of tax 0 0 0 0 6 (1) (1) (1) 0 3 (1)
Net earnings $ 230 $ 205 $ 254 $ 139 $ 261 $ 147 $ 170 $ (16) $ 828 $ 562 $ 355
Basic:                      
Continuing operations (in usd per share) $ 1.33 $ 1.19 $ 1.47 $ 0.81 $ 1.49 $ 0.87 $ 1.00 $ (0.12) $ 4.80 $ 3.50 $ 2.99
Discontinued operations (in usd per share) 0.00 0.00 0.00 0.00 0.04 (0.01) 0.00 (0.01) 0.00 0.02 (0.01)
Basic earnings per common share (in usd per share) 1.33 1.19 1.47 0.81 1.53 0.86 1.00 (0.13) 4.80 3.52 2.98
Diluted:                      
Continuing operations (in usd per share) 1.30 1.16 1.44 0.79 1.45 0.84 0.98 (0.12) 4.69 3.41 2.89
Discontinued operations 0.00 0.00 0.00 0.00 0.04 0.00 (0.01) (0.01) 0.00 0.02 (0.01)
Diluted earnings per common share (in usd per share) $ 1.30 $ 1.16 $ 1.44 $ 0.79 $ 1.49 $ 0.84 $ 0.97 $ (0.13) $ 4.69 $ 3.43 $ 2.88