Goodwill and Intangible Assets - Schedule Of Changes In Goodwill By Operating Segment (Details) - USD ($) $ in Millions |
12 Months Ended | |
|---|---|---|
Dec. 31, 2017 |
Dec. 31, 2016 |
|
| Goodwill [Roll Forward] | ||
| Balance beginning of period | $ 4,712 | $ 842 |
| Acquisitions and purchase accounting adjustments | 37 | 3,873 |
| Translation impact | (3) | |
| Balance end of period | 4,749 | 4,712 |
| Managed Care | ||
| Goodwill [Roll Forward] | ||
| Balance beginning of period | 4,015 | 361 |
| Acquisitions and purchase accounting adjustments | 0 | 3,657 |
| Translation impact | (3) | |
| Balance end of period | 4,015 | 4,015 |
| Specialty Services | ||
| Goodwill [Roll Forward] | ||
| Balance beginning of period | 697 | 481 |
| Acquisitions and purchase accounting adjustments | 37 | 216 |
| Translation impact | 0 | |
| Balance end of period | $ 734 | $ 697 |