v3.8.0.1
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