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Medical Claims Liability (Tables)

12 Months Ended

Dec. 31, 2022

Insurance [Abstract]

Schedule Of Change In Medical Claims Liability by Operating Segment

The following table summarizes the change in medical claims liability ($ in millions):

			Year Ended December 31,
			2022						2021						2020
Balance, January 1			$	14,243					$	12,438					$	7,473
Less: reinsurance recoverable			23						23						20
Balance, January 1, net			14,220						12,415						7,453
Acquisitions and divestitures			105						—						3,856
Incurred related to:
Current year			112,896						100,385						86,765
Prior years			(1,367)						(1,783)						(501)
Total incurred			111,529						98,602						86,264
Paid related to:
Current year			97,799						87,427						78,838
Prior years			11,336						9,370						6,320
Total paid			109,135						96,797						85,158
Balance, December 31, net			16,719						14,220						12,415
Plus: reinsurance recoverable			26						23						23
Balance, December 31			$	16,745					$	14,243					$	12,438

Short-duration Insurance Contracts, Claims Development

Incurred and paid claims development as of December 31, 2022 is as follows ($ in millions):

Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year						2020 (unaudited)						2021 (unaudited)						2022
2020						$	88,206					$	86,502					$	86,433
2021												100,385						99,087
2022																		112,896
						Total incurred claims												$	298,416
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year						2020 (unaudited)						2021 (unaudited)						2022
2020						$	76,722					$	85,593					$	86,021
2021												87,427						98,024
2022																		97,799
						Total payment of incurred claims												281,844
						All outstanding liabilities prior to 2020, net of reinsurance												147
						Medical claims liability, net of reinsurance												$	16,719

Information is summarized as follows (in millions):

			December 31, 2022
			Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance						Total IBNR Plus Expected Development on Reported Claims						Cumulative Paid Claims
2020			$	86,433					$	—					568.8
2021			99,087						273						623.2
2022			112,896						11,081						608.1

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- References

No definition available.

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- Definition

Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 40
-Section 50
-Paragraph 3
-URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437

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- Definition

Tabular disclosure of undiscounted information about claims development by accident year for short-duration insurance contracts.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 40
-Section 50
-Paragraph 4B
-URI https://asc.fasb.org/extlink&oid=116884468&loc=SL65671311-158438

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