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Affordable Care Act (Tables)
 12 Months Ended
Dec. 31, 2022
Affordable Care Act [Abstract]  
Schedule of receivables (payables) related to the Health Insurance Marketplace programs
The Company's net receivables (payables) for each of the programs are as follows ($ in millions):
December 31, 2022December 31, 2021
Risk adjustment receivable$838 $522 
Risk adjustment payable(780)(536)
Minimum medical loss ratio(103)(196)
Cost sharing reduction receivable— 69 
Cost sharing reduction payable(99)(42)