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Debt - Senior Notes (Details) - USD ($)
1 Months Ended 12 Months Ended
Jan. 31, 2022
Aug. 31, 2021
Feb. 28, 2021
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Jul. 31, 2021
Debt Instrument [Line Items]              
Debt extinguishment costs       $ (25,000,000) $ 125,000,000 $ 57,000,000  
Senior Notes              
Debt Instrument [Line Items]              
Debt redemption amount       318,000,000      
Gain on redemption of notes       $ (14,000,000)      
Face amount   $ 1,800,000,000          
Senior Notes | $3,500 Million 4.625% Senior Notes due December 2029 [Member]              
Debt Instrument [Line Items]              
Interest rate stated, percentage       4.625%      
Debt redemption amount       $ 223,000,000      
Face amount       $ 3,500,000,000      
Senior Notes | $2,500 Million 4.25% Senior Notes due December 2027 [Member]              
Debt Instrument [Line Items]              
Interest rate stated, percentage       4.25%      
Debt redemption amount       $ 95,000,000      
Face amount       $ 2,500,000,000      
Senior Notes | $2,200 Million 2.50% Senior Notes due 2031              
Debt Instrument [Line Items]              
Interest rate stated, percentage     2.50%        
Face amount     $ 2,200,000,000        
Senior Notes | $2,200 Million 4.75% Senior Notes due January 2025              
Debt Instrument [Line Items]              
Interest rate stated, percentage     4.75%        
Face amount     $ 2,200,000,000        
Aggregate percentage of principal outstanding     36.00%        
Debt extinguishment costs     $ 46,000,000        
Senior Notes | $1,800 Million 2.45% Senior Notes due March 2028              
Debt Instrument [Line Items]              
Interest rate stated, percentage             2.45%
Face amount   $ 500,000,000         $ 1,800,000,000
Premium yield   2.31%          
Senior Notes | $1,300 Million 2.625% Senior Notes due August 2031 [Member]              
Debt Instrument [Line Items]              
Interest rate stated, percentage   2.625%   2.625%      
Face amount   $ 1,300,000,000   $ 1,300,000,000      
Senior Notes | 5.375% Senior notes, due 2026              
Debt Instrument [Line Items]              
Interest rate stated, percentage   5.375%          
Debt extinguishment costs   $ 79,000,000          
Magellan Health              
Debt Instrument [Line Items]              
Payoff of assumed debt $ 535,000,000            
Interest rate stated, percentage 4.40%