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Goodwill and Intangible Assets (Tables)
 12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Changes in Goodwill by Operating Segment
The following table summarizes the changes in goodwill by operating segment ($ in millions):
 MedicaidMedicareCommercialOtherConsolidated Total
Balance, December 31, 2022$10,198 $1,592 $5,424 $1,598 $18,812 
Divestitures— — — (912)(912)
Impairments— — — (392)(392)
Translation impact— — — 50 50 
Balance, December 31, 2023$10,198 $1,592 $5,424 $344 $17,558 
Current year activity— — — — — 
Balance, December 31, 2024$10,198 $1,592 $5,424 $344 $17,558 
Schedule of Intangible Assets
Intangible assets at December 31, consist of the following ($ in millions):
 Weighted Average Useful Life in Years
 2024202320242023
Purchased contract rights and customer relationships$7,845 $7,845 13.513.5
Trade names943 943 15.615.6
Provider contracts612 612 14.014.0
Developed technologies298 298 4.44.4
Intangible assets9,698 9,698 13.413.4
Less: accumulated amortization   
Purchased contract rights and customer relationships(3,348)(2,768) 
Trade names(383)(320) 
Provider contracts(271)(227) 
Developed technologies(287)(282)
Total accumulated amortization(4,289)(3,597) 
Intangible assets, net$5,409 $6,101  
Schedule of Amortization Expense Related to Intangible Assets Estimated total amortization expense related to the December 31, 2024 intangible assets for each of the five succeeding fiscal years is as follows ($ in millions):
Estimated Total Amortization Expense
2025$690 
2026673 
2027663 
2028662 
2029558