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Goodwill and Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2025
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):
| Medicaid |  | Medicare |  | Commercial |  | Other |  | Consolidated Total
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 |
Impairments | (6,186) |  |  | — |  |  | (212) |  |  | (325) |  |  | (6,723) |
Balance, December 31, 2025 | $ | 4,012 |  |  | $ | 1,592 |  |  | $ | 5,212 |  |  | $ | 19 |  |  | $ | 10,835 |
Schedule of Intangible Assets | Intangible assets at December 31, consist of the following ($ in millions):
|  |  |  |  | Weighted Average Useful Life in Years
| 2025 |  | 2024 |  | 2025 |  | 2024
Purchased contract rights and customer relationships | $ | 7,737 |  |  | $ | 7,845 |  |  | 13.5 |  | 13.5
Trade names | 913 |  |  | 943 |  |  | 15.5 |  | 15.6
Provider contracts | 492 |  |  | 612 |  |  | 13.8 |  | 14.0
Developed technologies | 227 |  |  | 298 |  |  | 3.8 |  | 4.4
Intangible assets | 9,369 |  |  | 9,698 |  |  | 13.4 |  | 13.4
Less: accumulated amortization |  |  |  |  |  |  |
Purchased contract rights and customer relationships | (3,891) |  |  | (3,348) |  |  |  |  |
Trade names | (438) |  |  | (383) |  |  |  |  |
Provider contracts | (283) |  |  | (271) |  |  |  |  |
Developed technologies | (227) |  |  | (287) |  |  |  |  |
Total accumulated amortization | (4,839) |  |  | (4,289) |  |  |  |  |
Intangible assets, net | $ | 4,530 |  |  | $ | 5,409 |  |  |  |  |
Schedule of Amortization Expense Related to Intangible Assets | Estimated total amortization expense related to the December 31, 2025 intangible assets for each of the five succeeding fiscal years is as follows ($ in millions):
|  | Estimated Total Amortization Expense
2026 |  | $ | 650 |
2027 |  | 645 |
2028 |  | 644 |
2029 |  | 540 |
2030 |  | 482 |

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