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Goodwill and Intangible Assets (Tables)
 12 Months Ended
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):
 MedicaidMedicareCommercialOtherConsolidated 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
 2025202420252024
Purchased contract rights and customer relationships$7,737 $7,845 13.513.5
Trade names913 943 15.515.6
Provider contracts492 612 13.814.0
Developed technologies227 298 3.84.4
Intangible assets9,369 9,698 13.413.4
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 
2027645 
2028644 
2029540 
2030482