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Medical Claims Liability (Tables)
 12 Months Ended
Dec. 31, 2025
Insurance [Abstract]  
Schedule of Change in Medical Claims Liability by Operating Segment
The following table summarizes the change in medical claims liability for the year ended December 31, 2025 ($ in millions):
 MedicaidMedicareCommercialOtherConsolidated Total
Balance, January 1, 2025$10,299 $3,358 $4,463 $188 $18,308 
Less: Reinsurance recoverables18 — 47 — 65 
Balance, January 1, 2025, net10,281 3,358 4,416 188 18,243 
Incurred related to:
Current year85,697 34,869 37,397 2,146 160,109 
Prior years(1,247)(550)(495)(23)(2,315)
Total incurred84,450 34,319 36,902 2,123 157,794 
Paid related to:
Current year75,872 30,651 32,213 1,955 140,691 
Prior years8,500 2,533 3,482 162 14,677 
Total paid84,372 33,184 35,695 2,117 155,368 
Plus: Premium deficiency reserve— (92)— — (92)
Plus: Divestitures— — — (109)(109)
Balance, December 31, 2025, net
10,359 4,401 5,623 85 20,468 
Plus: Reinsurance recoverables16 — 60 — 76 
Balance, December 31, 2025
$10,375 $4,401 $5,683 $85 $20,544 
The following table summarizes the change in medical claims liability for the year ended December 31, 2024 ($ in millions):
 MedicaidMedicareCommercialOtherConsolidated Total
Balance, January 1, 2024$10,814 $3,612 $3,460 $114 $18,000 
Less: Reinsurance recoverables5 — 44 — 49 
Balance, January 1, 2024, net10,809 3,612 3,416 114 17,951 
Incurred related to:
Current year78,886 21,170 26,548 1,708 128,312 
Prior years(1,370)(575)(509)7 (2,447)
Total incurred77,516 20,595 26,039 1,715 125,865 
Paid related to:
Current year69,351 18,036 22,547 1,522 111,456 
Prior years8,693 2,655 2,492 119 13,959 
Total paid78,044 20,691 25,039 1,641 125,415 
Plus: Premium deficiency reserve— (158)— — (158)
Balance, December 31, 2024, net
10,281 3,358 4,416 188 18,243 
Plus: Reinsurance recoverables18 — 47 — 65 
Balance, December 31, 2024
$10,299 $3,358 $4,463 $188 $18,308 

The following table summarizes the change in medical claims liability for the year ended December 31, 2023 ($ in millions):
 MedicaidMedicareCommercialOtherConsolidated Total
Balance, January 1, 2023$11,253 $3,431 $1,921 $140 $16,745 
Less: Reinsurance recoverables7 — 19 — 26 
Balance, January 1, 2023, net11,246 3,431 1,902 140 16,719 
Incurred related to:
Current year79,747 19,487 19,966 1,480 120,680 
Prior years(1,537)(343)(150)(6)(2,036)
Total incurred78,210 19,144 19,816 1,474 118,644 
Paid related to:
Current year69,904 16,631 16,823 1,367 104,725 
Prior years8,743 2,582 1,479 133 12,937 
Total paid78,647 19,213 18,302 1,500 117,662 
Plus: Premium deficiency reserve— 250 — — 250 
Balance, December 31, 2023, net
10,809 3,612 3,416 114 17,951 
Plus: Reinsurance recoverables5 — 44 — 49 
Balance, December 31, 2023
$10,814 $3,612 $3,460 $114 $18,000 
Schedule of Consolidated Incurred and Paid Claims Development
Consolidated incurred and paid claims development as of December 31, 2025 is as follows ($ in millions):
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$120,680 $118,709 $118,324 
2024128,312 126,382 
2025160,109 
Total incurred claims$404,815 
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year2023 (unaudited)2024 (unaudited)2025
2023$104,725 $117,635 $118,114 
2024111,456 125,631 
2025140,691 
Total payment of incurred claims384,436 
All outstanding liabilities prior to 2023, net of reinsurance
290 
Magellan Health medical claims liabilities held for sale(109)
Medical claims liability, net of reinsurance$20,560 
Incurred and paid claims development for the Medicaid segment as of December 31, 2025 is as follows ($ in millions):
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$79,747 $78,517 $78,282 
202478,885 77,872 
202585,697 
Total incurred claims$241,851 
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$69,904 $77,952 $78,194 
202469,351 77,527 
202575,872 
Total payment of incurred claims231,593 
All outstanding liabilities prior to 2023, net of reinsurance
101 
Medical claims liability, net of reinsurance$10,359 

Incurred and paid claims development for the Medicare segment as of December 31, 2025 is as follows ($ in millions):
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$19,487 $19,008 $18,830 
202421,171 20,798 
202534,869 
Total incurred claims$74,497 
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$16,631 $18,778 $18,783 
202418,036 20,674 
202530,651 
Total payment of incurred claims70,108 
All outstanding liabilities prior to 2023, net of reinsurance
104 
Medical claims liability, net of reinsurance$4,493 
Incurred and paid claims development for the Commercial segment as of December 31, 2025 is as follows ($ in millions):
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$19,966 $19,698 $19,725 
202426,548 26,027 
202537,397 
Total incurred claims$83,149 
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$16,823 $19,420 $19,650 
202422,547 25,748 
202532,213 
Total payment of incurred claims77,611 
All outstanding liabilities prior to 2023, net of reinsurance
85 
Medical claims liability, net of reinsurance$5,623 

Incurred and paid claims development for the Other segment as of December 31, 2025 is as follows ($ in millions):
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$1,480 $1,486 $1,487 
20241,708 1,685 
20252,146 
Total incurred claims$5,318 
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Year Ended December 31,
Claim Year
2023 (unaudited)
2024 (unaudited)
2025
2023$1,367 $1,485 $1,487 
20241,522 1,682 
20251,955 
Total payment of incurred claims5,124 
All outstanding liabilities prior to 2023, net of reinsurance
— 
Magellan Health medical claims liabilities held for sale(109)
Medical claims liability, net of reinsurance$85 
Consolidated information is summarized as follows (in millions):
December 31, 2025
Claim YearIncurred Claims and Allocated Claim
Adjustment Expenses, Net of Reinsurance		Total IBNR Plus Expected
Development on Reported Claims		Cumulative Paid Claims
2023$118,324 $4 624.1 
2024126,382 347 665.0 
2025160,109 13,125 709.9 

Information for the Medicaid segment is summarized as follows (in millions):
December 31, 2025
Claim YearIncurred Claims and Allocated Claim
Adjustment Expenses, Net of Reinsurance		Total IBNR Plus Expected
Development on Reported Claims		Cumulative Paid Claims
2023$78,282 $4 346.0 
202477,872 155 317.9 
202585,697 7,244 308.1 

Information for the Medicare segment is summarized as follows (in millions):
December 31, 2025
Claim YearIncurred Claims and Allocated Claim
Adjustment Expenses, Net of Reinsurance		Total IBNR Plus Expected
Development on Reported Claims		Cumulative Paid Claims
2023$18,830 $— 200.7 
202420,798 82 255.1 
202534,869 1,567 282.8 

Information for the Commercial segment is summarized as follows (in millions):
December 31, 2025
Claim YearIncurred Claims and Allocated Claim
Adjustment Expenses, Net of Reinsurance		Total IBNR Plus Expected
Development on Reported Claims		Cumulative Paid Claims
2023$19,725 $— 72.9 
202426,027 107 86.4 
202537,397 4,242 112.5 
Information for the Other segment is summarized as follows (in millions):
December 31, 2025
Claim YearIncurred Claims and Allocated Claim
Adjustment Expenses, Net of Reinsurance		Total IBNR Plus Expected
Development on Reported Claims		Cumulative Paid Claims
2023$1,487 $— 4.5 
20241,685 3 5.6 
20252,146 72 6.5