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Medical Claims Liability (Tables) | 3 Months Ended
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Mar. 31, 2026
Insurance [Abstract] |
Schedule of Change in Medical Claims Liability by Operating Segment | The following table summarizes the change in medical claims liability for the three months ended March 31, 2026 ($ in millions):
| Medicaid |  | Medicare |  | Commercial |  | Other |  | Consolidated Total
Balance, January 1, 2026 | $ | 10,375 |  |  | $ | 4,401 |  |  | $ | 5,683 |  |  | $ | 85 |  |  | $ | 20,544 |
Less: Reinsurance recoverable | 16 |  |  | — |  |  | 60 |  |  | — |  |  | 76 |
Balance, January 1, 2026, net | 10,359 |  |  | 4,401 |  |  | 5,623 |  |  | 85 |  |  | 20,468 |
Incurred related to: |  |  |  |  |  |  |  |  |
Current year | 22,608 |  |  | 9,013 |  |  | 7,490 |  |  | 386 |  |  | 39,497 |
Prior years | (653) |  |  | (241) |  |  | (292) |  |  | (8) |  |  | (1,194) |
Total incurred | 21,955 |  |  | 8,772 |  |  | 7,198 |  |  | 378 |  |  | 38,303 |
Paid related to: |  |  |  |  |  |  |  |  |
Current year | 14,092 |  |  | 6,397 |  |  | 4,521 |  |  | 358 |  |  | 25,368 |
Prior years | 6,820 |  |  | 2,710 |  |  | 3,252 |  |  | 76 |  |  | 12,858 |
Total paid | 20,912 |  |  | 9,107 |  |  | 7,773 |  |  | 434 |  |  | 38,226 |
Balance, March 31, 2026, net | 11,402 |  |  | 4,066 |  |  | 5,048 |  |  | 29 |  |  | 20,545 |
Plus: Reinsurance recoverable | 14 |  |  |  |  | 68 |  |  |  |  | 82 |
Balance, March 31, 2026 | $ | 11,416 |  |  | $ | 4,066 |  |  | $ | 5,116 |  |  | $ | 29 |  |  | $ | 20,627 |
The following table summarizes the change in medical claims liability for the three months ended March 31, 2025 ($ in millions):
| Medicaid |  | Medicare |  | Commercial |  | Other |  | Consolidated Total
Balance, January 1, 2025 | $ | 10,299 |  |  | $ | 3,358 |  |  | $ | 4,463 |  |  | $ | 188 |  |  | $ | 18,308 |
Less: Reinsurance recoverable | 18 |  |  | — |  |  | 47 |  |  | — |  |  | 65 |
Balance, January 1, 2025, net | 10,281 |  |  | 3,358 |  |  | 4,416 |  |  | 188 |  |  | 18,243 |
Incurred related to: |  |  |  |  |  |  |  |  |
Current year | 21,419 |  |  | 7,553 |  |  | 7,972 |  |  | 514 |  |  | 37,458 |
Prior years | (576) |  |  | (176) |  |  | (365) |  |  | (16) |  |  | (1,133) |
Total incurred | 20,843 |  |  | 7,377 |  |  | 7,607 |  |  | 498 |  |  | 36,325 |
Paid related to: |  |  |  |  |  |  |  |  |
Current year | 12,996 |  |  | 5,243 |  |  | 4,731 |  |  | 359 |  |  | 23,329 |
Prior years | 6,849 |  |  | 1,923 |  |  | 2,648 |  |  | 150 |  |  | 11,570 |
Total paid | 19,845 |  |  | 7,166 |  |  | 7,379 |  |  | 509 |  |  | 34,899 |
Plus: Premium deficiency reserve | — |  |  | 178 |  |  | — |  |  | — |  |  | 178 |
Balance, March 31, 2025, net | 11,279 |  |  | 3,747 |  |  | 4,644 |  |  | 177 |  |  | 19,847 |
Plus: Reinsurance recoverable | 18 |  |  | — |  |  | 46 |  |  | — |  |  | 64 |
Balance, March 31, 2025 | $ | 11,297 |  |  | $ | 3,747 |  |  | $ | 4,690 |  |  | $ | 177 |  |  | $ | 19,911 |

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- References No definition available. + Details
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- Definition Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 40 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147480081/944-40-50-3 + Details
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