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Significant Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2016
Accounting Policies [Abstract] |
Summarized premium revenue | The following table summarizes premium revenue for the periods indicated:
| Year Ended December 31,
| 2016 |  | 2015 |  | 2014
| Amount |  | % of Total |  | Amount |  | % of Total |  | Amount |  | % of Total
| (Dollars in millions)
California | $ | 2,370 |  |  | 14.5 | % |  | $ | 2,200 |  |  | 16.6 | % |  | $ | 1,523 |  |  | 16.9 | %
Florida | 1,926 |  |  | 11.7 |  |  | 1,199 |  |  | 9.0 |  |  | 439 |  |  | 4.9 |
Illinois | 601 |  |  | 3.7 |  |  | 397 |  |  | 3.0 |  |  | 153 |  |  | 1.7 |
Michigan | 1,520 |  |  | 9.3 |  |  | 1,067 |  |  | 8.1 |  |  | 781 |  |  | 8.7 |
New Mexico | 1,304 |  |  | 7.9 |  |  | 1,237 |  |  | 9.3 |  |  | 1,076 |  |  | 11.9 |
New York | 82 |  |  | 0.5 |  |  | — |  |  | — |  |  | — |  |  | — |
Ohio | 1,961 |  |  | 12.0 |  |  | 2,034 |  |  | 15.4 |  |  | 1,553 |  |  | 17.2 |
Puerto Rico | 726 |  |  | 4.4 |  |  | 567 |  |  | 4.3 |  |  | — |  |  | — |
South Carolina | 378 |  |  | 2.3 |  |  | 348 |  |  | 2.6 |  |  | 381 |  |  | 4.2 |
Texas | 2,454 |  |  | 15.0 |  |  | 1,961 |  |  | 14.8 |  |  | 1,318 |  |  | 14.6 |
Utah | 444 |  |  | 2.7 |  |  | 331 |  |  | 2.5 |  |  | 310 |  |  | 3.4 |
Washington | 2,218 |  |  | 13.5 |  |  | 1,602 |  |  | 12.1 |  |  | 1,305 |  |  | 14.5 |
Wisconsin | 395 |  |  | 2.4 |  |  | 261 |  |  | 2.0 |  |  | 156 |  |  | 1.7 |
Direct delivery | 13 |  |  | 0.1 |  |  | 37 |  |  | 0.3 |  |  | 28 |  |  | 0.3 |
| $ | 16,392 |  |  | 100.0 | % |  | $ | 13,241 |  |  | 100.0 | % |  | $ | 9,023 |  |  | 100.0 | %
Receivables (payables) for 3R programs | Our receivables (payables) for each of these programs, as of the dates indicated, were as follows:
| December 31, 2016 |  | December 31, 2015
| Current Benefit Year |  | Prior Benefit Years |  | Total |
| (In millions)
Risk adjustment | $ | (522 | ) |  | $ | — |  |  | $ | (522 | ) |  | $ | (214 | )
Reinsurance | 51 |  |  | 4 |  |  | 55 |  |  | 36 |
Risk corridor | (1 | ) |  | — |  |  | (1 | ) |  | (10 | )
Minimum MLR | (1 | ) |  | — |  |  | (1 | ) |  | (3 | )
Quality incentive premium revenue recognized | The following table quantifies the quality incentive premium revenue recognized for the periods presented, including the amounts earned in the periods presented and prior periods. Although the reasonably possible effects of a change in estimate related to quality incentive premium revenue as of December 31, 2016 are not known, we have no reason to believe that the adjustments to prior periods noted below are not indicative of the potential future changes in our estimates as of December 31, 2016, other than the Texas quality revenue recognized in the second quarter of 2016 described above.
| Year Ended December 31,
| 2016 |  | 2015 |  | 2014
| (In millions)
Maximum available quality incentive premium - current period | $ | 147 |  |  | $ | 118 |  |  | $ | 90 |
Amount of quality incentive premium revenue recognized in current period: |  |  |  |  |
Earned current period | $ | 104 |  |  | $ | 66 |  |  | $ | 40 |
Earned prior periods | 47 |  |  | 13 |  |  | 4 |
Total | $ | 151 |  |  | $ | 79 |  |  | $ | 44 |
Quality incentive premium revenue recognized as a percentage of total premium revenue | 0.9 | % |  | 0.6 | % |  | 0.5 | %
Consolidated medical care costs | The following table provides the details of our consolidated medical care costs for the periods indicated (dollars in millions, except PMPM amounts):
| Year Ended December 31,
| 2016 |  | 2015 |  | 2014
| Amount |  | PMPM |  | % of Total |  | Amount |  | PMPM |  | % of Total |  | Amount |  | PMPM |  | % of Total
Fee-for-service | $ | 10,993 |  |  | $ | 217.84 |  |  | 74.4 | % |  | $ | 8,572 |  |  | $ | 218.35 |  |  | 72.7 | % |  | $ | 5,673 |  |  | $ | 202.87 |  |  | 70.2 | %
Pharmacy | 2,213 |  |  | 43.84 |  |  | 15.0 |  |  | 1,610 |  |  | 41.01 |  |  | 13.7 |  |  | 1,273 |  |  | 45.54 |  |  | 15.8 |
Capitation | 1,218 |  |  | 24.13 |  |  | 8.2 |  |  | 982 |  |  | 25.02 |  |  | 8.3 |  |  | 748 |  |  | 26.77 |  |  | 9.3 |
Direct delivery | 78 |  |  | 1.55 |  |  | 0.5 |  |  | 128 |  |  | 3.26 |  |  | 1.1 |  |  | 96 |  |  | 3.44 |  |  | 1.2 |
Other | 272 |  |  | 5.39 |  |  | 1.9 |  |  | 502 |  |  | 12.79 |  |  | 4.2 |  |  | 286 |  |  | 10.22 |  |  | 3.5 |
Total | $ | 14,774 |  |  | $ | 292.75 |  |  | 100.0 | % |  | $ | 11,794 |  |  | $ | 300.43 |  |  | 100.0 | % |  | $ | 8,076 |  |  | $ | 288.84 |  |  | 100.0 | %

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