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Significant Accounting Policies (Tables)
9 Months Ended
Sep. 30, 2019
Accounting Policies [Abstract]  
Schedule of Cash and Cash Equivalents The following table provides a reconciliation of cash, cash equivalents, and restricted cash and cash equivalents reported within the accompanying consolidated balance sheets that sum to the total of the same such amounts presented in the accompanying consolidated statements of cash flows. The restricted cash and cash equivalents presented below are included in non-current “Restricted investments” in the accompanying consolidated balance sheets.
 
September 30,
 
2019
 
2018
 
(In millions)
Cash and cash equivalents
$
2,679

 
$
2,814

Restricted cash and cash equivalents
55

 
94

Total cash, cash equivalents, and restricted cash and cash equivalents presented in the statements of cash flows
$
2,734

 
$
2,908


Restricted Cash and Cash Equivalents The following table provides a reconciliation of cash, cash equivalents, and restricted cash and cash equivalents reported within the accompanying consolidated balance sheets that sum to the total of the same such amounts presented in the accompanying consolidated statements of cash flows. The restricted cash and cash equivalents presented below are included in non-current “Restricted investments” in the accompanying consolidated balance sheets.
 
September 30,
 
2019
 
2018
 
(In millions)
Cash and cash equivalents
$
2,679

 
$
2,814

Restricted cash and cash equivalents
55

 
94

Total cash, cash equivalents, and restricted cash and cash equivalents presented in the statements of cash flows
$
2,734

 
$
2,908


Amounts Due to Government Agencies
A summary of the categories of amounts due government agencies follows:
 
September 30,
2019
 
December 31,
2018
 
(In millions)
Medicaid program:
 
 
 
Medical cost floors and corridors
$
95

 
$
103

Other amounts due to states
69

 
81

Marketplace program:
 
 
 
Risk adjustment
285

 
466

Cost sharing reduction (“CSR”)

 
183

Other
163

 
134

Total amounts due government agencies
$
612

 
$
967


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.
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
 
2019
 
2018
 
2019
 
2018
 
(In millions)
Maximum available quality incentive premium - current period
$
47

 
$
48

 
$
138

 
$
135

 
 
 
 
 
 
 
 
Quality incentive premium revenue recognized in current period:
 
 
 
 
 
 
 
Earned current period
$
46

 
$
39

 
$
109

 
$
97

Earned prior periods
5

 
9

 
35

 
32

Total
$
51

 
$
48

 
$
144

 
129

 
 
 
 
 
 
 
 
Quality incentive premium revenue recognized as a percentage of total premium revenue
1.2
%
 
1.1
%
 
1.2
%
 
1.0
%