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Significant Accounting Policies (Tables)

9 Months Ended

Sep. 30, 2020

Accounting Policies [Abstract]

Schedule of Cash and Cash Equivalents

The following table reconciles 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 “Restricted investments” in the accompanying consolidated balance sheets.

			September 30,
			2020						2019
			(In millions)
Cash and cash equivalents			$	3,196					$	2,679
Restricted cash and cash equivalents			70						55
Total cash, cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows			$	3,266					$	2,734

Restricted Cash and Cash Equivalents

The following table reconciles 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 “Restricted investments” in the accompanying consolidated balance sheets.

			September 30,
			2020						2019
			(In millions)
Cash and cash equivalents			$	3,196					$	2,679
Restricted cash and cash equivalents			70						55
Total cash, cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows			$	3,266					$	2,734

Amounts Due to Government Agencies

			September 30, 2020						December 31, 2019
			(In millions)
Medicaid program:
Minimum MLR and profit sharing			$	136					$	92
Other			83						95
Medicare program:
Risk adjustment and Part D risk sharing			38						14
Minimum MLR and profit sharing			35						36
Other			30						21
Marketplace program:
Risk adjustment			265						368
Minimum MLR			33						15
Other			20						23
Total amounts due government agencies			$	640					$	664

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,
			2020						2019						2020						2019
			(In millions)
Maximum available quality incentive premium - current period			$	69					$	47					$	195					$	138
Quality incentive premium revenue recognized in current period:
Earned current period			$	63					$	46					$	180					$	109
Earned prior periods			19						5						23						35
Total			$	82					$	51					$	203					144
Quality incentive premium revenue recognized as a percentage of total premium revenue			1.7		%				1.2		%				1.5		%				1.2		%

Schedule of Receivables

			September 30, 2020						December 31, 2019
			(In millions)
Government receivables			$	1,180					$	1,056
Pharmacy rebate receivables			175						150
Health insurer fee reimbursement receivables			180						5
Other			240						195
Total			$	1,775					$	1,406

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