XML 26 R14.htm IDEA: XBRL DOCUMENT
v3.21.2

Medical Claims and Benefits Payable | 6 Months Ended
--- | ---
Jun. 30, 2021
Other Liabilities Disclosure [Abstract] |
Medical Claims and Benefits Payable | Medical Claims and Benefits Payable The following table provides the details of our medical claims and benefits payable as of the dates indicated:
| June 30, 2021 |  | December 31, 2020
| (In millions)
Fee-for-service claims incurred but not paid (“IBNP”) | $ | 2,120 |  |  | $ | 1,647 |
Pharmacy payable | 221 |  |  | 157 |
Capitation payable | 89 |  |  | 70 |
Other | 512 |  |  | 528 |
Magellan Complete Care acquisition opening balance | — |  |  | 294 |
Total | $ | 2,942 |  |  | $ | 2,696 |
“Other” medical claims and benefits payable includes amounts payable to certain providers for which we act as an intermediary on behalf of various government agencies without assuming financial risk. Such receipts and payments do not impact our consolidated statements of income. Non-risk provider payables amounted to $185 million and $235 million as of June 30, 2021, and December 31, 2020, respectively. The following table presents the components of the change in our medical claims and benefits payable for the periods indicated, with the prior period recast to conform to the current year presentation. The amounts presented for “Components of medical care costs related to: Prior years” represent decreases in medical care costs resulting from actual medical care costs being less than we previously estimated in the prior year.
| Six Months Ended June 30, 2021
| Medicaid |  | Medicare |  | Marketplace |  | Consolidated
| (In millions)
Medical claims and benefits payable, beginning balance | $ | 2,129 |  |  | $ | 392 |  |  | $ | 175 |  |  | $ | 2,696 |
Components of medical care costs related to: |  |  |  |  |  |  |
Current year | 8,869 |  |  | 1,459 |  |  | 1,158 |  |  | 11,486 |
Prior years | (150) |  |  | (24) |  |  | (19) |  |  | (193) |
Total medical care costs | 8,719 |  |  | 1,435 |  |  | 1,139 |  |  | 11,293 |
Payments for medical care costs related to: |  |  |  |  |  |  |
Current year | 7,043 |  |  | 1,111 |  |  | 869 |  |  | 9,023 |
Prior years | 1,491 |  |  | 330 |  |  | 128 |  |  | 1,949 |
Total paid | 8,534 |  |  | 1,441 |  |  | 997 |  |  | 10,972 |
Change in acquired balances | (19) |  |  | (7) |  |  | — |  |  | (26) |
Change in non-risk and other provider payables | (48) |  |  | (1) |  |  | — |  |  | (49) |
Medical claims and benefits payable, ending balance | $ | 2,247 |  |  | $ | 378 |  |  | $ | 317 |  |  | $ | 2,942 |
| Six Months Ended June 30, 2020
| Medicaid |  | Medicare |  | Marketplace |  | Consolidated
| (In millions)
Medical claims and benefits payable, beginning balance | $ | 1,465 |  |  | $ | 267 |  |  | $ | 122 |  |  | $ | 1,854 |
Components of medical care costs related to: |  |  |  |  |  |  |
Current year | 5,777 |  |  | 1,044 |  |  | 551 |  |  | 7,372 |
Prior years | (34) |  |  | (22) |  |  | (2) |  |  | (58) |
Total medical care costs | 5,743 |  |  | 1,022 |  |  | 549 |  |  | 7,314 |
Payments for medical care costs related to: |  |  |  |  |  |  |
Current year | 4,493 |  |  | 783 |  |  | 412 |  |  | 5,688 |
Prior years | 1,161 |  |  | 228 |  |  | 97 |  |  | 1,486 |
Total paid | 5,654 |  |  | 1,011 |  |  | 509 |  |  | 7,174 |
Change in non-risk and other provider payables | (34) |  |  | — |  |  | — |  |  | (34) |
Medical claims and benefits payable, ending balance | $ | 1,520 |  |  | $ | 278 |  |  | $ | 162 |  |  | $ | 1,960 |
Our estimates of medical claims and benefits payable recorded at December 31, 2020, and 2019 developed favorably by approximately $193 million and $58 million as of June 30, 2021, and 2020, respectively. The favorable prior period development recognized in the six months ended June 30, 2021 was primarily due to lower than expected utilization of medical services by our Medicaid members and improved operating performance. Consequently, the ultimate costs recognized in 2021, as claims payments were processed, were lower than our previous estimates in 2020.

X
- Definition Medical claims and benefits payable. + References No definition available. + Details
Name: | moh_MedicalClaimsAndBenefitsPayableTextBlock
Namespace Prefix: | moh_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration

X
- References No definition available. + Details
Name: | us-gaap_OtherLiabilitiesDisclosureAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration