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Medical Claims and Benefits Payable (Tables) | 9 Months Ended
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Sep. 30, 2021
Other Liabilities Disclosure [Abstract] |
Schedule of liability for unpaid claims and claims adjustment expense | The following table provides the details of our medical claims and benefits payable as of the dates indicated:
| September 30, 2021 |  | December 31, 2020
| (In millions)
Fee-for-service claims incurred but not paid (“IBNP”) | $ | 2,246 |  |  | $ | 1,647 |
Pharmacy payable | 209 |  |  | 157 |
Capitation payable | 86 |  |  | 70 |
Other | 650 |  |  | 528 |
Magellan Complete Care acquisition opening balance | — |  |  | 294 |
Total | $ | 3,191 |  |  | $ | 2,696 |
Components of the change in medical claims and benefits payable | 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.
| Nine Months Ended September 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 | 13,491 |  |  | 2,195 |  |  | 1,872 |  |  | 17,558 |
Prior years | (158) |  |  | (36) |  |  | (22) |  |  | (216) |
Total medical care costs | 13,333 |  |  | 2,159 |  |  | 1,850 |  |  | 17,342 |
Payments for medical care costs related to: |  |  |  |  |  |  |
Current year | 11,530 |  |  | 1,816 |  |  | 1,534 |  |  | 14,880 |
Prior years | 1,538 |  |  | 340 |  |  | 130 |  |  | 2,008 |
Total paid | 13,068 |  |  | 2,156 |  |  | 1,664 |  |  | 16,888 |
Change in acquired balances | (19) |  |  | (8) |  |  | — |  |  | (27) |
Change in non-risk and other provider payables | 68 |  |  | — |  |  | — |  |  | 68 |
Medical claims and benefits payable, ending balance | $ | 2,443 |  |  | $ | 387 |  |  | $ | 361 |  |  | $ | 3,191 |
| Nine Months Ended September 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 | 9,029 |  |  | 1,588 |  |  | 861 |  |  | 11,478 |
Prior years | (41) |  |  | (25) |  |  | — |  |  | (66) |
Total medical care costs | 8,988 |  |  | 1,563 |  |  | 861 |  |  | 11,412 |
Payments for medical care costs related to: |  |  |  |  |  |  |
Current year | 7,470 |  |  | 1,316 |  |  | 714 |  |  | 9,500 |
Prior years | 1,193 |  |  | 233 |  |  | 101 |  |  | 1,527 |
Total paid | 8,663 |  |  | 1,549 |  |  | 815 |  |  | 11,027 |
Change in non-risk and other provider payables | 50 |  |  | — |  |  | — |  |  | 50 |
Medical claims and benefits payable, ending balance | $ | 1,840 |  |  | $ | 281 |  |  | $ | 168 |  |  | $ | 2,289 |

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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://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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