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Goodwill and Intangible Assets, Net

12 Months Ended

Dec. 31, 2021

Goodwill and Intangible Assets Disclosure [Abstract]

Goodwill

The following table presents the changes in the carrying amounts of goodwill by segment, for the periods presented.


	Medicaid		Medicare		Other		Consolidated

	(In millions)
Balance, December 31, 2019	$	143	$	—	$	—	$	143
Acquisitions and measurement period adjustments	346		161		42		549
Dispositions	—		—		—		—
Impairment	—		—		—		—
Balance, December 31, 2020	489		161		42		692




Acquisitions and measurement period adjustments	280		8		2		290
Dispositions	—		—		—		—
Impairment	—		—		—		—
Balance, December 31, 2021	769		169		44		982

The changes in the carrying amounts of both goodwill and intangible assets, net, in 2021, were due to the purchase price adjustments and acquisitions described in Note 4, “Business Combinations.”

Intangible Assets, Net

The following table provides the details of identified intangible assets, by major class, for the periods presented.


	December 31, 2021						December 31, 2020
	Cost		Accumulated Amortization		Carrying Amount		Cost		Accumulated Amortization		Carrying Amount

	(In millions)
Contract rights and licenses	$	426	$	210	$	216	$	370	$	168	$	202
Provider networks	56		19		37		47		15		32
Trade name	19		2		17		15		—		15
Total	$	501	$	231	$	270	$	432	$	183	$	249

As of December 31, 2021, we estimate that our intangible asset amortization will be approximately $59 million in 2022, $57 million in 2023, $56 million in 2024, $55 million in 2025, and $15 million in 2026.