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Significant Accounting Policies (Tables)
 12 Months Ended
Dec. 31, 2021
Accounting Policies [Abstract]  
Cash and cash equivalents The restricted cash and cash equivalents presented below are included in “Restricted investments” in the accompanying consolidated balance sheets.
December 31,
202120202019
(In millions)
Cash and cash equivalents$4,438 $4,154 $2,452 
Restricted cash and cash equivalents68 69 56 
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows
$4,506 $4,223 $2,508 
Restricted cash and cash equivalents The restricted cash and cash equivalents presented below are included in “Restricted investments” in the accompanying consolidated balance sheets.
December 31,
202120202019
(In millions)
Cash and cash equivalents$4,438 $4,154 $2,452 
Restricted cash and cash equivalents68 69 56 
Total cash and cash equivalents, and restricted cash and cash equivalents presented in the consolidated statements of cash flows
$4,506 $4,223 $2,508 
Schedule of receivables
December 31,
20212020
(In millions)
Government receivables$1,566 $969 
Pharmacy rebate receivables276 178 
Health insurer fee reimbursement receivables— 104 
Other335 255 
Magellan Complete Care acquisition opening balance— 166 
Total$2,177 $1,672 
Amounts due to government agencies Liabilities accrued for premiums to be returned under such provisions are reported in the aggregate as “Amounts due government agencies” in the accompanying consolidated balance sheets. Categorized by program, such amounts due government agencies included the following:
December 31,
20212020
(In millions)
Medicaid program:
Minimum MLR and profit sharing$1,016 $513 
Other263 76 
Medicare program:
Risk adjustment and Part D risk sharing89 45 
Minimum MLR and profit sharing 101 62 
Other35 30 
Marketplace program:
Risk adjustment902 326 
Minimum MLR18 37 
Other48 21 
Magellan Complete Care acquisition opening balance— 143 
Total amounts due government agencies$2,472 $1,253 
Summarized premium revenue
The following table summarizes premium revenue by state health plan for the periods presented:
Year Ended December 31,
202120202019
Amount% of TotalAmount% of TotalAmount% of Total
(Dollars in millions)
California$2,402 8.9 %$2,109 11.5 %$2,266 14.0 %
Florida970 3.6 643 3.5 734 4.5 
Illinois 1,860 6.9 1,328 7.3 1,002 6.2 
Kentucky1,977 7.4 654 3.6 — — 
Michigan1,915 7.1 1,587 8.7 1,624 10.0 
New York 1,429 5.3 309 1.7 179 1.1 
Ohio3,172 11.8 2,962 16.2 2,553 15.8 
Texas3,959 14.8 3,085 16.9 2,991 18.5 
Washington4,420 16.5 3,169 17.3 2,695 16.6 
Other (1)
4,751 17.7 2,453 13.3 2,164 13.3 
Total$26,855 100.0 %$18,299 100.0 %$16,208 100.0 %
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(1)“Other” includes the Idaho, Mississippi, New Mexico, Puerto Rico, South Carolina, Utah and Wisconsin health plans, which were individually immaterial to our consolidated results of operations.