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Segments (Tables)

12 Months Ended

Dec. 31, 2021

Segment Reporting [Abstract]

Operating segment information

The following table presents total revenue by segment. Inter-segment revenue was insignificant for all periods presented.

			Year Ended December 31,
			2021						2020						2019
			(In millions)
Total revenue:
Medicaid			$	21,231					$	15,217					$	13,026
Medicare			3,379						2,529						2,265
Marketplace			3,091						1,677						1,538
Other			70						—						—
Consolidated			$	27,771					$	19,423					$	16,829

The following table reconciles margin by segment to consolidated income before income tax expense:

			Year Ended December 31,
			2021						2020						2019
			(In millions)
Margin:
Medicaid			$	2,322					$	1,804					$	1,496
Medicare			430						351						331
Marketplace			399						324						476
Other			14						—						—
Total margin			3,165						2,479						2,303
Add: other operating revenues (1)			846						1,124						621
Less: other operating expenses (2)			(2,991)						(2,525)						(1,880)
Operating income			1,020						1,078						1,044
Less: other expenses, net			145						117						72
Income before income tax expense			$	875					$	961					$	972

______________________

(1)Other operating revenues include premium tax revenue, health insurer fees reimbursed, Marketplace risk corridor judgment, investment income and other revenue.

(2)Other operating expenses include general and administrative expenses, premium tax expenses, health insurer fees, depreciation and amortization, and other costs.

X

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8736-108599

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8813-108599

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 350
-SubTopic 20
-Section 50
-Paragraph 1
-URI http://asc.fasb.org/extlink&oid=121556970&loc=d3e13816-109267

Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-URI http://asc.fasb.org/extlink&oid=123359005&loc=d3e8906-108599

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- References

No definition available.

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