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v3.22.2.2

Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2022 | Sep. 30, 2021 | Sep. 30, 2022 | Sep. 30, 2021
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | $ 7,927 | $ 7,040 | $ 23,751 | $ 20,362
Less: other operating expenses | (7,592) | (6,819) | (22,683) | (19,533)
Operating income | 335 | 221 | 1,068 | 829
Other expenses, net | 28 | 30 | 83 | 90
Income before income tax expense | 307 | 191 | 985 | 739
Medicaid |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 6,380 | 5,354 | 19,091 | 15,583
Medicare |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 955 | 875 | 2,867 | 2,502
Marketplace |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 575 | 793 | 1,740 | 2,224
Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 17 | 18 | 53 | 53
Operating segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 890 | 755 | 2,791 | 2,358
Operating segments | Medicaid |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 703 | 532 | 2,168 | 1,687
Operating segments | Medicare |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 108 | 151 | 360 | 329
Operating segments | Marketplace |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 77 | 68 | 255 | 331
Operating segments | Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 2 | 4 | 8 | 11
Other operating |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 274 | 222 | 732 | 620
Less: other operating expenses | $ (829) | $ (756) | $ (2,455) | $ (2,149)

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