Medical Claims and Benefits Payable (Tables)

9 Months Ended

Sep. 30, 2022

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, 2022		December 31, 2021

	(In millions)
Claims incurred but not paid (“IBNP”)	$	2,553	$	2,486
Pharmacy payable	241		219
Capitation payable	90		82
Other	738		576
Total	$	3,622	$	3,363

Schedule of Components of The Change in Medical Claims and Benefits Payable

The following tables present the components of the change in our medical claims and benefits payable for the periods indicated. The amounts presented for “Components of medical care costs related to: Prior years” represent the amount by which our original estimate of medical claims and benefits payable at the beginning of the year varied from the actual liabilities, based on information (principally the payment of claims) developed since those liabilities were first reported.


	Nine Months Ended September 30, 2022
	Medicaid		Medicare		Marketplace		Consolidated

	(In millions)
Medical claims and benefits payable, beginning balance	$	2,580	$	404	$	379	$	3,363
Components of medical care costs related to:
Current year	16,520		2,525		1,476		20,521
Prior years	(282)		(38)		(18)		(338)
Total medical care costs	16,238		2,487		1,458		20,183
Payments for medical care costs related to:
Current year	14,133		2,103		1,302		17,538
Prior years	1,861		337		283		2,481
Total paid	15,994		2,440		1,585		20,019
Acquired balances, net of post-acquisition adjustments	8		—		—		8
Change in non-risk and other provider payables	91		(4)		—		87
Medical claims and benefits payable, ending balance	$	2,923	$	447	$	252	$	3,622


	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
Acquired balances, net of post-acquisition adjustments	(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