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Goodwill and Intangible Assets, Net

12 Months Ended

Dec. 31, 2022

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, 2020	$	489	$	161	$	42	$	692
Acquisitions and measurement period adjustments	280		8		2		290


Balance, December 31, 2021	769		169		44		982




Acquisitions and measurement period adjustments	130		3		—		133


Balance, December 31, 2022	$	899	$	172	$	44	$	1,115

The changes in the carrying amounts of both goodwill and intangible assets, net, in 2022, were due to the

acquisitions and purchase price adjustments 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, 2022						December 31, 2021
	Cost		Accumulated Amortization		Carrying Amount		Cost		Accumulated Amortization		Carrying Amount

	(In millions)
Contract rights and licenses	$	507	$	279	$	228	$	426	$	210	$	216
Provider networks	57		24		33		56		19		37
Trade names	19		5		14		19		2		17
Total	$	583	$	308	$	275	$	501	$	231	$	270

As of December 31, 2022, we estimate that our intangible asset amortization will be approximately $84 million in 2023, $67 million in 2024, $64 million in 2025, $25 million in 2026, and $13 million in 2027.