XML 51 R35.htm IDEA: XBRL DOCUMENT v3.22.4

Medical Claims and Benefits Payable (Tables)

12 Months Ended

Dec. 31, 2022

Insurance [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.

			December 31,
			2022						2021						2020
			(In millions)
Fee-for-service claims incurred but not paid (“IBNP”)			$	2,597					$	2,486					$	1,647
Pharmacy payable			206						219						157
Capitation payable			94						82						70
Other			631						576						528
Magellan Complete Care acquisition opening balance			—						—						294
Total			$	3,528					$	3,363					$	2,696

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.

			Year Ended December 31, 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			22,097						3,390						1,972						27,459
Prior years			(251)						(32)						(1)						(284)
Total medical care costs			21,846						3,358						1,971						27,175
Payments for medical care costs related to:
Current year			19,655						2,944						1,746						24,345
Prior years			1,966						361						343						2,670
Total paid			21,621						3,305						2,089						27,015
Acquired balances, net of post-acquisition adjustments			12						—						—						12
Change in non-risk and other provider payables			(2)						(5)						—						(7)
Medical claims and benefits payable, ending balance			$	2,815					$	452					$	261					$	3,528

			Year Ended December 31, 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			18,321						2,970						2,652						23,943
Prior years			(182)						(39)						(18)						(239)
Total medical care costs			18,139						2,931						2,634						23,704
Payments for medical care costs related to:
Current year			16,284						2,573						2,291						21,148
Prior years			1,601						340						139						2,080
Total paid			17,885						2,913						2,430						23,228
Acquired balances, net of post-acquisition adjustments			205						(8)						—						197
Change in non-risk and other provider payables			(8)						2						—						(6)
Medical claims and benefits payable, ending balance			$	2,580					$	404					$	379					$	3,363

			Year Ended December 31, 2020
			Medicaid						Medicare						Marketplace						Consolidated
			(In millions)
Medical claims and benefits payable, beginning balance			$	1,465					$	267					$	122					$	1,854
Components of medical care costs related to:
Current year			12,545						2,189						1,205						15,939
Prior years			(84)						(28)						(7)						(119)
Total medical care costs			12,461						2,161						1,198						15,820
Payments for medical care costs related to:
Current year			10,940						1,884						1,047						13,871
Prior years			1,176						233						98						1,507
Total paid			12,116						2,117						1,145						15,378
Acquired balances, net of post-acquisition adjustments			215						79						—						294
Change in non-risk and other provider payables			104						2						—						106
Medical claims and benefits payable, ending balance			$	2,129					$	392					$	175					$	2,696

Incurred and paid claims development

Incurred Claims and Allocated Claims Adjustment Expenses																								Total IBNP						Cumulative number of reported claims
Benefit Year						2020						2021						2022
						(Unaudited)						(Unaudited)
						(In millions)
2020						$	16,233					$	16,056					$	16,000					$	27					138
2021												24,167						23,979						108						236
2022																		27,459						2,453						264
																		$	67,438					$	2,588

Cumulative Paid Claims and Allocated Claims Adjustment Expenses
Benefit Year						2020						2021						2022
						(Unaudited)						(Unaudited)
						(In millions)
2020						$	13,871					$	16,004					$	15,973
2021												21,148						23,871
2022																		24,345
																		$	64,189

Reconciliation of claims development to liability

The following table represents a reconciliation of claims development to the aggregate carrying amount of the liability for medical claims and benefits payable.

																		2022
																		(In millions)
Incurred claims and allocated claims adjustment expenses																		$	67,438
Less: cumulative paid claims and allocated claims adjustment expenses																		(64,189)
All outstanding liabilities before 2020																		9
Non-risk and other provider payables																		270
Medical claims and benefits payable																		$	3,528

X

- Definition

Components Of Change In Medical Claims And Benefits Payable [Table Text Block]

+ References

No definition available.

+ Details

Name:	moh_ComponentsOfChangeInMedicalClaimsAndBenefitsPayableTableTextBlock
Namespace Prefix:	moh_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- References

No definition available.

+ Details

Name:	us-gaap_InsuranceAbstract
Namespace Prefix:	us-gaap_
Data Type:	xbrli:stringItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 40
-Section 50
-Paragraph 3
-URI https://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437

+ Details

Name:	us-gaap_ScheduleOfLiabilityForUnpaidClaimsAndClaimsAdjustmentExpense
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure of undiscounted information about claims development by accident year for short-duration insurance contracts.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 40
-Section 50
-Paragraph 4B
-URI https://asc.fasb.org/extlink&oid=116884468&loc=SL65671311-158438

+ Details

Name:	us-gaap_ShortdurationInsuranceContractsClaimsDevelopmentTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration

X

- Definition

Tabular disclosure for the reconciliation of claims development to the liability for unpaid claims and claim adjustment expense for short-duration insurance contracts.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 944
-SubTopic 40
-Section 50
-Paragraph 4C
-URI https://asc.fasb.org/extlink&oid=116884468&loc=SL65671315-158438

+ Details

Name:	us-gaap_ShortdurationInsuranceContractsReconciliationOfClaimsDevelopmentToLiabilityTableTextBlock
Namespace Prefix:	us-gaap_
Data Type:	dtr-types:textBlockItemType
Balance Type:	na
Period Type:	duration