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Segments (Tables)

12 Months Ended

Dec. 31, 2022

Segment Reporting [Abstract]

Schedule of operating segment information

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

			Year Ended December 31,
			2022						2021						2020
			(In millions)
Total revenue:
Medicaid			$	25,783					$	21,231					$	15,217
Medicare			3,824						3,379						2,529
Marketplace			2,296						3,091						1,677
Other			71						70						—
Consolidated			$	31,974					$	27,771					$	19,423

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

			Year Ended December 31,
			2022						2021						2020
			(In millions)
Margin:
Medicaid			$	2,981					$	2,322					$	1,804
Medicare			437						430						351
Marketplace			290						399						324
Other			11						14						—
Total margin			3,719						3,165						2,479
Add: other operating revenues (1)			1,020						846						1,124
Less: other operating expenses (2)			(3,566)						(2,991)						(2,525)
Operating income			1,173						1,020						1,078
Less: other expenses, net			110						145						117
Income before income tax expense			$	1,063					$	875					$	961

______________________

(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, impairment, 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 https://asc.fasb.org/extlink&oid=126901519&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
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-URI https://asc.fasb.org/extlink&oid=126901519&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
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-URI https://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 https://asc.fasb.org/extlink&oid=126901519&loc=d3e8906-108599

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- References

No definition available.

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