XML 86 R70.htm IDEA: XBRL DOCUMENT v3.22.4
Medical Claims and Benefits Payable - Components of the Change (Details) - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Medical claims and benefits payable, beginning balance $ 3,363 $ 2,696 $ 1,854
Components of medical care costs related to:      
Current year 27,459 23,943 15,939
Prior years (284) (239) (119)
Incurred Claims and Allocated Claims Adjustment Expenses 27,175 23,704 15,820
Payments for medical care costs related to:      
Current year 24,345 21,148 13,871
Prior years 2,670 2,080 1,507
Total paid 27,015 23,228 15,378
Acquired balances, net of post-acquisition adjustments 12 197 294
Change in non-risk and other provider payables (7) (6) 106
Medical claims and benefits payable, ending balance 3,528 3,363 2,696
Medicaid Segment      
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Medical claims and benefits payable, beginning balance 2,580 2,129 1,465
Components of medical care costs related to:      
Current year 22,097 18,321 12,545
Prior years (251) (182) (84)
Incurred Claims and Allocated Claims Adjustment Expenses 21,846 18,139 12,461
Payments for medical care costs related to:      
Current year 19,655 16,284 10,940
Prior years 1,966 1,601 1,176
Total paid 21,621 17,885 12,116
Acquired balances, net of post-acquisition adjustments 12 205 215
Change in non-risk and other provider payables (2) (8) 104
Medical claims and benefits payable, ending balance 2,815 2,580 2,129
Medicare Segment      
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Medical claims and benefits payable, beginning balance 404 392 267
Components of medical care costs related to:      
Current year 3,390 2,970 2,189
Prior years (32) (39) (28)
Incurred Claims and Allocated Claims Adjustment Expenses 3,358 2,931 2,161
Payments for medical care costs related to:      
Current year 2,944 2,573 1,884
Prior years 361 340 233
Total paid 3,305 2,913 2,117
Acquired balances, net of post-acquisition adjustments 0 (8) 79
Change in non-risk and other provider payables (5) 2 2
Medical claims and benefits payable, ending balance 452 404 392
Marketplace Segment      
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Medical claims and benefits payable, beginning balance 379 175 122
Components of medical care costs related to:      
Current year 1,972 2,652 1,205
Prior years (1) (18) (7)
Incurred Claims and Allocated Claims Adjustment Expenses 1,971 2,634 1,198
Payments for medical care costs related to:      
Current year 1,746 2,291 1,047
Prior years 343 139 98
Total paid 2,089 2,430 1,145
Acquired balances, net of post-acquisition adjustments 0 0 0
Change in non-risk and other provider payables 0 0 0
Medical claims and benefits payable, ending balance $ 261 $ 379 $ 175