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Medical Claims and Benefits Payable - Medical Claims Reserve Development by Segment (Details) - USD ($)
$ in Millions
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Product Information [Line Items]        
Medical claims and benefits payable, total reserve development $ 3,528 $ 3,363 $ 2,696 $ 1,854
Medicaid Segment        
Product Information [Line Items]        
Medical claims and benefits payable, total reserve development 2,815 2,580 2,129 1,465
Medicare Segment        
Product Information [Line Items]        
Medical claims and benefits payable, total reserve development 452 404 392 267
Marketplace Segment        
Product Information [Line Items]        
Medical claims and benefits payable, total reserve development $ 261 $ 379 $ 175 $ 122