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v3.23.1

Medical Claims and Benefits Payable (Tables) | 3 Months Ended
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Mar. 31, 2023
Other Liabilities Disclosure [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:
| March 31, 2023 |  | December 31, 2022
| (In millions)
Claims incurred but not paid (“IBNP”) | $ | 2,589 |  |  | $ | 2,597 |
Pharmacy payable | 233 |  |  | 206 |
Capitation payable | 95 |  |  | 94 |
Other | 907 |  |  | 631 |
Total | $ | 3,824 |  |  | $ | 3,528 |
Schedule of 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. The amounts presented for “Components of medical care costs related to: Prior years” represent the amount by which our original estimate of medical claims and benefits payable at the beginning of the year varied from the actual liabilities, based on information (principally the payment of claims) developed since those liabilities were first reported.
| Three Months Ended March 31, 2023
| Medicaid |  | Medicare |  | Marketplace |  | Consolidated
| (In millions)
Medical claims and benefits payable, beginning balance | $ | 2,815 |  |  | $ | 452 |  |  | $ | 261 |  |  | $ | 3,528 |
Components of medical care costs related to: |  |  |  |  |  |  |
Current year | 5,865 |  |  | 934 |  |  | 370 |  |  | 7,169 |
Prior years | (250) |  |  | (14) |  |  | (34) |  |  | (298) |
Total medical care costs | 5,615 |  |  | 920 |  |  | 336 |  |  | 6,871 |
Payments for medical care costs related to: |  |  |  |  |  |  |
Current year | 3,728 |  |  | 542 |  |  | 217 |  |  | 4,487 |
Prior years | 1,822 |  |  | 369 |  |  | 167 |  |  | 2,358 |
Total paid | 5,550 |  |  | 911 |  |  | 384 |  |  | 6,845 |
Acquired balances, net of post-acquisition adjustments | — |  |  | — |  |  | — |  |  | — |
Change in non-risk and other provider payables | 270 |  |  | — |  |  | — |  |  | 270 |
Medical claims and benefits payable, ending balance | $ | 3,150 |  |  | $ | 461 |  |  | $ | 213 |  |  | $ | 3,824 |
| Three Months Ended March 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 | 5,424 |  |  | 840 |  |  | 505 |  |  | 6,769 |
Prior years | (154) |  |  | (25) |  |  | (27) |  |  | (206) |
Total medical care costs | 5,270 |  |  | 815 |  |  | 478 |  |  | 6,563 |
Payments for medical care costs related to: |  |  |  |  |  |  |
Current year | 3,402 |  |  | 465 |  |  | 330 |  |  | 4,197 |
Prior years | 1,633 |  |  | 306 |  |  | 260 |  |  | 2,199 |
Total paid | 5,035 |  |  | 771 |  |  | 590 |  |  | 6,396 |
Acquired balances, net of post-acquisition adjustments | (25) |  |  | — |  |  | — |  |  | (25) |
Change in non-risk and other provider payables | 93 |  |  | 3 |  |  | — |  |  | 96 |
Medical claims and benefits payable, ending balance | $ | 2,883 |  |  | $ | 451 |  |  | $ | 267 |  |  | $ | 3,601 |

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- 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
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