XML 187 R40.htm IDEA: XBRL DOCUMENT v3.23.1
Medical Claims and Benefits Payable - Components of Change in Medical Claims and Benefits Payable (Details) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2023
Mar. 31, 2022
Insurance Claims    
Medical claims and benefits payable, beginning balance $ 3,528 $ 3,363
Components of medical care costs related to:    
Current year 7,169 6,769
Prior years (298) (206)
Total medical care costs 6,871 6,563
Payments for medical care costs related to:    
Current year 4,487 4,197
Prior years 2,358 2,199
Total paid 6,845 6,396
Acquired balances, net of post-acquisition adjustments 0 (25)
Change in non-risk and other provider payables 270 96
Medical claims and benefits payable, ending balance 3,824 3,601
Medicaid    
Insurance Claims    
Medical claims and benefits payable, beginning balance 2,815 2,580
Components of medical care costs related to:    
Current year 5,865 5,424
Prior years (250) (154)
Total medical care costs 5,615 5,270
Payments for medical care costs related to:    
Current year 3,728 3,402
Prior years 1,822 1,633
Total paid 5,550 5,035
Acquired balances, net of post-acquisition adjustments 0 (25)
Change in non-risk and other provider payables 270 93
Medical claims and benefits payable, ending balance 3,150 2,883
Medicare    
Insurance Claims    
Medical claims and benefits payable, beginning balance 452 404
Components of medical care costs related to:    
Current year 934 840
Prior years (14) (25)
Total medical care costs 920 815
Payments for medical care costs related to:    
Current year 542 465
Prior years 369 306
Total paid 911 771
Acquired balances, net of post-acquisition adjustments 0 0
Change in non-risk and other provider payables 0 3
Medical claims and benefits payable, ending balance 461 451
Marketplace    
Insurance Claims    
Medical claims and benefits payable, beginning balance 261 379
Components of medical care costs related to:    
Current year 370 505
Prior years (34) (27)
Total medical care costs 336 478
Payments for medical care costs related to:    
Current year 217 330
Prior years 167 260
Total paid 384 590
Acquired balances, net of post-acquisition adjustments 0 0
Change in non-risk and other provider payables 0 0
Medical claims and benefits payable, ending balance $ 213 $ 267