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v3.23.2

Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2023 | Jun. 30, 2022 | Jun. 30, 2023 | Jun. 30, 2022
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | $ 8,327 | $ 8,054 | $ 16,476 | $ 15,824
Less: other operating expenses | (7,884) | (7,693) | (15,578) | (15,091)
Operating income | 443 | 361 | 898 | 733
Other expenses, net | 27 | 27 | 55 | 55
Income before income tax expense | 416 | 334 | 843 | 678
Medicaid |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 6,728 | 6,524 | 13,306 | 12,711
Medicare |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 1,055 | 963 | 2,111 | 1,912
Marketplace |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 524 | 549 | 1,021 | 1,165
Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 20 | 18 | 38 | 36
Operating segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 1,007 | 930 | 2,023 | 1,901
Operating segments | Medicaid |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 756 | 755 | 1,490 | 1,465
Operating segments | Medicare |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 113 | 124 | 239 | 252
Operating segments | Marketplace |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 135 | 48 | 289 | 178
Operating segments | Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 3 | 3 | 5 | 6
Other operating |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 265 | 237 | 511 | 458
Less: other operating expenses | $ (829) | $ (806) | $ (1,636) | $ (1,626)

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