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v3.23.3

Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2023 | Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022
Segment Reporting Information [Line Items] |  |  |  |
Less: other operating expenses | $ (8,189.0) | $ (7,592.0) | $ (23,767.0) | $ (22,683.0)
Operating income | 359.0 | 335.0 | 1,257.0 | 1,068.0
Other expenses, net | 27.0 | 28.0 | 82.0 | 83.0
Income before income tax expense | 332.0 | 307.0 | 1,175.0 | 985.0
Risk adjustment, credit loss allowances | 41.0 |  | 41.0 |
Operating segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 936.0 | 890.0 | 2,959.0 | 2,791.0
Operating segments | Medicaid |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 752.0 | 703.0 | 2,242.0 | 2,168.0
Operating segments | Medicare |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 78.0 | 108.0 | 317.0 | 360.0
Operating segments | Marketplace |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 104.0 | 77.0 | 393.0 | 255.0
Operating segments | Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 2.0 | 2.0 | 7.0 | 8.0
Other operating |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 289.0 | 274.0 | 800.0 | 732.0
Less: other operating expenses | $ (866.0) | $ (829.0) | $ (2,502.0) | $ (2,455.0)

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