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v3.24.0.1

Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Segment Reporting Information [Line Items] |  |  |
Less: Other operating expenses | $ (32,499) | $ (30,801) | $ (26,751)
Operating income | 1,573 | 1,173 | 1,020
Less: other expenses, net | 109 | 110 | 145
Income before income tax expense | 1,464 | 1,063 | 875
Medicaid |  |  |
Segment Reporting Information [Line Items] |  |  |
Total margin | 2,973 | 2,981 | 2,322
Medicare |  |  |
Segment Reporting Information [Line Items] |  |  |
Total margin | 388 | 437 | 430
Marketplace |  |  |
Segment Reporting Information [Line Items] |  |  |
Total margin | 499 | 290 | 399
Other |  |  |
Segment Reporting Information [Line Items] |  |  |
Total margin | 9 | 11 | 14
Operating Segments |  |  |
Segment Reporting Information [Line Items] |  |  |
Total margin | 3,869 | 3,719 | 3,165
Other Operating |  |  |
Segment Reporting Information [Line Items] |  |  |
Add: Other operating revenues | 1,467 | 1,020 | 846
Less: Other operating expenses | $ (3,763) | $ (3,566) | $ (2,991)

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