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Segments (Tables)
6 Months Ended
Jun. 30, 2024
Segment Reporting [Abstract]  
Schedule of Operating Segment Information
The following table presents total revenue by segment. Inter-segment revenue was insignificant for all periods presented.
Three Months Ended June 30,Six Months Ended June 30,
2024202320242023
(In millions)
Total revenue:
Medicaid$7,760 $6,728 $15,633 $13,306 
Medicare1,459 1,055 2,916 2,111 
Marketplace641 524 1,222 1,021 
Other20 20 40 38 
Consolidated$9,880 $8,327 $19,811 $16,476 
The following table reconciles margin by segment to consolidated income before income tax expense:
Three Months Ended June 30,Six Months Ended June 30,
2024202320242023
(In millions)
Margin:
Medicaid$683 $756 $1,458 $1,490 
Medicare217 113 380 239 
Marketplace178 135 330 289 
Other
Total margin 1,080 1,007 2,172 2,023 
Add: other operating revenues (1)
414 265 821 511 
Less: other operating expenses (2)
(1,060)(829)(2,133)(1,636)
Operating income434 443 860 898 
Less: interest expense28 27 55 55 
Income before income tax expense$406 $416 $805 $843 
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(1)Other operating revenues include premium tax revenue, investment income, and certain other revenue.
(2)Other operating expenses include general and administrative expenses, premium tax expenses, depreciation and amortization, and certain other operating expenses.