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v3.24.3

Segments - Reconciliation of Gross Margin to Consolidated Income (Details) - USD ($) $ in Millions | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Segment Reporting Information [Line Items] |  |  |  |
Less: other operating expenses | $ (9,873) | $ (8,189) | $ (28,824) | $ (23,767)
Operating income | 467 | 359 | 1,327 | 1,257
Less: interest expense | 29 | 27 | 84 | 82
Income before income tax expense | 438 | 332 | 1,243 | 1,175
Operating segments |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 1,052 | 936 | 3,224 | 2,959
Operating segments | Medicaid |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 730 | 752 | 2,188 | 2,242
Operating segments | Medicare |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 142 | 78 | 522 | 317
Operating segments | Marketplace |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 179 | 104 | 509 | 393
Operating segments | Other |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Total margin | 1 | 2 | 5 | 7
Other operating |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |
Add: other operating revenues | 626 | 289 | 1,447 | 800
Less: other operating expenses | $ (1,211) | $ (866) | $ (3,344) | $ (2,502)

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