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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Operating activities:    
Net income $ 553 $ 602
Adjustments to reconcile net income to net cash used in operating activities:    
Depreciation and amortization 106 91
Deferred income taxes 22 21
Share-based compensation 30 68
Other, net 0 4
Changes in operating assets and liabilities:    
Receivables (466) (5)
Prepaid expenses and other current assets 10 16
Medical claims and benefits payable (50) (48)
Amounts due government agencies (81) (43)
Accounts payable, accrued liabilities and other (301) (307)
Deferred revenue (59) (405)
Income taxes 124 1
Net cash used in operating activities (112) (5)
Investing activities:    
Purchases of investments (421) (594)
Proceeds from sales and maturities of investments 717 506
Net cash paid in business combinations (245) (295)
Purchases of property, equipment and capitalized software (64) (54)
Other, net 18 2
Net cash provided by (used in) investing activities 5 (435)
Financing activities:    
Proceeds from borrowings under credit facility and term loan 650 0
Common stock purchases (500) 0
Repayment of credit facility and term loan (200) 0
Common stock withheld to settle employee tax obligations (36) (56)
Other, net 44 6
Net cash used in financing activities (42) (50)
Net decrease in cash, cash equivalents, and restricted cash and cash equivalents (149) (490)
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,741 4,908
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 4,592 $ 4,418