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Segment Information - Additional Information (Detail)
$ in Millions
3 Months Ended
Mar. 31, 2016
USD ($)
Segment
Mar. 31, 2015
USD ($)
Segment Reporting [Abstract]    
Number of reportable segments | Segment 3  
Member co-share amounts and government subsidies $ 2,900 $ 2,500
Depreciation and amortization classified as benefit expense $ 27 $ 21