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SEGMENT INFORMATION (Tables)
12 Months Ended
Dec. 31, 2019
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, By Segment
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2019

 

 

 

 

External revenues

 

 

 

 

Premiums:

 

 

 

 

Individual Medicare Advantage
$
43,128

 
$

 
$

 
$

 
$
43,128

Group Medicare Advantage
6,475

 

 

 

 
6,475

Medicare stand-alone PDP
3,165

 

 

 

 
3,165

Total Medicare
52,768

 

 

 

 
52,768

Fully-insured
588

 
5,123

 

 

 
5,711

Specialty

 
1,571

 

 

 
1,571

Medicaid and other
2,898

 

 

 

 
2,898

Total premiums
56,254

 
6,694

 

 

 
62,948

Services revenue:

 

 

 

 

Provider

 

 
446

 

 
446

ASO and other
17

 
790

 

 

 
807

Pharmacy

 

 
186

 

 
186

Total services revenue
17

 
790

 
632

 

 
1,439

Total external revenues
56,271

 
7,484

 
632

 

 
64,387

Intersegment revenues

 

 

 

 

Services

 
18

 
18,255

 
(18,273
)
 

Products

 

 
6,894

 
(6,894
)
 

Total intersegment revenues

 
18

 
25,149

 
(25,167
)
 

Investment income
195

 
23

 
2

 
281

 
501

Total revenues
56,466

 
7,525

 
25,783

 
(24,886
)
 
64,888

Operating expenses:

 

 

 

 

Benefits
48,602

 
5,758

 

 
(503
)
 
53,857

Operating costs
5,306

 
1,651

 
24,852

 
(24,428
)
 
7,381

Depreciation and amortization
323

 
88

 
156

 
(109
)
 
458

Total operating expenses
54,231

 
7,497

 
25,008

 
(25,040
)
 
61,696

Income from operations
2,235

 
28

 
775

 
154

 
3,192

Interest expense

 

 

 
242

 
242

Other income, net

 

 

 
(506
)
 
(506
)
Income before income taxes and equity in net earnings
2,235

 
28

 
775

 
418

 
3,456

Equity in net earnings of Kindred at Home

 

 
14

 

 
14

Segment earnings
$
2,235

 
$
28

 
$
789

 
$
418

 
$
3,470


Premium and services revenues derived from our contracts with the federal government, as a percentage of our total premium and services revenues, was approximately 82% for 2019, compared to 81% for 2018, and 79% for 2017.
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2018

 

 

 

 

 

 

External revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Premiums:

 

 

 

 

 

 

Individual Medicare Advantage
$
35,656

 
$

 
$

 
$

 
$

 
$

 
$
35,656

Group Medicare Advantage
6,103

 

 

 

 

 

 
6,103

Medicare stand-alone PDP
3,584

 

 

 

 

 

 
3,584

Total Medicare
45,343

 

 

 

 

 

 
45,343

Fully-insured
510

 
5,444

 

 
8

 

 

 
5,962

Specialty

 
1,359

 

 

 

 

 
1,359

Medicaid and other
2,255

 

 

 

 
22

 

 
2,277

Total premiums
48,108

 
6,803

 

 
8

 
22

 

 
54,941

Services revenue:

 

 

 

 

 

 

Provider

 

 
404

 

 

 

 
404

ASO and other
11

 
835

 

 

 
4

 

 
850

Pharmacy

 

 
203

 

 

 

 
203

Total services revenue
11

 
835

 
607

 

 
4

 

 
1,457

Total external revenues
48,119

 
7,638

 
607

 
8

 
26

 

 
56,398

Intersegment revenues

 

 

 

 

 

 

Services

 
18

 
16,840

 

 

 
(16,858
)
 

Products

 

 
6,330

 

 

 
(6,330
)
 

Total intersegment revenues

 
18

 
23,170

 

 

 
(23,188
)
 

Investment income
136

 
23

 
34

 

 
110

 
211

 
514

Total revenues
48,255

 
7,679

 
23,811

 
8

 
136

 
(22,977
)
 
56,912

Operating expenses:

 

 

 

 

 

 

Benefits
40,925

 
5,420

 

 
(70
)
 
77

 
(470
)
 
45,882

Operating costs
5,327

 
1,810

 
22,905

 
4

 
6

 
(22,527
)
 
7,525

Depreciation and amortization
270

 
88

 
163

 

 

 
(116
)
 
405

Total operating expenses
46,522

 
7,318

 
23,068

 
(66
)
 
83

 
(23,113
)
 
53,812

Income from operations
1,733

 
361

 
743

 
74

 
53

 
136

 
3,100

Loss on sale of business

 

 

 

 

 
786

 
786

Interest expense

 

 

 

 

 
218

 
218

Other expense, net

 

 

 

 

 
33

 
33

Income (loss) before income taxes and equity in net earnings
1,733

 
361

 
743

 
74

 
53

 
(901
)
 
2,063

Equity in net earnings of Kindred at Home

 

 
11

 

 

 

 
11

Segment earnings (losses)
$
1,733


$
361


$
754


$
74


$
53


$
(901
)
 
$
2,074

 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2017
 
 
 
 
 
 
 
 
 
 
 
 
 
External revenues

 

 

 

 

 

 

Premiums:

 

 

 

 

 

 

Individual Medicare Advantage
$
32,720

 
$

 
$

 
$

 
$

 
$

 
$
32,720

Group Medicare Advantage
5,155

 

 

 

 

 

 
5,155

Medicare stand-alone PDP
3,702

 

 

 

 

 

 
3,702

Total Medicare
41,577

 

 

 

 

 

 
41,577

Fully-insured
478

 
5,462

 

 
947

 

 

 
6,887

Specialty

 
1,310

 

 

 

 

 
1,310

Medicaid and other
2,571

 

 

 

 
35

 

 
2,606

Total premiums
44,626

 
6,772

 

 
947

 
35

 

 
52,380

Services revenue:

 

 

 

 

 

 

Provider

 

 
258

 

 

 

 
258

ASO and other
10

 
626

 

 

 
8

 

 
644

Pharmacy

 

 
80

 

 

 

 
80

Total services revenue
10

 
626

 
338

 

 
8

 

 
982

Total external revenues
44,636

 
7,398

 
338

 
947

 
43

 

 
53,362

Intersegment revenues

 

 

 

 

 

 

Services

 
20

 
17,293

 

 

 
(17,313
)
 

Products

 

 
6,292

 

 

 
(6,292
)
 

Total intersegment revenues

 
20

 
23,585

 

 

 
(23,605
)
 

Investment income
90

 
31

 
35

 
4

 
87

 
158

 
405

Total revenues
44,726

 
7,449

 
23,958

 
951

 
130

 
(23,447
)
 
53,767

Operating expenses:

 

 

 

 

 

 

Benefits
38,218

 
5,363

 

 
544

 
131

 
(760
)
 
43,496

Operating costs
4,292

 
1,590

 
22,848

 
201

 
12

 
(22,376
)
 
6,567

Merger termination fee and related costs, net

 

 

 

 

 
(936
)
 
(936
)
Depreciation and amortization
238

 
84

 
143

 
13

 

 
(100
)
 
378

Total operating expenses
42,748

 
7,037

 
22,991

 
758

 
143

 
(24,172
)
 
49,505

Income (loss) from operations
1,978

 
412

 
967

 
193

 
(13
)
 
725

 
4,262

Interest expense

 

 

 

 

 
242

 
242

Income (loss) before income taxes and equity in net earnings
1,978

 
412

 
967

 
193

 
(13
)
 
483

 
4,020

Equity in net earnings of Kindred at Home

 

 

 

 

 

 

Segment earnings (losses)
$
1,978

 
$
412

 
$
967

 
$
193

 
$
(13
)
 
$
483

 
$
4,020