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SEGMENT INFORMATION
 9 Months Ended
Sep. 30, 2023
Segment Reporting [Abstract]  
SEGMENT INFORMATION SEGMENT INFORMATION
During December 2022, we realigned our businesses into two distinct segments: Insurance and CenterWell. The Insurance segment includes the businesses that were previously included in the Retail and Group and Specialty segments, as well as the Pharmacy Benefit Manager, or PBM, business which was previously included in the Healthcare Services segment. The CenterWell segment (formerly Healthcare Services) represents our payor-agnostic healthcare services offerings, including pharmacy dispensing services, primary care, and home services. In addition to the new segment classifications being utilized to assess performance and allocate resources, we believe this simpler structure will create greater collaboration across the Insurance and CenterWell businesses and will accelerate work that is underway to centralize and integrate operations within the organization. Prior period segment financial information has been recast to conform to the 2023 presentation.
Our two reportable segments, Insurance and CenterWell, are based on a combination of the type of health plan customer and adjacent businesses centered on well-being solutions for our health plans and other customers, as described below. These segment groupings are consistent with information used by our Chief Executive Officer, the Chief Operating Decision Maker, to assess performance and allocate resources.
The Insurance segment consists of Medicare benefits, marketed to individuals or directly via group Medicare accounts, as well as our contract with CMS to administer the Limited Income Newly Eligible Transition, or LI-NET, prescription drug plan program and contracts with various states to provide Medicaid, dual eligible demonstration, and Long-Term Support Services benefits, which we refer to collectively as our state-based contracts. This segment also includes products consisting of employer group commercial fully-insured medical and specialty health insurance benefits marketed to individuals and employer groups, including dental, vision, and other supplemental health benefits, as well as administrative services only, or ASO. In addition, our Insurance segment includes our Military business, primarily our T-2017 East Region contract, as well as the operations of our PBM business.
The CenterWell segment includes our pharmacy, primary care, and home solutions operations. The segment also includes our strategic partnerships with WCAS to develop and operate senior-focused, payor-agnostic, primary care centers, as well as our minority ownership interest in hospice operations. Services offered by this segment are designed to enhance the overall healthcare experience. These services may lead to lower utilization associated with improved member health and/or lower drug costs.
Our CenterWell intersegment revenues primarily relate to the operations of CenterWell Pharmacy (our mail- order pharmacy business), CenterWell Specialty Pharmacy, and retail pharmacies jointly located within CenterWell Senior Primary Care clinics.
In addition, our CenterWell intersegment revenues include revenues earned by certain owned providers derived from certain value-based arrangements with our health plans. Under these value-based arrangements, our owned providers enter into agreements with our health plans to stand ready to deliver, integrate, direct and control the administration and management of certain health care services for our members. In exchange, the owned provider receives a premium that is typically paid on a per-member per-month basis. These value-based arrangements represent a single performance obligation where revenues are recognized in the period in which we are obligated to provide integrated health care services to our members. Fee-for-service revenue is recognized at agreed upon rates, net of contractual allowances, as the performance obligation is completed on the date of service.
We present our condensed consolidated results of operations from the perspective of the health plans. As a result, the cost of providing benefits to our members, whether provided via a third party provider or internally through a stand-alone subsidiary, is classified as benefits expense and excludes the portion of the cost for which the health plans do not bear responsibility, including member co-share amounts and government subsidies of $5.7 billion and $5.4 billion for the three months ended September 30, 2023 and 2022, respectively. For the nine months ended September 30, 2023 and 2022 these amounts were $14.7 billion and $14.2 billion, respectively. In addition, depreciation and amortization expense associated with certain businesses delivering benefits to our members, primarily associated with our primary care and pharmacy operations, are included with benefits expense. The amount of this expense was $35 million and $30 million for the three months ended September 30, 2023 and 2022, respectively, and $102 million and $89 million for the nine months ended September 30, 2023 and 2022, respectively.
Other than those described previously, the accounting policies of each segment are the same. For additional information regarding our accounting policies refer to Note 2 to the audited Consolidated Financial Statements included in Part II, Item 8, "Financial Statements and Supplementary Data" in our 2022 Form 10-K. Transactions between reportable segments primarily consist of sales of products and services rendered by our CenterWell segment, primarily pharmacy, primary care, and home services, to our Insurance segment customers. Intersegment sales and expenses are recorded at fair value and eliminated in consolidation. Members served by our segments often use the same provider networks, enabling us in some instances to obtain more favorable contract terms with providers. Our segments also share indirect costs and assets. As a result, the profitability of each segment is interdependent. We allocate most operating expenses to our segments. Assets and certain corporate income and expenses are not allocated to the segments, including the portion of investment income not supporting segment operations, interest expense on corporate debt, and certain other corporate expenses. These items are managed at a corporate level. These corporate amounts are reported separately from our reportable segments and are included with intersegment eliminations in the tables presenting segment results below.
Our segment results were as follows for the three and nine months ended September 30, 2023 and 2022:
InsuranceCenterWellEliminations/
Corporate		Consolidated
Three months ended September 30, 2023(in millions)
External revenues
Premiums:
Individual Medicare Advantage$19,637 $— $— $19,637 
Group Medicare Advantage1,695 — — 1,695 
Medicare stand-alone PDP493 — — 493 
Total Medicare21,825 — — 21,825 
Commercial fully-insured842 — — 842 
Specialty benefits252 — — 252 
Medicare Supplement185 — — 185 
State-based contracts and other1,995 — — 1,995 
Total premiums25,099 — — 25,099 
Services revenue:
Home solutions— 342 — 342 
Primary care— 214 — 214 
Commercial ASO55 — — 55 
Military and other202 — — 202 
Pharmacy solutions— 203 — 203 
Total services revenue257 759 — 1,016 
Total external revenues 25,356 759 — 26,115 
Intersegment revenues
Services1 1,307 (1,308)— 
Products— 2,594 (2,594)— 
Total intersegment revenues1 3,901 (3,902)— 
Investment income154 — 154 308 
Total revenues25,511 4,660 (3,748)26,423 
Operating expenses:
Benefits21,976 — (231)21,745 
Operating costs2,634 4,207 (3,570)3,271 
Depreciation and amortization179 53 (31)201 
Total operating expenses24,789 4,260 (3,832)25,217 
Income from operations722 400 84 1,206 
Interest expense— 1 113 114 
Other income, net— — (6)(6)
Income (loss) before income taxes and equity in net earnings 722 399 (23)1,098 
Equity in net losses— (12)— (12)
Segment earnings (loss)$722 $387 $(23)$1,086 
Net loss (income) attributable to noncontrolling interests3 (1)— 2 
Segment earnings (loss) attributable to Humana$725 $386 $(23)$1,088 
InsuranceCenterWellEliminations/
Corporate		Consolidated
Three months ended September 30, 2022(in millions)
External revenues
Premiums:
Individual Medicare Advantage$16,007 $— $— $16,007 
Group Medicare Advantage1,792 — — 1,792 
Medicare stand-alone PDP534 — — 534 
Total Medicare18,333 — — 18,333 
Commercial fully-insured1,075 — — 1,075 
Specialty benefits262 — — 262 
Medicare Supplement188 — — 188 
State-based contracts and other1,610 — — 1,610 
Total premiums21,468 — — 21,468 
Services revenue:
Home solutions— 519 — 519 
Primary care— 159 — 159 
Commercial ASO73 — — 73 
Military and other137 — — 137 
Pharmacy solutions— 271 — 271 
Total services revenue210 949 — 1,159 
Total external revenues 21,678 949 — 22,627 
Intersegment revenues
Services14 863 (877)— 
Products— 2,459 (2,459)— 
Total intersegment revenues14 3,322 (3,336)— 
Investment income 51 3 118 172 
Total revenues21,743 4,274 (3,218)22,799 
Operating expenses:
Benefits18,413 — (29)18,384 
Operating costs2,294 3,929 (3,162)3,061 
Depreciation and amortization163 45 (26)182 
Total operating expenses20,870 3,974 (3,217)21,627 
Income (loss) from operations873 300 (1)1,172 
Gain on sale of Gentiva Hospice— (240)— (240)
Interest expense— — 102 102 
Other expense, net— — 13 13 
Income (loss) before income taxes and equity in net earnings 873 540 (116)1,297 
Equity in net earnings (losses)8 (5)— 3 
Segment earnings (loss)$881 $535 $(116)$1,300 
Net loss attributable to noncontrolling interests2 — — 2 
Segment earnings (loss) attributable to Humana$883 $535 $(116)$1,302 
InsuranceCenterWellEliminations/
Corporate		Consolidated
Nine months ended September 30, 2023(in millions)
External revenues
Premiums:
Individual Medicare Advantage$59,195 $— $— $59,195 
Group Medicare Advantage5,192 — — 5,192 
Medicare stand-alone PDP1,677 — — 1,677 
Total Medicare66,064 — — 66,064 
Commercial fully-insured2,810 — — 2,810 
Specialty benefits758 — — 758 
Medicare Supplement546 — — 546 
State-based contracts and other5,966 — — 5,966 
Total premiums76,144 — — 76,144 
Services revenue:
Home solutions— 997 — 997 
Primary care— 605 — 605 
Commercial ASO190 — — 190 
Military and other540 — — 540 
Pharmacy solutions— 661 — 661 
Total services revenue730 2,263 — 2,993 
Total external revenues 76,874 2,263 — 79,137 
Intersegment revenues
Services30 3,584 (3,614)— 
Products— 7,848 (7,848)— 
Total intersegment revenues30 11,432 (11,462)— 
Investment income385 — 390 775 
Total revenues77,289 13,695 (11,072)79,912 
Operating expenses:
Benefits66,096 — (484)65,612 
Operating costs7,597 12,526 (10,762)9,361 
Depreciation and amortization516 152 (90)578 
Total operating expenses74,209 12,678 (11,336)75,551 
Income from operations3,080 1,017 264 4,361 
Interest expense— 2 345 347 
Other expense, net— — 40 40 
Income (loss) before income taxes and equity in net losses 3,080 1,015 (121)3,974 
Equity in net losses(2)(37)— (39)
Segment earnings (loss)$3,078 $978 $(121)$3,935 
Net loss (income) attributable to noncontrolling interests7 (1)— 6 
Segment earnings (loss) attributable to Humana$3,085 $977 $(121)$3,941 
InsuranceCenterWellEliminations/
Corporate		Consolidated
Nine months ended September 30, 2022(in millions)
External Revenues
Premiums:
Individual Medicare Advantage$49,751 $— $— $49,751 
Group Medicare Advantage5,524 — — 5,524 
Medicare stand-alone PDP1,779 — — 1,779 
Total Medicare57,054 — — 57,054 
Commercial fully-insured3,324 — — 3,324 
Specialty benefits784 — — 784 
Medicare Supplement555 — — 555 
State-based contracts and other4,720 — — 4,720 
Total premiums66,437 — — 66,437 
Services revenue:
Home solutions— 1,997 — 1,997 
Primary care— 409 — 409 
Commercial ASO225 — — 225 
Military and other395 — — 395 
Pharmacy solutions— 746 — 746 
Total services revenue620 3,152 — 3,772 
Total external revenues 67,057 3,152 — 70,209 
Intersegment revenues
Services42 2,614 (2,656)— 
Products— 7,394 (7,394)— 
Total intersegment revenues42 10,008 (10,050)— 
Investment income143 6 73 222 
Total revenues67,242 13,166 (9,977)70,431 
Operating expenses:
Benefits57,311 — (203)57,108 
Operating costs6,486 12,002 (9,368)9,120 
Depreciation and amortization469 136 (78)527 
Total operating expenses64,266 12,138 (9,649)66,755 
Income (loss) from operations2,976 1,028 (328)3,676 
Gain on sale of Gentiva Hospice— (240)— (240)
Interest expense— — 293 293 
Other income, net— — (16)(16)
Income (loss) before income taxes and equity in net losses2,976 1,268 (605)3,639 
Equity in net earnings (losses)16 (15)— 1 
Segment earnings (loss)$2,992 $1,253 $(605)$3,640 
Net loss (income) attributable to noncontrolling interests2 (1)— 1 
Segment earnings (loss) attributable to Humana$2,994 $1,252 $(605)$3,641