Health Care Costs Payable (Tables)

3 Months Ended

Mar. 31, 2020

Health Care and Other Insurance Liabilities [Abstract]

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense

The following table shows the components of the change in health care costs payable during the three months ended March 31, 2020 and 2019:



	Three Months Ended March 31,
In millions	2020			2019
Health care costs payable, beginning of the period	$	6,879		$	6,147
Less: Reinsurance recoverables	5			4
Health care costs payable, beginning of the period, net	6,874			6,143
Acquisition	412			—
Add: Components of incurred health care costs
Current year	14,764			13,804
Prior years	(464		)	(446		)
Total incurred health care costs ⁽¹⁾	14,300			13,358
Less: Claims paid
Current year	8,773			8,004
Prior years	5,242			4,812
Total claims paid	14,015			12,816
Add: Premium deficiency reserve	10			11
Health care costs payable, end of the period, net	7,581			6,696
Add: Reinsurance recoverables	4			5
Health care costs payable, end of the period	$	7,585		$	6,701

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(1)

Total incurred health care costs for the three months ended March 31, 2020 and 2019 in the table above exclude (i) $10 million and $11 million, respectively, related to a premium deficiency reserve related to the Company’s Medicaid products, (ii) $9 million and $10 million, respectively, of benefit costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the Company’s unaudited condensed consolidated balance sheets and (iii) $68 million and $80 million, respectively, of benefit costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the Company’s unaudited condensed consolidated balance sheets.