Health Care Costs Payable (Tables)

9 Months Ended

Sep. 30, 2021

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 nine months ended September 30, 2021 and 2020:

	Nine Months Ended September 30,
In millions	2021		2020
Health care costs payable, beginning of the period	$	7,936	$	6,879
Less: Reinsurance recoverables	10		5
Health care costs payable, beginning of the period, net	7,926		6,874
Acquisition	—		444
Add: Components of incurred health care costs
Current year	48,243		40,777
Prior years	(771)		(448)
Total incurred health care costs (1)	47,472		40,329
Less: Claims paid
Current year	39,887		34,198
Prior years	6,639		5,865
Total claims paid	46,526		40,063
Add: Premium deficiency reserve	1		1
Health care costs payable, end of the period, net	8,873		7,585
Add: Reinsurance recoverables	4		8
Health care costs payable, end of the period	$	8,877	$	7,593

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(1)Total incurred health care costs for the nine months ended September 30, 2021 and 2020 in the table above exclude (i) $1 million and $1 million, respectively, for a premium deficiency reserve related to the Company’s Medicaid products, (ii) $45 million and $31 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) $168 million and $173 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.