Health Care Costs Payable (Tables)

12 Months Ended

Dec. 31, 2022

Health Care and Other Insurance Liabilities [Abstract]

Information about Incurred and Paid Health Care Claims Development

The information about incurred and paid health care claims development for the year ended December 31, 2021 is presented as required unaudited supplemental information.

In millions	Incurred Health Care Claims, Net of Reinsurance For the Years Ended December 31,
Date of Service	2021		2022
	(Unaudited)
2021	$	62,830	$	62,259
2022			69,185
	Total		$	131,444
In millions	Cumulative Paid Health Care Claims, Net of Reinsurance For the Years Ended December 31,
Date of Service	2021		2022
	(Unaudited)
2021	$	54,600	$	62,144
2022			59,570
	Total		$	121,714
All outstanding liabilities for health care costs payable prior to 2021, net of reinsurance			196
Total outstanding liabilities for health care costs payable, net of reinsurance			$	9,926

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense

The reconciliation of the December 31, 2022 health care net incurred and paid claims development tables to the health care costs payable liability on the consolidated balance sheet were as follows:

In millions	December 31, 2022
Short-duration health care costs payable, net of reinsurance	$	9,926
Reinsurance recoverables	5
Insurance lines other than short duration	475
Total health care costs payable	$	10,406

Components of Change in Health Care Costs Payable

The following table shows the components of the change in health care costs payable during the years ended December 31, 2022, 2021 and 2020:

In millions	2022		2021		2020
Health care costs payable, beginning of period	$	8,808	$	7,936	$	6,879
Less: Reinsurance recoverables	8		10		5
Health care costs payable, beginning of period, net	8,800		7,926		6,874
Acquisitions, net	—		—		414
Add: Components of incurred health care costs
Current year	71,541		64,761		55,835
Prior years	(654)		(788)		(429)
Total incurred health care costs (1)	70,887		63,973		55,406
Less: Claims paid
Current year	61,640		56,323		48,770
Prior years	7,646		6,792		6,009
Total claims paid	69,286		63,115		54,779
Add: Premium deficiency reserve	—		16		11
Health care costs payable, end of period, net	10,401		8,800		7,926
Add: Reinsurance recoverables	5		8		10
Health care costs payable, end of period	$	10,406	$	8,808	$	7,936

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(1)Total incurred health care costs for the years ended December 31, 2022, 2021 and 2020 in the table above exclude $75 million, $59 million and $41 million, respectively, of benefit costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the consolidated balance sheets and $319 million, $212 million and $221 million, respectively, of benefit costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the consolidated balance sheets. The incurred health care costs for the years ended December 31, 2021 and 2020 also exclude $16 million and $11 million, respectively, for premium deficiency reserves related to the Company’s Medicaid products.