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Health Care Costs Payable (Tables)
 6 Months Ended
Jun. 30, 2023
Health Care and Other Insurance Liabilities [Abstract]  
Components of Change in Health Care Costs Payable
The following table shows the components of the change in health care costs payable during the six months ended June 30, 2023 and 2022:
Six Months Ended
June 30,
In millions20232022
Health care costs payable, beginning of the period$10,142 $8,678 
Less: Reinsurance recoverables5 8 
Less: Impact of discount rate on long-duration insurance reserves (1)
8 — 
Health care costs payable, beginning of the period, net10,129 8,670 
Acquisitions, net1,102 — 
Add: Components of incurred health care costs
  Current year42,705 35,884 
  Prior years(619)(666)
Total incurred health care costs (2)
42,086 35,218 
Less: Claims paid
  Current year32,502 26,971 
  Prior years8,800 6,732 
Total claims paid41,302 33,703 
Add: Premium deficiency reserve— 5 
Health care costs payable, end of the period, net12,015 10,190 
Add: Reinsurance recoverables5 4 
Add: Impact of discount rate on long-duration insurance reserves (1)
(22)8 
Health care costs payable, end of the period$11,998 $10,202 
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(1)Reflects the difference between the current discount rate and the locked-in discount rate on long-duration insurance reserves which is recorded within accumulated other comprehensive loss on the unaudited condensed consolidated balance sheets. Refer to Note 1 ‘‘Significant Accounting Policies’’ for further information related to the adoption of the long-duration insurance contracts accounting standard.
(2)Total incurred health care costs for the six months ended June 30, 2023 and 2022 in the table above exclude $42 million and $41 million, respectively, of health care costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets and $102 million and $149 million, respectively, of health care costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets. The incurred health care costs for the six months ended June 30, 2022 also exclude $5 million for a premium deficiency reserve related to the Company’s Medicaid products.