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Accounting Policies - Related Party Transactions (Details)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2017
USD ($)
state
Sep. 30, 2016
USD ($)
Sep. 30, 2017
USD ($)
state
Sep. 30, 2016
USD ($)
Related Party Transaction [Line Items]        
Expenses from transactions with related party $ 5 $ 7 $ 29 $ 29
Equity Method Investee        
Related Party Transaction [Line Items]        
Other revenues from transactions with related party $ 36 $ 46 $ 106 $ 116
Heartland Healthcare Services        
Related Party Transaction [Line Items]        
Number of states in which entity operates | state 4   4