Segment Information (Tables)

9 Months Ended

Sep. 30, 2024

Segment Reporting [Abstract]

Segment Information

Segment information for the three months ended September 30, 2024, is as follows ($ in millions):


						Medicaid						Medicare						Commercial						Other/Eliminations												Consolidated Total
Premium						$	21,291					$	5,643					$	8,693					$	488											$	36,115
Service						25						—						—						759												784
Premium and service revenues						21,316						5,643						8,693						1,247												36,899
Premium tax						5,124						—						—						—												5,124
Total external revenues						26,440						5,643						8,693						1,247												42,023
Internal revenues						—						—						—						4,290												4,290
Eliminations						—						—						—						(4,290)												(4,290)
Total revenues						$	26,440					$	5,643					$	8,693					$	1,247											$	42,023

Medical costs						$	19,818					$	4,968					$	6,957					$	458											$	32,201

Cost of services						$	23					$	—					$	—					$	669											$	692

Gross margin (1)						$	1,475					$	675					$	1,736					$	120											$	4,006

(1)			Gross margin represents premium and service revenues less medical costs and cost of services.

Segment information for the three months ended September 30, 2023, is as follows ($ in millions):


						Medicaid						Medicare						Commercial						Other/Eliminations												Consolidated Total
Premium						$	21,619					$	5,430					$	6,451					$	366											$	33,866
Service						—						—						2						1,099												1,101
Premium and service revenues						21,619						5,430						6,453						1,465												34,967
Premium tax						3,075						—						—						—												3,075
Total external revenues						24,694						5,430						6,453						1,465												38,042
Internal revenues						—						—						—						3,978												3,978
Eliminations						—						—						—						(3,978)												(3,978)
Total revenues						$	24,694					$	5,430					$	6,453					$	1,465											$	38,042

Medical costs						$	19,607					$	4,462					$	5,089					$	321											$	29,479

Cost of services						$	—					$	—					$	—					$	856											$	856

Gross margin (1)						$	2,012					$	968					$	1,364					$	288											$	4,632

(1)			Gross margin represents premium and service revenues less medical costs and cost of services.

Segment information for the nine months ended September 30, 2024, is as follows ($ in millions):


						Medicaid						Medicare						Commercial						Other/Eliminations												Consolidated Total
Premium						$	62,958					$	17,556					$	24,977					$	1,293											$	106,784
Service						68						—						2						2,355												2,425
Premium and service revenues						63,026						17,556						24,979						3,648												109,209
Premium tax						13,057						—						—						—												13,057
Total external revenues						76,083						17,556						24,979						3,648												122,266
Internal revenues						—						—						—						12,451												12,451
Eliminations						—						—						—						(12,451)												(12,451)
Total revenues						$	76,083					$	17,556					$	24,979					$	3,648											$	122,266

Medical costs						$	58,080					$	15,690					$	18,905					$	1,223											$	93,898

Cost of services						$	66					$	—					$	—					$	1,975											$	2,041

Gross margin (1)						$	4,880					$	1,866					$	6,074					$	450											$	13,270

(1)			Gross margin represents premium and service revenues less medical costs and cost of services.

Segment information for the nine months ended September 30, 2023, is as follows ($ in millions):


						Medicaid						Medicare						Commercial						Other/Eliminations												Consolidated Total
Premium						$	65,741					$	16,971					$	17,437					$	1,255											$	101,404
Service						—						—						2						3,351												3,353
Premium and service revenues						65,741						16,971						17,439						4,606												104,757
Premium tax						9,782						—						—						—												9,782
Total external revenues						75,523						16,971						17,439						4,606												114,539
Internal revenues						—						—						—						11,634												11,634
Eliminations						—						—						—						(11,634)												(11,634)
Total revenues						$	75,523					$	16,971					$	17,439					$	4,606											$	114,539

Medical costs						$	59,076					$	14,354					$	13,738					$	1,092											$	88,260

Cost of services						$	2					$	—					$	—					$	2,601											$	2,603

Gross margin (1)						$	6,663					$	2,617					$	3,701					$	913											$	13,894

(1)			Gross margin represents premium and service revenues less medical costs and cost of services.