v3.24.3
Acquisitions and Divestitures - Divestiture (Details)
£ in Millions, $ in Millions
3 Months Ended 9 Months Ended 12 Months Ended
Jan. 12, 2024
USD ($)
Dec. 31, 2024
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2023
USD ($)
Dec. 31, 2023
USD ($)
Aug. 31, 2023
USD ($)
Aug. 31, 2023
GBP (£)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Gain on divestitures         $ 103 $ 172      
Income tax expense (benefit)     $ 211 $ 293 896 $ 914      
Currency Swap                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Notional amount               $ 931 £ 740
Magellan Rx | Disposal Group, Disposed of by Sale, Not Discontinued Operations                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Gain on divestitures         83        
Circle Health | Disposal Group, Disposed of by Sale, Not Discontinued Operations                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Gain on divestitures         20        
Proceeds from sale of business $ 931                
Income tax expense (benefit)         (40)        
Circle Health | Disposal Group, Held-for-sale, Not Discontinued Operations                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Goodwill impairment             $ 292    
Goodwill, impairment, net of tax             $ 258    
Collaborative Health Systems | Disposal Group, Held-for-sale, Not Discontinued Operations                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
Assets held for sale included in other current assets     16   16        
Liabilities held for sale in accounts payable and accrued expenses     $ 2   $ 2        
Collaborative Health Systems | Disposal Group, Held-for-sale, Not Discontinued Operations | Subsequent Event | Forecast | Minimum                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
After-tax gain   $ 0              
Collaborative Health Systems | Disposal Group, Held-for-sale, Not Discontinued Operations | Subsequent Event | Forecast | Maximum                  
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                  
After-tax gain   $ 20