Segment Information (Tables)

3 Months Ended

Mar. 31, 2025

Segment Reporting [Abstract]

Schedule of Segment Information

Segment information for the three months ended March 31, 2025, is as follows ($ in millions):


						Medicaid						Medicare						Commercial						Other/Eliminations												Consolidated Total
Premium						$	22,275					$	8,759					$	10,148					$	530											$	41,712
Service						24						—						1						752												777
Premium and service revenues						22,299						8,759						10,149						1,282												42,489
Premium tax						4,131						—						—						—												4,131
Total external revenues						26,430						8,759						10,149						1,282												46,620
Internal revenues						—						—						—						4,164												4,164
Eliminations						—						—						—						(4,164)												(4,164)
Total revenues						$	26,430					$	8,759					$	10,149					$	1,282											$	46,620

Medical costs						$	20,843					$	7,555					$	7,607					$	498											$	36,503
Cost of services						24						—						—						674												698
Other operating expenses (1)																																				7,885
Other income (expense) (2)																																				212
Earnings before income tax expense																																				$	1,746

Segment gross margin (3)						$	1,432					$	1,204					$	2,542					$	110											$	5,288

(1)			Other operating expenses include selling, general and administrative expenses, depreciation, amortization, premium tax expense and impairment.
(2)			Other income (expense) includes investment and other income, debt extinguishment and interest expense.
(3)			Segment gross margin represents premium and service revenues less medical costs and cost of services.

Segment information for the three months ended March 31, 2024, is as follows ($ in millions):


						Medicaid						Medicare						Commercial						Other/Eliminations												Consolidated Total
Premium						$	21,438					$	5,935					$	7,750					$	406											$	35,529
Service						22						—						1						785												808
Premium and service revenues						21,460						5,935						7,751						1,191												36,337
Premium tax						4,070						—						—						—												4,070
Total external revenues						25,530						5,935						7,751						1,191												40,407
Internal revenues						—						—						—						4,080												4,080
Eliminations						—						—						—						(4,080)												(4,080)
Total revenues						$	25,530					$	5,935					$	7,751					$	1,191											$	40,407

Medical costs						$	19,495					$	5,389					$	5,680					$	368											$	30,932
Cost of services						21						—						—						648												669
Other operating expenses (1)																																				7,700
Other income (expense) (2)																																				367
Earnings before income tax expense																																				$	1,473


Segment gross margin (3)						$	1,944					$	546					$	2,071					$	175											$	4,736

(1)			Other operating expenses include selling, general and administrative expenses, depreciation, amortization, premium tax expense and impairment.
(2)			Other income (expense) includes investment and other income, debt extinguishment and interest expense.
(3)			Segment gross margin represents premium and service revenues less medical costs and cost of services.