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Goodwill and Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The following table summarizes the changes in goodwill by operating segment ($ in millions):
 MedicaidMedicareCommercialOtherConsolidated Total
Balance, December 31, 2021$10,194 $1,592 $5,424 $2,561 $19,771 
Acquisition and purchase accounting adjustments— — — 1,077 1,077 
Divestitures— — — (1,533)(1,533)
Reallocation— — (4)— 
Impairments— — — (370)(370)
Translation impact— — — (133)(133)
Balance, December 31, 2022$10,198 $1,592 $5,424 $1,598 $18,812 
Translation impact— — — 24 24 
Balance, March 31, 2023$10,198 $1,592 $5,424 $1,622 $18,836