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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Mar. 31, 2023
Dec. 31, 2022
Goodwill and Intangible Assets Disclosure [Abstract]    
Goodwill, Balance beginning $ 18,812 $ 19,771
Acquisition and purchase accounting adjustments   1,077
Divestitures   (1,533)
Reallocation   0
Impairments   (370)
Translation impact 24 (133)
Goodwill, Balance ending 18,836 18,812
Medicaid    
Goodwill and Intangible Assets Disclosure [Abstract]    
Goodwill, Balance beginning 10,198 10,194
Acquisition and purchase accounting adjustments   0
Divestitures   0
Reallocation   4
Impairments   0
Translation impact 0 0
Goodwill, Balance ending 10,198 10,198
Medicare    
Goodwill and Intangible Assets Disclosure [Abstract]    
Goodwill, Balance beginning 1,592 1,592
Acquisition and purchase accounting adjustments   0
Divestitures   0
Reallocation   0
Impairments   0
Translation impact 0 0
Goodwill, Balance ending 1,592 1,592
Commercial    
Goodwill and Intangible Assets Disclosure [Abstract]    
Goodwill, Balance beginning 5,424 5,424
Acquisition and purchase accounting adjustments   0
Divestitures   0
Reallocation   0
Impairments   0
Translation impact 0 0
Goodwill, Balance ending 5,424 5,424
Other    
Goodwill and Intangible Assets Disclosure [Abstract]    
Goodwill, Balance beginning 1,598 2,561
Acquisition and purchase accounting adjustments   1,077
Divestitures   (1,533)
Reallocation   (4)
Impairments   (370)
Translation impact 24 (133)
Goodwill, Balance ending $ 1,622 $ 1,598