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Segment Information (Tables)
6 Months Ended
Jun. 30, 2023
Segment Reporting [Abstract]  
Segment Information
Segment information for the three months ended June 30, 2023, is as follows ($ in millions):
 MedicaidMedicareCommercialOther/EliminationsConsolidated Total
Premium$21,895 $5,665 $5,734 $419 $33,713 
Service— — — 1,125 1,125 
Premium and service revenues21,895 5,665 5,734 1,544 34,838 
Premium tax2,770 — — — 2,770 
Total external revenues24,665 5,665 5,734 1,544 37,608 
Internal revenues— — — 3,789 3,789 
Eliminations— — — (3,789)(3,789)
Total revenues$24,665 $5,665 $5,734 $1,544 $37,608 
Medical costs$19,459 $4,884 $4,644 $360 $29,347 
Cost of services$$— $— $875 $877 
Gross margin (1)
$2,434 $781 $1,090 $309 $4,614 
(1)
Gross margin represents premium and service revenues less medical costs and cost of services.

Segment information for the three months ended June 30, 2022, is as follows ($ in millions):
 MedicaidMedicareCommercialOther/EliminationsConsolidated Total
Premium$20,488 $5,639 $4,554 $829 $31,510 
Service(1)— 2,458 2,458 
Premium and service revenues20,487 5,639 4,555 3,287 33,968 
Premium tax1,968 — — — 1,968 
Total external revenues22,455 5,639 4,555 3,287 35,936 
Internal revenues— — — 5,986 5,986 
Eliminations— — — (5,986)(5,986)
Total revenues$22,455 $5,639 $4,555 $3,287 $35,936 
Medical costs$18,258 $4,826 $3,529 $699 $27,312 
Cost of services$— $— $— $2,099 $2,099 
Gross margin (1)
$2,229 $813 $1,026 $489 $4,557 
(1)
Gross margin represents premium and service revenues less medical costs and cost of services.
Segment information for the six months ended June 30, 2023, is as follows ($ in millions):
 MedicaidMedicareCommercialOther/EliminationsConsolidated Total
Premium$44,122 $11,541 $10,986 $889 $67,538 
Service— — — 2,252 2,252 
Premium and service revenues44,122 11,541 10,986 3,141 69,790 
Premium tax6,707 — — — 6,707 
Total external revenues50,829 11,541 10,986 3,141 76,497 
Internal revenues— — — 7,656 7,656 
Eliminations— — — (7,656)(7,656)
Total revenues$50,829 $11,541 $10,986 $3,141 $76,497 
Medical costs$39,469 $9,892 $8,649 $771 $58,781 
Cost of services$$— $— $1,745 $1,747 
Gross margin (1)
$4,651 $1,649 $2,337 $625 $9,262 
(1)
Gross margin represents premium and service revenues less medical costs and cost of services.

Segment information for the six months ended June 30, 2022, is as follows ($ in millions):
 MedicaidMedicareCommercialOther/EliminationsConsolidated Total
Premium$41,609 $11,396 $8,686 $1,708 $63,399 
Service(1)— 4,801 4,801 
Premium and service revenues41,608 11,396 8,687 6,509 68,200 
Premium tax4,921 — — — 4,921 
Total external revenues46,529 11,396 8,687 6,509 73,121 
Internal revenues— — — 12,436 12,436 
Eliminations— — — (12,436)(12,436)
Total revenues$46,529 $11,396 $8,687 $6,509 $73,121 
Medical costs$37,033 $9,872 $6,803 $1,442 $55,150 
Cost of services$— $— $— $4,087 $4,087 
Gross margin (1)
$4,575 $1,524 $1,884 $980 $8,963 
(1)
Gross margin represents premium and service revenues less medical costs and cost of services.