CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) shares in Thousands, $ in Millions	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Revenues:
Premium and service revenues	$ 34,838	$ 33,968	$ 69,790	$ 68,200
Premium tax	2,770	1,968	6,707	4,921
Total revenues	37,608	35,936	76,497	73,121
Expenses:
Medical costs	29,347	27,312	58,781	55,150
Cost of services	877	2,099	1,747	4,087
Selling, general and administrative expenses	3,016	2,800	6,027	5,545
Depreciation expense	146	164	288	320
Amortization of acquired intangible assets	179	199	362	398
Premium tax expense	2,854	2,041	6,865	5,047
Impairment	18	1,450	38	1,450
Total operating expenses	36,437	36,065	74,108	71,997
Earnings (loss) from operations	1,171	(129)	2,389	1,124
Other income (expense):
Investment and other income	425	42	778	94
Debt extinguishment	0	13	0	16
Interest expense	(181)	(162)	(361)	(322)
Earnings (loss) before income tax	1,415	(236)	2,806	912
Income tax expense (benefit)	360	(65)	621	231
Net earnings (loss)	1,055	(171)	2,185	681
(Earnings) loss attributable to noncontrolling interests	3	(1)	3	(4)
Net earnings (loss) attributable to Centene Corporation	$ 1,058	$ (172)	$ 2,188	$ 677
Net earnings (loss) per common share attributable to Centene Corporation:
Basic earnings (loss) per common share (in dollars per share)	$ 1.93	$ (0.29)	$ 3.98	$ 1.16
Diluted earnings (loss) per common share (in dollars per share)	$ 1.92	$ (0.29)	$ 3.96	$ 1.15
Weighted average number of common shares outstanding:
Basic (in shares)	548,932	583,644	549,850	583,435
Diluted (in shares)	550,308	583,644	551,996	590,226
Premium
Revenues:
Premium and service revenues	$ 33,713	$ 31,510	$ 67,538	$ 63,399
Service
Revenues:
Premium and service revenues	$ 1,125	$ 2,458	$ 2,252	$ 4,801