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Segments
3 Months Ended
Mar. 31, 2020
Segment Reporting [Abstract]  
Segments Segments
We currently have two reportable segments: the Health Plans segment and the Other segment. Our reportable segments are consistent with how we currently manage the business and view the markets we serve.
Margin is the appropriate earnings measure for our reportable segments, based on how our chief operating decision maker currently reviews results, assesses performance, and allocates resources.
The key metrics used to assess the performance of our Health Plans segment are premium revenue, medical margin and MCR. MCR represents the amount of medical care costs as a percentage of premium revenue. Therefore, the underlying margin, or the amount earned by the Health Plans segment after medical costs are deducted from premium revenue, is the most important measure of earnings reviewed by management. Margin for our Health Plans segment is referred to as “Medical Margin.”
The following table presents total revenue by segment. Inter-segment revenue was insignificant for all periods presented.
 
Three Months Ended March 31,
 
2020
 
2019
 
(In millions)
Total revenue:
 
 
 
Health Plans
$
4,545

 
$
4,117

Other
4

 
2

Consolidated
$
4,549

 
$
4,119


The following table reconciles margin to consolidated income before income taxes:
 
Three Months Ended March 31,
 
2020
 
2019
 
(In millions)
Margin:
 
 
 
Health Plans
$
588

 
$
581

Add: other operating revenues (1)
245

 
167

Less: other operating expenses (2)
(559
)
 
(468
)
Operating income
274

 
280

Other expenses, net
21

 
20

Income before income tax expense
$
253

 
$
260

______________________
(1)
Other operating revenues include premium tax revenue, health insurer fees reimbursed, and investment income and other revenue.
(2)
Other operating expenses include general and administrative expenses, premium tax expenses, health insurer fees, depreciation and amortization, and other costs.