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Acquisitions and other Investments - narrative (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Mar. 31, 2023
Mar. 03, 2023
Jan. 03, 2023
Dec. 28, 2022
Aug. 31, 2022
Nov. 24, 2021
Oct. 29, 2021
Nov. 30, 2021
Aug. 31, 2023
Aug. 31, 2022
Aug. 31, 2021
Oct. 28, 2021
Business Acquisition [Line Items]                        
Goodwill, purchase accounting adjustments                 $ 252      
Gain on sale of equity method investment                 1,855 $ 559 $ 321  
Goodwill         $ 22,280       28,187 22,280 $ 12,421  
VillageMD                        
Business Acquisition [Line Items]                        
Fair value of equity consideration     $ 1,750                  
Noncontrolling interest, ownership percentage by parent     53.00%                  
Debt instrument, fee amount, credit     $ 220                  
VillageMD | Line of Credit                        
Business Acquisition [Line Items]                        
Face amount     2,250                  
VillageMD | Line of Credit | Term loan                        
Business Acquisition [Line Items]                        
Face amount     1,750                  
VillageMD | Line of Credit | Credit facilities                        
Business Acquisition [Line Items]                        
Face amount     500                  
VillageMD | Cigna                        
Business Acquisition [Line Items]                        
Fair value of equity consideration     2,500                  
Summit Heath-CityMD                        
Business Acquisition [Line Items]                        
Cash consideration     7,000                  
Total purchase price     4,850                  
Fair value of equity consideration     1,971                  
Deferred consideration     100                  
Business combination, consideration transferred, employees     87                  
Summit debt paid at closing     1,900                  
Goodwill, purchase accounting adjustments                 257      
Tax deductible goodwill     433                  
Intangible assets     3,359                  
Goodwill     5,436                  
Summit Heath-CityMD | Partnership Interest                        
Business Acquisition [Line Items]                        
Fair value of equity consideration     2,050                  
Summit Heath-CityMD | Primary Care Provider Network                        
Business Acquisition [Line Items]                        
Intangible assets     $ 1,900                  
Useful life of capitalized software costs     15 years                  
Summit Heath-CityMD | Trade Names                        
Business Acquisition [Line Items]                        
Intangible assets     $ 1,500                  
Summit Heath-CityMD | Minimum | Trade Names                        
Business Acquisition [Line Items]                        
Useful life of capitalized software costs     11 years                  
Summit Heath-CityMD | Maximum | Trade Names                        
Business Acquisition [Line Items]                        
Useful life of capitalized software costs     15 years                  
VillageMD                        
Business Acquisition [Line Items]                        
Total purchase price           $ 5,200            
Fair value of equity consideration           683            
Goodwill, purchase accounting adjustments                 125      
Business combination, consideration transferred, gross           4,000            
Business combination, consideration transferred, other           1,200            
Business combination, consideration transferred to existing stockholders           2,900            
Business acquisition, value of common stock shares acquired           1,900            
Business combination, cash transferred for preferred units           1,100            
Gain on sale of equity method investment               $ 1,597        
Other comprehensive income (loss), reclassification adjustment from AOCI for investment transferred from available-for-sale to equity method, after tax               $ 577        
Intangible assets           1,621            
Goodwill           8,166            
VillageMD | Primary Care Provider Network                        
Business Acquisition [Line Items]                        
Intangible assets           $ 1,200            
Useful life of capitalized software costs           15 years            
VillageMD | Trade Names                        
Business Acquisition [Line Items]                        
Intangible assets           $ 295            
Useful life of capitalized software costs           13 years            
VillageMD | Technology-Based Intangible Assets                        
Business Acquisition [Line Items]                        
Intangible assets           $ 76            
Useful life of capitalized software costs           5 years            
VillageMD | Minimum                        
Business Acquisition [Line Items]                        
Outstanding equity interest percentage           30.00%            
VillageMD | Maximum                        
Business Acquisition [Line Items]                        
Outstanding equity interest percentage           63.00%            
Shields Health Solutions                        
Business Acquisition [Line Items]                        
Cash consideration             $ 969          
Total purchase price       $ 1,400                
Fair value of equity consideration             $ 13          
Goodwill, purchase accounting adjustments                 72      
Outstanding equity interest percentage       30.00%     70.00%         25.00%
Gain on sale of equity method investment                   $ 402    
Intangible assets             $ 1,060          
Goodwill             1,529          
Shields Health Solutions | Trade Names                        
Business Acquisition [Line Items]                        
Intangible assets             $ 47          
Useful life of capitalized software costs             13 years          
Shields Health Solutions | Technology-Based Intangible Assets                        
Business Acquisition [Line Items]                        
Intangible assets             $ 117          
Useful life of capitalized software costs             5 years          
Shields Health Solutions | Customer Relationships                        
Business Acquisition [Line Items]                        
Intangible assets             $ 896          
Useful life of capitalized software costs             13 years          
CareCentrix, Inc.                        
Business Acquisition [Line Items]                        
Cash consideration         327              
Total purchase price $ 378                      
Fair value of equity consideration         66              
Business combination, consideration transferred, employees         $ 12              
Goodwill, purchase accounting adjustments                 56      
Outstanding equity interest percentage 45.00%       55.00%         55.00%    
Business combination, consideration transferred, gross         $ 339              
Intangible assets         426         $ 426    
Goodwill         509         509    
CareCentrix, Inc. | Trade Names                        
Business Acquisition [Line Items]                        
Intangible assets         $ 93         $ 93    
Useful life of capitalized software costs         13 years         13 years    
CareCentrix, Inc. | Technology-Based Intangible Assets                        
Business Acquisition [Line Items]                        
Intangible assets         $ 86         $ 86    
Useful life of capitalized software costs         5 years         5 years    
CareCentrix, Inc. | Customer Relationships                        
Business Acquisition [Line Items]                        
Intangible assets         $ 247         $ 247    
Useful life of capitalized software costs         13 years         13 years    
Other Acquisitions                        
Business Acquisition [Line Items]                        
Total purchase price                 324 $ 196    
Starling MSO Holdings, LLC                        
Business Acquisition [Line Items]                        
Cash consideration   $ 284                    
Total purchase price   222                    
Fair value of equity consideration   $ 62                    
Intangible assets                 128      
Goodwill                 $ 104