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SEGMENT INFORMATION
 6 Months Ended
Jun. 30, 2024
Segment Reporting [Abstract]  
SEGMENT INFORMATION SEGMENT INFORMATION
Our two reportable segments, Insurance and CenterWell, are based on a combination of the type of health plan customer and adjacent businesses centered on well-being solutions for our health plans and other customers, as described below. These segment groupings are consistent with information used by our Chief Executive Officer, the Chief Operating Decision Maker, to assess performance and allocate resources.
The Insurance segment consists of Medicare benefits, marketed to individuals or directly via group Medicare accounts, as well as our contract with CMS to administer the Limited Income Newly Eligible Transition, or LI-NET, prescription drug plan program and contracts with various states to provide Medicaid, dual eligible demonstration, and Long-Term Support Services benefits, which we refer to collectively as our state-based contracts. This segment also includes products consisting of employer group commercial fully-insured medical and specialty health insurance benefits marketed to individuals and employer groups, including dental, vision, and other supplemental health benefits, as well as administrative services only, or ASO. In addition, our Insurance segment includes our Military services business, primarily our T-2017 East Region contract, as well as the operations of our PBM business.
The CenterWell segment includes our pharmacy, primary care, and home solutions operations. The segment also includes our strategic partnerships with WCAS to develop and operate senior-focused, payor-agnostic, primary care centers, as well as our minority ownership interest in hospice operations. Services offered by this segment are designed to enhance the overall healthcare experience. These services may lead to lower utilization associated with improved member health and/or lower drug costs.
Our CenterWell intersegment revenues primarily relate to the operations of CenterWell Pharmacy (our mail- order pharmacy business), CenterWell Specialty Pharmacy, and retail pharmacies jointly located within CenterWell Senior Primary Care clinics.
In addition, our CenterWell intersegment revenues include revenues earned by certain owned providers derived from certain value-based arrangements with our health plans. Under these value-based arrangements, our owned providers enter into agreements with our health plans to stand ready to deliver, integrate, direct and control the administration and management of certain health care services for our members. In exchange, the owned provider receives a premium that is typically paid on a per-member per-month basis. These value-based arrangements represent a single performance obligation where revenues are recognized in the period in which we are obligated to provide integrated health care services to our members. Fee-for-service revenue is recognized at agreed upon rates, net of contractual allowances, as the performance obligation is completed on the date of service.
We present our condensed consolidated results of operations from the perspective of the health plans. As a result, the cost of providing benefits to our members, whether provided via a third party provider or internally through a stand-alone subsidiary, is classified as benefits expense and excludes the portion of the cost for which the health plans do not bear responsibility, including member co-share amounts and government subsidies of $4.8 billion and $5.0 billion for the three months ended June 30, 2024 and 2023, respectively. For the six months ended June 30, 2024 and 2023, these amounts were $8.5 billion and $9.0 billion respectively. In addition, depreciation and amortization expense associated with certain businesses delivering benefits to our members, primarily associated with our primary care and pharmacy operations, are included with benefits expense. The amount of this expense was $32 million and $34 million for the three months ended June 30, 2024 and 2023, respectively, and $64 million and $67 million for the six months ended June 30, 2024 and 2023, respectively.
Other than those described previously, the accounting policies of each segment are the same. For additional information regarding our accounting policies refer to Note 2 to the audited Consolidated Financial Statements included in Part II, Item 8, "Financial Statements and Supplementary Data" in our 2023 Form 10-K. Transactions between reportable segments primarily consist of sales of products and services rendered by our CenterWell segment, primarily pharmacy, primary care, and home solutions, to our Insurance segment customers. Intersegment
sales and expenses are recorded primarily at fair value and eliminated in consolidation. Members served by our segments often use the same provider networks, enabling us in some instances to obtain more favorable contract terms with providers. Our segments also share indirect costs and assets. As a result, the profitability of each segment is interdependent. We allocate most operating expenses to our segments. Assets and certain corporate income and expenses are not allocated to the segments, including the portion of investment income not supporting segment operations, interest expense on corporate debt, and certain other corporate expenses. These items are managed at a corporate level. These corporate amounts are reported separately from our reportable segments and are included with intersegment eliminations in the tables presenting segment results below.
Our segment results were as follows for the three and six months ended June 30, 2024 and 2023:
InsuranceCenterWellEliminations/
Corporate		Consolidated
Three months ended June 30, 2024(in millions)
External revenues
Premiums:
Individual Medicare Advantage$22,215 $— $— $22,215 
Group Medicare Advantage1,938 — — 1,938 
Medicare stand-alone PDP867 — — 867 
Total Medicare25,020 — — 25,020 
Commercial fully-insured152 — — 152 
Specialty benefits240 — — 240 
Medicare Supplement206 — — 206 
State-based contracts and other2,524 — — 2,524 
Total premiums28,142 — — 28,142 
Services revenue:
Home solutions— 335 — 335 
Primary care— 322 — 322 
Commercial ASO8 — — 8 
Military services and other206 — — 206 
Pharmacy solutions— 229 — 229 
Total services revenue214 886 — 1,100 
Total external revenues 28,356 886 — 29,242 
Intersegment revenues
Services1 1,416 (1,417)— 
Products— 2,645 (2,645)— 
Total intersegment revenues1 4,061 (4,062)— 
Investment income168 — 130 298 
Total revenues28,525 4,947 (3,932)29,540 
Operating expenses:
Benefits25,182 — (143)25,039 
Operating costs2,395 4,553 (3,800)3,148 
Depreciation and amortization185 56 (29)212 
Total operating expenses27,762 4,609 (3,972)28,399 
Income from operations763 338 40 1,141 
Interest expense— 1 167 168 
Other expense, net— — 55 55 
Income (loss) before income taxes and equity in net earnings 763 337 (182)918 
Equity in net income (losses)1 (18)— (17)
Segment earnings (loss)$764 $319 $(182)$901 
Net loss attributable to noncontrolling interests1 — — 1 
Segment earnings (loss) attributable to Humana$765 $319 $(182)$902 
InsuranceCenterWellEliminations/
Corporate		Consolidated
Three months ended June 30, 2023(in millions)
External revenues
Premiums:
Individual Medicare Advantage$19,749 $— $— $19,749 
Group Medicare Advantage1,732 — — 1,732 
Medicare stand-alone PDP568 — — 568 
Total Medicare22,049 — — 22,049 
Commercial fully-insured950 — — 950 
Specialty benefits252 — — 252 
Medicare Supplement182 — — 182 
State-based contracts and other2,062 — — 2,062 
Total premiums25,495 — — 25,495 
Services revenue:
Home solutions— 341 — 341 
Primary care— 190 — 190 
Commercial ASO64 — — 64 
Military services and other167 — — 167 
Pharmacy solutions— 216 — 216 
Total services revenue231 747 — 978 
Total external revenues 25,726 747 — 26,473 
Intersegment revenues
Services15 1,144 (1,159)— 
Products— 2,639 (2,639)— 
Total intersegment revenues15 3,783 (3,798)— 
Investment income 134 — 140 274 
Total revenues25,875 4,530 (3,658)26,747 
Operating expenses:
Benefits22,127 — (118)22,009 
Operating costs2,545 4,193 (3,627)3,111 
Depreciation and amortization172 50 (31)191 
Total operating expenses24,844 4,243 (3,776)25,311 
Income from operations1,031 287 118 1,436 
Interest expense— 1 119 120 
Other expense, net— — 54 54 
Income (loss) before income taxes and equity in net earnings 1,031 286 (55)1,262 
Equity in net earnings (losses)1 (11)— (10)
Segment earnings (loss)$1,032 $275 $(55)$1,252 
Net loss attributable to noncontrolling interests3 — — 3 
Segment earnings (loss) attributable to Humana$1,035 $275 $(55)$1,255 
InsuranceCenterWellEliminations/
Corporate		Consolidated
Six months ended June 30, 2024(in millions)
External revenues
Premiums:
Individual Medicare Advantage$44,663 $— $— $44,663 
Group Medicare Advantage3,927 — — 3,927 
Medicare stand-alone PDP1,688 — — 1,688 
Total Medicare50,278 — — 50,278 
Commercial fully-insured408 — — 408 
Specialty benefits479 — — 479 
Medicare Supplement403 — — 403 
State-based contracts and other4,835 — — 4,835 
Total premiums56,403 — — 56,403 
Services revenue:
Home solutions— 670 — 670 
Primary care— 563 — 563 
Commercial ASO32 — — 32 
Military services and other457 — — 457 
Pharmacy solutions— 440 — 440 
Total services revenue489 1,673 — 2,162 
Total external revenues 56,892 1,673 — 58,565 
Intersegment revenues
Services2 2,830 (2,832)— 
Products— 5,262 (5,262)— 
Total intersegment revenues2 8,092 (8,094)— 
Investment income330 — 256 586 
Total revenues57,224 9,765 (7,838)59,151 
Operating expenses:
Benefits50,433 — (270)50,163 
Operating costs4,759 9,036 (7,605)6,190 
Depreciation and amortization371 109 (59)421 
Total operating expenses55,563 9,145 (7,934)56,774 
Income from operations1,661 620 96 2,377 
Interest expense— 2 325 327 
Other expense, net— — 118 118 
Income (loss) before income taxes and equity in net losses 1,661 618 (347)1,932 
Equity in net losses(1)(40)— (41)
Segment earnings (loss)$1,660 $578 $(347)$1,891 
Net loss attributable to noncontrolling interests3 — — 3 
Segment earnings (loss) attributable to Humana$1,663 $578 $(347)$1,894 
InsuranceCenterWellEliminations/
Corporate		Consolidated
Six Months Ended June 30, 2023(in millions)
External Revenues
Premiums:
Individual Medicare Advantage$39,558 $— $— $39,558 
Group Medicare Advantage3,497 — — 3,497 
Medicare stand-alone PDP1,184 — — 1,184 
Total Medicare44,239 — — 44,239 
Commercial fully-insured1,968 — — 1,968 
Specialty benefits506 — — 506 
Medicare Supplement361 — — 361 
State-based contracts and other3,971 — — 3,971 
Total premiums51,045 — — 51,045 
Services revenue:
Home solutions— 655 — 655 
Primary care— 391 — 391 
Commercial ASO135 — — 135 
Military services and other338 — — 338 
Pharmacy solutions— 458 — 458 
Total services revenue473 1,504 — 1,977 
Total external revenues 51,518 1,504 — 53,022 
Intersegment revenues
Services29 2,277 (2,306)— 
Products— 5,254 (5,254)— 
Total intersegment revenues29 7,531 (7,560)— 
Investment income231 — 236 467 
Total revenues51,778 9,035 (7,324)53,489 
Operating expenses:
Benefits44,120 — (253)43,867 
Operating costs4,963 8,319 (7,192)6,090 
Depreciation and amortization337 99 (59)377 
Total operating expenses49,420 8,418 (7,504)50,334 
Income from operations2,358 617 180 3,155 
Interest expense— 1 232 233 
Other expense, net— — 46 46 
Income (loss) before income taxes and equity in net losses2,358 616 (98)2,876 
Equity in net losses(2)(25)— (27)
Segment earnings (loss)$2,356 $591 $(98)$2,849 
Net loss attributable to noncontrolling interests4 — — 4 
Segment earnings (loss) attributable to Humana$2,360 $591 $(98)$2,853