Health Care Costs Payable (Tables)

3 Months Ended

Mar. 31, 2021

Health Care and Other Insurance Liabilities [Abstract]

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense

The following table shows the components of the change in health care costs payable during the three months ended March 31, 2021 and 2020:

	Three Months Ended March 31,
In millions	2021		2020
Health care costs payable, beginning of the period	$	7,936	$	6,879
Less: Reinsurance recoverables	10		5
Health care costs payable, beginning of the period, net	7,926		6,874
Acquisition	—		412
Add: Components of incurred health care costs
Current year	16,291		14,764
Prior years	(652)		(464)
Total incurred health care costs (1)	15,639		14,300
Less: Claims paid
Current year	9,538		8,773
Prior years	5,767		5,242
Total claims paid	15,305		14,015
Add: Premium deficiency reserve	7		10
Health care costs payable, end of the period, net	8,267		7,581
Add: Reinsurance recoverables	5		4
Health care costs payable, end of the period	$	8,272	$	7,585

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(1)Total incurred health care costs for the three months ended March 31, 2021 and 2020 in the table above exclude (i) $7 million and $10 million, respectively, related to a premium deficiency reserve related to the Company’s Medicaid products, (ii) $13 million and $9 million, respectively, of benefit costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the Company’s unaudited condensed consolidated balance sheets and (iii) $45 million and $68 million, respectively, of benefit costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the Company’s unaudited condensed consolidated balance sheets.