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Health Care Costs Payable (Tables)
6 Months Ended
Jun. 30, 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 six months ended June 30, 2021 and 2020:
Six Months Ended
June 30,
In millions20212020
Health care costs payable, beginning of the period$7,936 $6,879 
Less: Reinsurance recoverables10 
Health care costs payable, beginning of the period, net7,926 6,874 
Acquisition— 412 
Add: Components of incurred health care costs
  Current year32,183 26,390 
  Prior years(709)(420)
Total incurred health care costs (1)
31,474 25,970 
Less: Claims paid
  Current year24,600 20,223 
  Prior years6,409 5,704 
Total claims paid31,009 25,927 
Add: Premium deficiency reserve29 
Health care costs payable, end of the period, net8,396 7,358 
Add: Reinsurance recoverables18 
Health care costs payable, end of the period$8,414 $7,362 
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(1)Total incurred health care costs for the six months ended June 30, 2021 and 2020 in the table above exclude (i) $5 million and $29 million, respectively, related to a premium deficiency reserve related to the Company’s Medicaid products, (ii) $27 million and $20 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) $99 million and $119 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.