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Goodwill and Other Intangibles - Goodwill (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Goodwill [Roll Forward]    
Balance, beginning of the period $ 78,150 $ 79,121
Segment realignment 0  
Acquisitions 13,122  
Balance, end of the period 91,272 78,150
Disposal Group, Disposed of by Sale, Not Discontinued Operations    
Goodwill [Roll Forward]    
Divestitures   (971)
Health Care Benefits    
Goodwill [Roll Forward]    
Balance, beginning of the period 44,159 45,130
Segment realignment (109)  
Acquisitions 2,594  
Balance, end of the period 46,644 44,159
Health Care Benefits | Disposal Group, Disposed of by Sale, Not Discontinued Operations    
Goodwill [Roll Forward]    
Divestitures   (971)
Health Services    
Goodwill [Roll Forward]    
Balance, beginning of the period 23,615 23,615
Segment realignment 109  
Acquisitions 10,342  
Balance, end of the period 34,066 23,615
Health Services | Disposal Group, Disposed of by Sale, Not Discontinued Operations    
Goodwill [Roll Forward]    
Divestitures   0
Pharmacy & Consumer Wellness    
Goodwill [Roll Forward]    
Balance, beginning of the period 10,376 10,376
Segment realignment 0  
Acquisitions 186  
Balance, end of the period $ 10,562 10,376
Pharmacy & Consumer Wellness | Disposal Group, Disposed of by Sale, Not Discontinued Operations    
Goodwill [Roll Forward]    
Divestitures   $ 0