Health Care Costs Payable (Tables)

12 Months Ended

Dec. 31, 2024

Health Care and Other Insurance Liabilities [Abstract]

Information about Incurred and Paid Health Care Claims Development

The information about incurred and paid health care claims development for the year ended December 31, 2023 is presented as required unaudited supplemental information.

In millions	Incurred Health Care Claims, Net of Reinsurance For the Years Ended December 31,
Date of Service	2023		2024
	(Unaudited)
2023	$	82,362	$	81,559
2024			109,458
	Total		$	191,017
In millions	Cumulative Paid Health Care Claims, Net of Reinsurance For the Years Ended December 31,
Date of Service	2023		2024
	(Unaudited)
2023	$	72,175	$	81,044
2024			97,155
	Total		$	178,199
All outstanding liabilities for health care costs payable prior to 2023, net of reinsurance			128
Total outstanding liabilities for health care costs payable, net of reinsurance			$	12,946

Schedule of Liability for Unpaid Claims and Claims Adjustment Expense

The reconciliation of the December 31, 2024 health care net incurred and paid claims development tables to the health care costs payable liability on the consolidated balance sheet were as follows:

In millions	December 31, 2024
Short-duration health care costs payable, net of reinsurance	$	12,946
Reinsurance recoverables	81
Insurance lines other than short duration	282
Other non-insurance health care costs payable	1,755
Total health care costs payable	$	15,064

Components of Change in Health Care Costs Payable

The following table shows the components of the change in health care costs payable during the years ended December 31, 2024, 2023 and 2022:

In millions	2024		2023		2022
Health care costs payable, beginning of period	$	12,049	$	10,142	$	8,678
Less: Reinsurance recoverables	5		5		8
Less: Impact of discount rate on long-duration insurance reserves (1)	(23)		8		—
Health care costs payable, beginning of period, net	12,067		10,129		8,670
Acquisition, net	—		1,098		—
Add: Components of incurred health care costs
Current year	115,774		86,639		71,399
Prior years	(947)		(685)		(654)
Total incurred health care costs (2)	114,827		85,954		70,745
Less: Claims paid
Current year	101,583		75,529		61,640
Prior years	10,327		9,585		7,646
Total claims paid	111,910		85,114		69,286
Health care costs payable, end of period, net	14,984		12,067		10,129
Add: Reinsurance recoverables	81		5		5
Add: Impact of discount rate on long-duration insurance reserves (1)	(1)		(23)		8
Health care costs payable, end of period	$	15,064	$	12,049	$	10,142

_____________________________________

(1)Reflects the difference between the current discount rate and the locked-in discount rate on long-duration insurance reserves which is recorded within accumulated other comprehensive loss on the consolidated balance sheets.

(2)Total incurred health care costs for the years ended December 31, 2024, 2023 and 2022 in the table above exclude $107 million, $83 million and $79 million, respectively, of health care costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the consolidated balance sheets and $187 million, $210 million and $249 million, respectively, of health care costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the consolidated balance sheets.