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Significant Accounting Policies - Narrative (Details)
store in Thousands, clinic in Thousands, people in Millions, $ in Millions
3 Months Ended 9 Months Ended
Sep. 22, 2025
USD ($)
Sep. 30, 2025
USD ($)
people
store
clinic
Jun. 30, 2025
USD ($)
Mar. 31, 2025
USD ($)
Sep. 30, 2024
USD ($)
Sep. 30, 2025
USD ($)
people
segment
clinic
store
Sep. 30, 2024
USD ($)
Dec. 31, 2024
USD ($)
program
Significant Accounting Policies [Line Items]                
Number of pharmacy plan members | people   87       87    
Number of reportable segments | segment           4    
Allowance for credit losses   $ 178       $ 178   $ 407
Premium deficiency reserve   728     $ 670 728 $ 670  
Loss on Accountable Care assets           288    
Pre-tax loss on divestiture           236 0  
Gain on deconsolidation of subsidiary $ 483 483     0 483 0  
Omnicare, LLC                
Significant Accounting Policies [Line Items]                
Carrying value and fair value of equity investment   0       0    
Individual Exchange Product Line                
Significant Accounting Policies [Line Items]                
Total premium deficiency reserve charge       $ 448 270      
Premium deficiency reserve, charge of unamortized acquisition costs       17 11      
Premium deficiency reserve, charge to health care costs       $ 431 259      
Premium deficiency reserve   335       335   0
Group Medicare Advantage Product Line                
Significant Accounting Policies [Line Items]                
Total premium deficiency reserve charge     $ 471          
Premium deficiency reserve   $ 393       $ 393    
Medicare Product Line                
Significant Accounting Policies [Line Items]                
Total premium deficiency reserve charge         766   766  
Premium deficiency reserve, charge of unamortized acquisition costs         383   383  
Premium deficiency reserve, charge to health care costs         383   $ 383  
Premium deficiency reserve               0
Medicaid Product Line                
Significant Accounting Policies [Line Items]                
Premium deficiency reserve, charge to health care costs         $ 28      
Premium deficiency reserve               $ 0
Pharmacy & Consumer Wellness                
Significant Accounting Policies [Line Items]                
Number of retail locations | store   9       9    
Health Services                
Significant Accounting Policies [Line Items]                
Number of walk in medical clinics (more than) | clinic   1       1    
Number of programs administered | program               2
Loss on Accountable Care assets           $ 288    
Loss on termination of program           52    
Health Services | Disposal Group, Disposed of by Sale, Not Discontinued Operations | MSSP                
Significant Accounting Policies [Line Items]                
Pre-tax loss on divestiture           236    
Intangible assets and goodwill removed due to divestiture           $ 342    
Health Care Benefits                
Significant Accounting Policies [Line Items]                
Number of people served (more than) | people   37       37