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Accounting Policies - Related Party Transactions (Details)
$ in Millions
3 Months Ended
Mar. 31, 2017
USD ($)
state
Mar. 31, 2016
USD ($)
Related Party Transaction [Line Items]    
Expenses from transactions with related party $ 17 $ 13
Equity Method Investee    
Related Party Transaction [Line Items]    
Other revenues from transactions with related party $ 40 $ 38
Heartland Healthcare Services    
Related Party Transaction [Line Items]    
Number of states in which entity operates | state 4