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Accounting Policies - Related Party Transactions (Details)
$ in Millions
3 Months Ended 6 Months Ended
Jun. 30, 2018
USD ($)
state
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
state
Jun. 30, 2017
USD ($)
Related Party Transaction        
Expenses from transactions with related party $ 8 $ 8 $ 30 $ 25
Equity Method Investee        
Related Party Transaction        
Other revenues from transactions with related party $ 36 $ 30 $ 71 $ 70
Heartland Healthcare Services        
Related Party Transaction        
Number of states in which entity operates | state 4   4