Medical Costs Payable (Notes)

9 Months Ended

Sep. 30, 2024

Insurance [Abstract]

Short-Duration Insurance and Deposit Contracts

Medical Costs Payable

The following table shows the components of the change in medical costs payable for the nine months ended September 30:

(in millions)	2024		2023
Medical costs payable, beginning of period	$	32,395	$	29,056
Acquisitions (dispositions), net	(755)		1
Reported medical costs:
Current year	197,750		180,423
Prior years	(600)		(760)
Total reported medical costs	197,150		179,663
Medical payments:
Payments for current year	(165,544)		(149,671)
Payments for prior years	(29,095)		(26,257)
Total medical payments	(194,639)		(175,928)
Less: medical costs payable included within businesses held for sale	(200)		—
Medical costs payable, end of period	$	33,951	$	32,792

For the nine months ended September 30, 2024 and 2023, prior years’ medical cost reserve development included no individual factors that were significant. Medical costs payable included reserves for claims incurred by consumers but not yet reported to the Company of $24.1 billion and $22.3 billion at September 30, 2024 and December 31, 2023, respectively.