v3.25.4
Medical Costs Payable (Tables)
12 Months Ended
Dec. 31, 2025
Insurance [Abstract]  
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]
The following table shows the components of the change in medical costs payable for the years ended December 31:
(in millions)202520242023
Medical costs payable, beginning of period$34,224 $32,395 $29,056 
Acquisitions (dispositions), net32 (755)
Reported medical costs:
Current year313,463 264,885 242,734 
Prior years(140)(700)(840)
Premium deficiency and loss contracts reserves672 — — 
Total reported medical costs313,995 264,185 241,894 
Medical payments:
Payments for current year
(277,135)(231,890)(211,380)
Payments for prior years(31,290)(29,532)(27,176)
Total medical payments(308,425)(261,422)(238,556)
Less: increase in medical costs payable included within businesses held for sale(489)(179)— 
Medical costs payable, end of period$39,337 $34,224 $32,395 
Short-duration Insurance Contracts, Reconciliation of Claims Development to Liability [Table Text Block]
The following is information about incurred and paid medical cost development as of December 31, 2025:
Net Incurred Medical Costs
 (in millions)For the Years Ended December 31,
Year20242025
2024$264,885 $264,550 
2025313,463 
Changes in premium deficiency and loss contracts reserves672 
Total$578,685 
Net Cumulative Medical Payments
 (in millions)For the Years Ended December 31,
Year20242025
2024$(231,890)$(262,318)
2025(277,135)
Total(539,453)
Net remaining outstanding liabilities prior to 2024562 
Acquisitions32 
Increase in medical costs payable included within businesses held for sale(489)
Total medical costs payable$39,337