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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash Flows from Operating Activities    
Net income $ 4,265 $ 5,560 [1]
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 2,270 2,202 [1]
Realized investment losses, net 44 493 [1]
Deferred income tax benefit (303) (298) [1]
Loss (gain) on sale of businesses 21 (1,735) [1]
Net changes in assets and liabilities, net of non-operating effects:    
Accounts receivable, net (1,916) (2,339) [1]
Inventories 360 (296) [1]
Reinsurance recoverable and Other assets 281 734 [1]
Insurance liabilities 1,482 408 [1]
Pharmacy and other service costs payable 2,250 1,368 [1]
Accounts payable and Accrued expenses and other liabilities 1,337 380 [1]
Other, net 255 80 [1]
NET CASH PROVIDED BY OPERATING ACTIVITIES 10,346 6,557 [1] Close
Proceeds from investments sold:    
Debt securities and equity securities 757 1,406 [1]
Investment maturities and repayments:    
Debt securities and equity securities 715 1,124 [1]
Commercial mortgage loans 86 73 [1]
Other sales, maturities and repayments (primarily short-term and other long-term investments) 453 906 [1]
Investments purchased or originated:    
Debt securities and equity securities (4,005) (2,457) [1]
Commercial mortgage loans (94) (84) [1]
Other (primarily short-term and other long-term investments) (891) (1,109) [1]
Property and equipment purchases, net (1,208) (950) [1]
Acquisitions, net of cash acquired (443) 0
Divestitures, net of cash sold 13 4,838 [1]
Other, net (117) (33) [1]
NET CASH (USED IN) PROVIDED BY INVESTING ACTIVITIES (4,734) 3,714 [1] Close
Cash Flows from Financing Activities    
Deposits and interest credited to contractholder deposit funds 127 121 [1]
Withdrawals and benefit payments from contractholder deposit funds (139) (161) [1]
Net change in short-term debt 1,484 (2,051) [1]
Repayment of long-term debt (2,967) 0 [1]
Net proceeds on issuance of long-term debt 1,491 0 [1]
Repurchase of common stock (1,740) (5,874) [1]
Issuance of common stock 113 317 [1]
Common stock dividend paid (1,092) (1,050) [1]
Other, net (321) 94 [1]
NET CASH USED IN FINANCING ACTIVITIES (3,044) (8,604) [1] Close
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash 2 (98) [1] Close
Net increase in cash, cash equivalents and restricted cash 2,570 1,569 [1] Close
Cash, cash equivalents and restricted cash January 1, including held for sale assets [1],[2]   5,548
Cash, cash equivalents and restricted cash and cash equivalents January 1, 5,976  
Cash, cash equivalents and restricted cash and cash equivalents December 31, [3] 8,546 7,117 [1]
Supplemental Disclosure of Cash Information:    
Income taxes paid, net of refunds 1,380 1,346 [1]
Interest paid $ 1,019 $ 923 [1]
[1] Amounts have been restated to reflect the adoption of Targeted Improvements to the Accounting for Long-Duration Contracts in 2023. See Note 2 to the Consolidated Financial Statements for further information.
[2] Includes $425 million reported in Assets of businesses held for sale as of January 1, 2022.
[3] Restricted cash and cash equivalents were reported in other long-term investments.