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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Operating activities    
Net earnings $ 17,469 $ 15,731
Noncash items:    
Depreciation and amortization 2,998 2,418
Deferred income taxes (494) (590)
Share-based compensation 851 675
Other, net (59) 0
Net change in other operating items, net of effects from acquisitions and changes in AARP balances:    
Accounts receivable (2,574) (2,563)
Other assets (2,358) (741)
Medical costs payable 3,837 4,192
Accounts payable and other liabilities 2,370 1,416
Unearned revenues 12,221 10,201
Cash flows from operating activities 34,261 30,739 Close
Investing activities    
Purchases of investments (12,998) (14,183)
Sales of investments 3,674 5,376
Maturities of investments 6,474 4,740
Cash paid for acquisitions, net of cash assumed (8,389) (7,154)
Purchases of property, equipment and capitalized software (2,427) (1,936)
Other, net (721) 50
Cash flows used for investing activities (14,387) (13,107) Close
Financing activities    
Common share repurchases (6,500) (6,000)
Cash dividends paid (5,023) (4,450)
Proceeds from common stock issuances 1,039 1,084
Repayments of long-term debt (2,125) (2,100)
Proceeds from (repayments of) short-term borrowings, net 1,579 (16)
Proceeds from issuance of long-term debt 6,394 5,922
Customer funds administered 2,037 7,028
Other, net (1,774) (1,634)
Cash flows used for financing activities (4,373) (166) Close
Effect of exchange rate changes on cash and cash equivalents 49 4 Close
Increase in cash and cash equivalents 15,550 17,470 Close
Cash and cash equivalents, beginning of period 23,365 21,375
Cash and cash equivalents, end of period $ 38,915 $ 38,845