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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Operating activities:    
Net income $ 602 $ 630
Adjustments to reconcile net income to net cash (used in) provided by operating activities:    
Depreciation and amortization 91 86
Deferred income taxes 21 (4)
Share-based compensation 68 55
Other, net 4 5
Changes in operating assets and liabilities:    
Receivables (5) (83)
Prepaid expenses and other current assets 16 6
Medical claims and benefits payable (48) 149
Amounts due government agencies (43) 510
Accounts payable, accrued liabilities and other (307) (208)
Deferred revenue (405) 55
Income taxes 1 202
Net cash (used in) provided by operating activities (5) 1,403 Close
Investing activities:    
Purchases of investments (594) (924)
Proceeds from sales and maturities of investments 506 546
Net cash paid in business combinations (295) 0
Purchases of property, equipment and capitalized software (54) (63)
Other, net 2 2
Net cash used in investing activities (435) (439) Close
Financing activities:    
Common stock withheld to settle employee tax obligations (56) (59)
Other, net 6 4
Net cash used in financing activities (50) (55) Close
Net (decrease) increase in cash, cash equivalents, and restricted cash and cash equivalents (490) 909 Close
Cash, cash equivalents, and restricted cash and cash equivalents at beginning of period 4,908 4,048
Cash, cash equivalents, and restricted cash and cash equivalents at end of period $ 4,418 $ 4,957