v2.4.0.8

Components of Change in Health Care Costs Payable (Detail) (USD $) In Thousands, unless otherwise specified |  |  | 12 Months Ended
--- | --- | --- | ---
Dec. 31, 2013 | Dec. 31, 2012 | Dec. 31, 2013 Healthcare Cost
Medical Expense And Medical Claims Payable [Line Items] |  |  |
Health care costs payable, beginning of the year | $ 287,452 | $ 238,964 | $ 119,512
Acquisitions and other adjustments |  |  | 26,575
Add: Components of incurred health care costs |  |  |
Current year |  |  | 1,329,887
Prior years |  |  | (16,587)
Total incurred health care costs |  |  | 1,313,300
Less: Claims paid |  |  |
Current year |  |  | 1,169,455
Prior years |  |  | 117,622
Total claims paid |  |  | 1,287,077
Health care costs payable, end of the year | $ 287,452 | $ 238,964 | $ 172,310

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- Definition Total amount of payments made during the reporting period to settle insured claims and pay costs incurred in the claims settlement process. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Financial Reporting Release (FRR) -Number 403 -Paragraph 04 -Subparagraph b Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6482485&loc=d3e14764-158437 + Details
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- Definition Amount of payments made in the reporting period to settle claims incurred in prior periods and related claims settlement costs. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Financial Reporting Release (FRR) -Number 403 -Paragraph 04 -Subparagraph b Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6482485&loc=d3e14764-158437 + Details
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