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Medical Expenses Payable - Schedule of Components of Change in Medical Expenses Payable (Details) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
Dec. 31, 2024
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Claims incurred but not paid - beginning balance $ 168,357 $ 95,664  
Incurred related to:      
Current year 848,585 619,772  
Prior years (26,163) (7,031)  
Total incurred, net of reinsurance 822,422 612,741  
Payments related to:      
Current year 563,755 470,460  
Prior years 128,848 79,771  
Total payments, net of reinsurance 692,603 550,231  
Claims incurred but not paid - ending balance 298,176 158,174  
Capitation payable, risk-sharing payable, and other 230,620 138,951  
Medical expenses payable $ 528,796 $ 297,125 $ 289,788