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Summary of Significant Accounting Policies - Schedule of Amounts Refundable to or Recoverable from CMS including Risk Corridor (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Current assets:    
Accounts receivable $ 253,207 $ 153,904
Risk Corridor    
Current assets:    
Accounts receivable 36,615 10,427
Prepaid expenses and other current assets 0 0
Current liabilities:    
Medical expenses payable 144 0
CMS Subsidies    
Current assets:    
Accounts receivable 0 0
Prepaid expenses and other current assets 68,361 25,782
Current liabilities:    
Medical expenses payable $ 21,632 $ 24,993