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Medical Expenses Payable - Schedule of Components of Change in Medical Expenses Payable (Details) - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Insurance [Abstract]      
Claims incurred but not paid - beginning balance $ 168,357 $ 95,664 $ 88,813
Incurred related to:      
Current year 1,136,448 832,819 492,315
Prior years (25,389) (9,245) (14,555)
Total incurred, net of reinsurance 1,111,059 823,574 477,760
Payments related to:      
Current year 848,206 670,471 400,465
Prior years 133,842 80,410 70,444
Total payments, net of reinsurance 982,048 750,881 470,909
Claims incurred but not paid - ending balance 297,368 168,357 95,664
Capitation payable, risk-sharing payable, and other 177,201 121,431 109,735
Total medical expenses payable $ 474,569 $ 289,788 $ 205,399