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Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2020 | Dec. 31, 2019
Medical Liabilities [Roll Forward] |  |
Medical liabilities, beginning of year | $ 58,725 | $ 33,642
Acquired (see Note 3) | 0 | 27,474
Components of medical care costs related to claims incurred: |  |
Current period | 309,848 | 271,987
Prior periods | (3,258) | 2,684
Total medical care costs | 306,590 | 274,671
Payments for medical care costs related to claims incurred: |  |
Current period | (261,062) | (218,564)
Prior periods | (54,056) | (58,633)
Total paid | (315,118) | (277,197)
Adjustments | 133 | 135
Medical liabilities, end of year | $ 50,330 | $ 58,725

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- Definition The amount needed to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (cc) -URI http://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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- Definition Amount of increase (decrease) in the cost of settling unpaid claims after deduction of reinsurance recoveries related to the acquisition of a business. Includes, but is not limited to, claims which have been incurred but not reported. + References No definition available. + Details
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- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in the current period and related claims settlement costs. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=116884095&loc=d3e14764-158437 + Details
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