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Reserves for Claims and Performance-Based Arrangements (Tables)
3 Months Ended
Mar. 31, 2023
Insurance [Abstract]  
Schedule of Activity in Claims Reserves
Activity in reserves for claims and performance-based arrangements was as follows (in thousands):
For the Three Months Ended March 31,
20232022
Balance, beginning of period$199,730 $171,294 
Incurred health care costs:
Current year to date period180,675 102,664 
Prior year to date period(19,914)6,511 
Total claims incurred160,761 109,175 
Claims paid related to:
Current year to date period(64,870)(47,724)
Prior year to date period(98,424)(59,491)
Total claims paid(163,294)(107,215)
Other adjustments (1)
— (9,016)
Balance, end of period$197,197 $164,238 
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(1) Other adjustments to reserves for claims and performance-based arrangements reflect changes in accrual for amounts payable to facilities and amounts owed to our payer partners for claims paid on our behalf.