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Reserves for Claims and Performance-Based Arrangements (Tables)
6 Months Ended
Jun. 30, 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 Six Months Ended June 30,
20232022
Balance, beginning of period$199,730 $171,294 
Incurred health care costs:
Current year to date period385,459 246,955 
Prior year to date period(26,474)22,438 
Total claims incurred358,985 269,393 
Claims paid related to:
Current year to date period(179,472)(201,508)
Prior year to date period(133,432)(101,145)
Total claims paid(312,904)(302,653)
Other adjustments (1)
— (12,074)
Balance, end of period$245,811 $125,960 
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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.