Reserves for Claims and Performance-Based Arrangements (Details) - USD ($) $ in Thousands	6 Months Ended
Jun. 30, 2023	Jun. 30, 2022
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]
Balance, beginning of period	$ 199,730	$ 171,294
Incurred health care costs:
Current year to date period	385,459	246,955
Prior year to date period	(26,474)	22,438
Total claims incurred	358,985	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	0	(12,074)
Balance, end of period	$ 245,811	$ 125,960

Liability for Unpaid Claims and Claims Adjustment Expense, Other Adjustments

No definition available.

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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

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- References

No definition available.

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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

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- Definition

Amount, after effects of reinsurance, of payments to settle claims incurred in prior periods and related claims settlement costs.

+ References

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- Definition

Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred and costs incurred in the claim settlement process.

+ References

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- Definition

A roll forward is a reconciliation of a concept from the beginning of a period to the end of a period.

+ References

No definition available.

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- Definition

Amount, after effects of reinsurance, of payments to settle insured claims and pay costs incurred in the claims settlement process.

+ References

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- Definition

Amount, after effects of reinsurance, of expense for claims incurred in the current reporting period and related claims settlement costs.

+ References

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- Definition

Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred in prior reporting periods and related claims settlement costs.

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