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Reserves for Claims and Performance-Based Arrangements (Tables)
9 Months Ended
Sep. 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 Nine Months Ended September 30,
20232022
Balance, beginning of period$199,730 $171,294 
Incurred health care costs:
Current year to date period628,251 471,502 
Prior year to date period(36,248)(8,154)
Total claims incurred592,003 463,348 
Claims paid related to:
Current year to date period(364,709)(369,708)
Prior year to date period(127,282)(129,236)
Total claims paid(491,991)(498,944)
Balance, end of period$299,742 $135,698