XML 105 R93.htm IDEA: XBRL DOCUMENT v3.24.1.u1
Reserves for Claims and Performance-Based Arrangements - Schedule of Activity in Claims Reserves and Performance - Based Arrangements (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Balance, beginning of period $ 404,048 $ 199,730
Incurred health care costs:    
Current year to date period 374,879 180,675
Prior year to date period (15,186) (19,914)
Total claims incurred 359,693 160,761
Claims paid related to:    
Current year to date period (146,399) (64,870)
Prior year to date period (248,703) (98,424)
Total claims paid (395,102) (163,294)
Balance, end of period $ 368,639 $ 197,197