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Reserves for Claims and Performance-Based Arrangements - Schedule of Activity in Claims Reserves and Performance - Based Arrangements (Details) - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2024
Jun. 30, 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 756,603 385,459
Prior year to date period (25,445) (26,474)
Total claims incurred 731,158 358,985
Claims paid related to:    
Current year to date period (504,035) (179,472)
Prior year to date period (313,608) (133,432)
Total claims paid (817,643) (312,904)
Balance, end of period $ 317,563 $ 245,811