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Reserves for Claims and Performance-Based Arrangements (Tables)
9 Months Ended
Sep. 30, 2024
Insurance [Abstract]  
Schedule of Activity in Claims Reserves and Performance - Based Arrangements
Activity in reserves for claims and performance-based arrangements related to specialty care management services solution was as follows (in thousands):
For the Nine Months Ended September 30,
20242023
Balance, beginning of period$404,048 $199,730 
Incurred health care costs:
Current year to date period (1)
1,117,071 628,251 
Prior year to date period(25,897)(36,248)
Total claims incurred1,091,174 592,003 
Claims paid related to:
Current year to date period(829,864)(364,709)
Prior year to date period(352,671)(127,282)
Total claims paid(1,182,535)(491,991)
Balance, end of period$312,687 $299,742 
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(1)Incurred health care costs related to the current year include a true-down in claims expense of $41.7 million for one of our Performance Suite customers related to a narrowed scope of services in select markets retroactive to the beginning of the year.