XML 58 R47.htm IDEA: XBRL DOCUMENT
v3.25.3

Reserve for Claims and Performance-Based Arrangements (Tables) | 9 Months Ended
--- | ---
Sep. 30, 2025
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,
| 2025 |  | 2024
Balance, beginning of period | $ | 318,705 |  |  | $ | 404,048 |
Incurred health care costs: |  |  |
Current year to date period (1) | 690,793 |  |  | 1,117,071 |
Prior year to date period | (26,646) |  |  | (25,897) |
Total claims incurred | 664,147 |  |  | 1,091,174 |
Claims paid related to: |  |  |
Current year to date period | (536,384) |  |  | (829,864) |
Prior year to date period | (234,816) |  |  | (352,671) |
Total claims paid | (771,200) |  |  | (1,182,535) |
Balance, end of period | $ | 211,652 |  |  | $ | 312,687 |
———————— (1)Incurred health care costs related to the nine months ended September 30, 2024 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.

X
- References No definition available. + Details
Name: | us-gaap_InsuranceAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- Definition Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 40 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147480081/944-40-50-3 + Details
Name: | us-gaap_ScheduleOfLiabilityForUnpaidClaimsAndClaimsAdjustmentExpense
Namespace Prefix: | us-gaap_
Data Type: | dtr-types:textBlockItemType
Balance Type: | na
Period Type: | duration