v3.25.2
Medical Claims and Related Payables - Schedule Changes in Medical Claims and Related Payables (Details) - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]    
Medical claims and related payables, beginning of the year $ 918,395 $ 723,071
Components of incurred costs related to:    
Current year 2,810,528 2,802,803
Prior years 36,584 15,099
Incurred cost related to claims 2,847,112 2,817,902
Claims paid related to:    
Current year (1,821,175) (1,806,692)
Prior years (930,606) (650,106)
Claims paid related (2,751,781) (2,456,798)
Medical claims and related payables, end of the period $ 1,013,726 $ 1,084,175