Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($) $ in Thousands |
12 Months Ended | |
|---|---|---|
Dec. 31, 2025 |
Dec. 31, 2024 |
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| Medical Liabilities [Roll Forward] | ||
| Medical liabilities, beginning of year | $ 209,039 | $ 106,657 |
| Acquired | 117,776 | 89,341 |
| Components of medical care costs related to claims incurred: | ||
| Current period | 1,902,534 | 1,261,281 |
| Prior periods | (7,632) | 1,147 |
| Total medical care costs | 1,894,902 | 1,262,428 |
| Payments for medical care costs related to claims incurred: | ||
| Current period | (1,580,076) | (1,067,017) |
| Prior periods | (188,762) | (105,790) |
| Claims paid for acquired balance | (117,174) | (76,580) |
| Total paid | (1,886,012) | (1,249,387) |
| Medical liabilities, end of year | $ 335,705 | $ 209,039 |
| X | ||||||||||
- Definition Liability for unpaid claims and claims adjustment expense claims paid for acquired balance. No definition available.
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| X | ||||||||||
- Definition The amount needed to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount of increase (decrease) in the cost of settling unpaid claims after deduction of reinsurance recoveries related to the acquisition of a business. Includes, but is not limited to, claims which have been incurred but not reported. No definition available.
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| X | ||||||||||
- References No definition available.
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| X | ||||||||||
- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in the current period and related claims settlement costs. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount, after effects of reinsurance, of payments to settle claims incurred in prior periods and related claims settlement costs. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred and costs incurred in the claim settlement process. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- References No definition available.
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| X | ||||||||||
- Definition A roll forward is a reconciliation of a concept from the beginning of a period to the end of a period. No definition available.
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| X | ||||||||||
- Definition Amount, after effects of reinsurance, of payments to settle insured claims and pay costs incurred in the claims settlement process. Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
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| X | ||||||||||
- Definition Amount, after effects of reinsurance, of expense for claims incurred in the current reporting period and related claims settlement costs. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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| X | ||||||||||
- Definition Amount, after effects of reinsurance, of expense (reversal of expense) for claims incurred in prior reporting periods and related claims settlement costs. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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