v3.26.1
Medical Claims Payable
 6 Months Ended
Jun. 30, 2026
Insurance [Abstract]  
Medical Claims Payable Medical Claims Payable
A reconciliation of the beginning and ending balances for medical claims payable for the six months ended June 30, 2026 and 2025 is as follows:
20262025
Gross medical claims payable, beginning of period$16,829 $15,580 
Ceded medical claims payable, beginning of period(48)(13)
Net medical claims payable, beginning of period16,781 15,567 
Business combinations and purchase adjustments— 182 
Net incurred medical claims:
Current period71,743 71,090 
Prior periods redundancies(1,195)(1,065)
Total net incurred medical claims70,548 70,025 
Net payments attributable to:
Current period medical claims56,610 57,117 
Prior periods medical claims12,619 11,802 
Total net payments69,229 68,919 
Net medical claims payable, end of period18,100 16,855 
Ceded medical claims payable, end of period44 16 
Gross medical claims payable, end of period$18,144 $16,871 
At June 30, 2026, the total of net incurred but not reported liabilities plus expected development on reported claims was $15,133, $2,419 and $548 for the claim years 2026, 2025, and 2024 and prior, respectively.
The favorable development recognized in the six months ended June 30, 2026 resulted from both favorable trend and completion factor development from 2025.
The favorable development recognized in the six months ended June 30, 2025 resulted from trend factors in late 2024 developing more favorably than originally expected as well as a smaller contribution from faster than expected development of completion factors from the latter part of 2024.
The reconciliation of net incurred medical claims to benefit expense included in our consolidated statements of income for the six months ended June 30, 2026 and 2025 is as follows:
20262025
Net incurred medical claims with medical claims payable
$70,242 $67,917 
Performance-based risk arrangements without medical claims payable
306 2,108 
Total net incurred medical claims
70,548 70,025 
Quality improvement and other claims expense2,091 1,993 
Benefit expense$72,639 $72,018 
Net incurred medical claims under certain performance-based risk arrangements that include gain or loss sharing components do not require a medical claim payable liability.
The reconciliation of the medical claims payable reflected in the tables above to the consolidated ending balance for medical claims payable included in the consolidated balance sheets, as of June 30, 2026 is as follows:
Total
Net medical claims payable, end of period$18,100 
Ceded medical claims payable, end of period44 
Insurance lines other than short duration319 
Gross medical claims payable, end of period$18,463