Medical Expenses Payable - Schedule of Components of Change in Medical Expenses Payable (Details) - USD ($) $ in Thousands |
6 Months Ended | ||
|---|---|---|---|
Jun. 30, 2026 |
Jun. 30, 2025 |
Dec. 31, 2025 |
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| Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward] | |||
| Claims incurred but not paid - beginning balance | $ 297,368 | $ 168,357 | |
| Incurred related to: | |||
| Current year | 796,057 | 559,320 | |
| Prior years | (17,759) | (21,066) | |
| Total incurred, net of reinsurance | 778,298 | 538,254 | |
| Payments related to: | |||
| Current year | 560,499 | 368,014 | |
| Prior years | 245,377 | 127,134 | |
| Total payments, net of reinsurance | 805,876 | 495,148 | |
| Claims incurred but not paid - ending balance | 269,790 | 211,463 | |
| Capitation payable, risk-sharing payable, and other | 342,958 | 243,691 | |
| Medical expenses payable | $ 612,748 | $ 455,154 | $ 474,569 |
| X | ||||||||||
- Definition Liability for claims and claims, capitation payable, risk-sharing payable, and other. 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 | ||||||||||
- 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/disclosureRef
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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/disclosureRef
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| X | ||||||||||
- Definition Estimated costs as of the balance sheet date of settling insured claims and costs incurred in the claims settlement process for claims that have not yet been submitted to the insurance company for reimbursement. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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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/disclosureRef
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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/disclosureRef
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