Reserve for Claims and Performance-Based Arrangements (Tables)

6 Months Ended

Jun. 30, 2026

Schedule of Activity in Claims Reserves and Performance - Based Arrangements

Activity in reserves for claims and performance-based arrangements related to our specialty care management services solution was as follows (in thousands):


	For the Six Months Ended June 30,
	2026		2025
Balance, beginning of period	$	192,196	$	318,705
Incurred health care costs:
Current year to date period	793,446		445,292
Prior year to date period	(30,149)		(25,053)
Total claims incurred	763,297		420,239
Claims paid related to:
Current year to date period	(462,862)		(322,570)
Prior year to date period	(114,233)		(229,123)
Total claims paid	(577,095)		(551,693)

Balance, end of period	$	378,398	$	187,251