v3.26.3
Medical Claims Payable (Tables)
 9 Months Ended
Sep. 30, 2026
Insurance [Abstract]  
Schedule of Reconciliation of Medical Claims Payable
A reconciliation of the beginning and ending balances for medical claims payable for the nine months ended September 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— 344 
Net incurred medical claims:
Current period108,608 108,423 
Prior periods redundancies(1,295)(1,266)
Total net incurred medical claims107,313 107,157 
Net payments attributable to:
Current period medical claims92,416 93,545 
Prior periods medical claims13,629 12,699 
Total net payments106,045 106,244 
Net medical claims payable, end of period18,049 16,824 
Ceded medical claims payable, end of period45 44 
Gross medical claims payable, end of period$18,094 $16,868 
Schedule of Reconciliation of Net Incurred Medical Claims to Benefit Expense
The reconciliation of net incurred medical claims to benefit expense included in our consolidated statements of income for the nine months ended September 30, 2026 and 2025 is as follows:
20262025
Net incurred medical claims with medical claims payable
$107,094 $103,923 
Performance-based risk arrangements without medical claims payable
219 3,234 
Total net incurred medical claims
107,313 107,157 
Quality improvement and other claims expense3,105 3,001 
Benefit expense$110,418 $110,158 
Schedule of Reconciliation of Short Duration Medical Claims Payable to the Consolidated Medical Claims Payable
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 September 30, 2026 is as follows:
Total
Net medical claims payable, end of period$18,049 
Ceded medical claims payable, end of period45 
Insurance lines other than short duration344 
Gross medical claims payable, end of period$18,438