Medical Liabilities - Schedule of Medical Liabilities (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021
Medical Liabilities [Roll Forward]
Medical liabilities, beginning of year	$ 55,783	$ 50,330
Acquired (see Note 3)	2,956	175
Components of medical care costs related to claims incurred:
Current period	646,679	347,720
Prior periods	5,152	553
Total medical care costs	651,831	348,273
Payments for medical care costs related to claims incurred:
Current period	(559,751)	(291,243)
Prior periods	(67,149)	(51,231)
Total paid	(626,900)	(342,474)
Adjustments	583	(521)
Medical liabilities, end of year	$ 84,253	$ 55,783