ACO REACH- Schedule Of Performance Guarantees (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022	Dec. 31, 2022
Direct Contracting [Abstract]
ACO REACH performance year receivable	$ 882,884		$ 99,181
ACO REACH prior year receivable	14,900
Out-of-network claims incurred	154,800
Amortization of ACO REACH performance year obligation	239,807	$ 182,797
Amortization of ACO REACH prior year receivable	84,300
ACO REACH revenue	239,807	182,797
Amortization of ACO REACH performance year receivable	$ 175,523	$ 75,127