ACO REACH - Schedule Of Performance Guarantees (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 2024
Direct Contracting [Abstract]
ACO REACH performance year receivable	$ 468,346		$ 95,075
ACO REACH performance year obligation	382,478		$ 0
In-network claims	76,100	$ 2,300
Amortization of ACO REACH performance year receivable	136,699	175,460
Amortization of ACO REACH performance year obligation	(127,493)	(176,552)
ACO REACH revenue	124,040	171,811
Amortization of ACO REACH prior year receivable	$ 83,600	$ 111,300