Reinsurance (Tables)

12 Months Ended

Dec. 31, 2021

Insurance [Abstract]

Effects of Reinsurance

The effects of the reinsurance agreements on the accompanying consolidated financial statements for the years ended December 31, 2021, 2020, and 2019, respectively, are as follows:

Years ended December 31,	2021		2020		2019
	(in thousands)
Premiums earned, gross	$	799,903	$	666,297	$	457,758
Premiums earned, ceded	(489)		(599)		(832)
Net premiums earned	$	799,414	$	665,698	$	456,926

Years ended December 31,	2021		2020		2019
	(in thousands)
Claims incurred, gross	$	839,136	$	585,915	$	448,308
Claims incurred, ceded	(1,002)		(483)		(1,616)
Net claims incurred	$	838,134	$	585,432	$	446,692

Reinsurance recoverable for the MA plan as of December 31, 2021 and 2020, respectively, were comprised of the following:

Years ended December 31,	2021		2020
	(in thousands)
Reinsurance recoverable on paid claims, gross and net	$	96	$	—

The effects of the DCE reinsurance arrangements on the accompanying consolidated financial statements for the year ended December 31, 2021 are as follows:

Year ended December 31, 2021
	(in thousands)
Direct Contracting revenue, gross and net	$	667,639
Claims incurred, gross and net	705,407
Reinsurance recoverable, gross and net	12,170