Unpaid Claims - Additional information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2022 USD ($)	Dec. 31, 2021 USD ($)	Dec. 31, 2020 USD ($)
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Unpaid claims	$ 137,395	$ 136,317	$ 103,976
Incurred claims paid	90,458	113,677
Unfavorable (favorable) development	$ (39,324)	$ 15,834
Percentage of current year medical claims paid as a percent of current year net medical claims	0.872	0.842
Insurance Operations
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Unpaid claims	$ 137,400