Reinsurance (Tables)

12 Months Ended

Dec. 31, 2023

Insurance [Abstract]

Schedule of Effects of Reinsurance

The effects of the reinsurance agreements on the accompanying consolidated financial statements for the years ended December 31, 2023, 2022, and 2021, respectively, are as follows:

	Years ended December 31,
	2023		2022		2021
	(in thousands)
Premiums earned, gross	$	1,236,213	$	1,085,339	$	799,903
Premiums earned, ceded	(444)		(470)		(489)
Net premiums earned	$	1,235,769	$	1,084,869	$	799,414

	Years ended December 31,
	2023		2022		2021
	(in thousands)
Claims incurred, gross	$	987,654	$	985,197	$	839,136
Claims incurred, ceded	(496)		(1,166)		(1,002)
Net claims incurred	$	987,158	$	984,031	$	838,134

Reinsurance recoverable for the MA plan at December 31, 2023 and 2022, respectively, were comprised of the following:

	Years ended December 31,
	2023		2022
	(in thousands)
Reinsurance recoverable on paid claims, gross and net	$	46	$	500
Reinsurance recoverable on unpaid claims	—		—
Reinsurance premium payable	—		—
Reinsurance recoverable, net	$	46	$	500

The effects of the ACO reinsurance arrangements on the accompanying consolidated financial statements for the years ended December 31, 2023 and 2022, respectively, were as follows:

	Years ended December 31,
	2023		2022
	(in thousands)
Non-Insurance revenue, gross and net	$	773,177	$	2,380,135
Claims incurred, gross and net	771,798		2,460,879
Reinsurance recoverable, gross and net	10,926		52,955