Unpaid Claims - Additional information (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2024 USD ($)	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Unpaid claims	$ 156,396	$ 137,100	$ 137,395
Prior years	96,722	121,523
Prior years	$ (30,539)	$ (9,000)
Percentage of current year medical claims paid as a percent of current year net medical claims	0.856	0.869
Insurance Operations
Short-duration Insurance Contracts, Discounted Liabilities [Line Items]
Unpaid claims	$ 156,400