Medical Claims and Related Payables (Tables)

9 Months Ended

Sep. 30, 2023

Insurance [Abstract]

Summary Changes in Medical Claims and Related Payables

The following table presents the components of changes in medical claims and related payables (in thousands):

	September 30,
	2023		2022
Medical claims and related payables, beginning of the year	$	339,748	$	239,014
Components of incurred costs related to:
Current year	3,032,501		1,756,943
Prior years	53,456		14,692
Discontinued operations - prior years	—		—
	3,085,957		1,771,635
Claims paid related to:
Current year	(2,046,004)		(1,283,242)
Prior years	(387,161)		(236,413)
Discontinued operations - prior years	—		(154)
	(2,433,165)		(1,519,809)
Medical claims and related payables, end of the period	$	992,540	$	490,840