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Medical Claims and Related Payables (Tables)
 6 Months Ended
Jun. 30, 2024
Insurance [Abstract]  
Schedule Changes in Medical Claims and Related Payables
The following table presents the components of changes in medical claims and related payables (in thousands):
 June 30,
 20242023
Medical claims and related payables, beginning of the year$723,071 $339,748 
Components of incurred costs related to:
Current year2,802,803 1,790,634 
Prior years15,099 39,761 
Discontinued operations - current year— 146,585 
Discontinued operations - prior years— 4,581 
 2,817,902 1,981,561 
Claims paid related to:
Current year(1,806,692)(774,743)
Prior years(650,106)(304,682)
Discontinued operations - current year— (107,907)
Discontinued operations - prior years— (47,017)
 (2,456,798)(1,234,349)
Medical claims and related payables, end of the period$1,084,175 $1,086,960