Medical Claims and Related Payables (Tables)

12 Months Ended

Dec. 31, 2024

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):

	December 31,
	2024		2023		2022
Medical claims and related payables, beginning of the year	$	723,071	$	339,749	$	239,014
Components of incurred costs related to:
Current year	5,798,709		3,956,874		2,084,009
Prior years	43,821		51,785		9,851
Discontinued operations - current year	—		263,214		303,365
Discontinued operations - prior years	—		7,008		2,607
	5,842,530		4,278,881		2,399,832
Claims paid related to:
Current year	(4,878,351)		(3,237,050)		(1,792,303)
Prior years	(768,856)		(344,269)		(200,668)
Discontinued operations - current year	—		(263,215)		(258,733)
Discontinued operations - prior years	—		(51,025)		(47,393)
	(5,647,207)		(3,895,559)		(2,299,097)
Medical claims and related payables, end of the year	$	918,394	$	723,071	$	339,749