Medical Claims and Related Payables - Narrative (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2024	Dec. 31, 2022	Dec. 31, 2021
Liability For Claims And Claims Adjustment Expense [Line Items]
Medical claims and related payables	$ 737,724	$ 931,664
Medical claims expenses	1,160,000
Current Liabilities Held For Sale And Discontinued Operations
Liability For Claims And Claims Adjustment Expense [Line Items]
Medical claims and related payables			$ 45,900	$ 44,100
Prepaid Expenses and Other Current Assets
Liability For Claims And Claims Adjustment Expense [Line Items]
Medical claims and related payables	$ 14,700	$ 13,300