Medical Claims and Related Payables (Tables)

9 Months Ended

Sep. 30, 2025

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):

	September 30,
	2025		2024
Medical claims and related payables, beginning of the year	$	918,395	$	723,071
Components of incurred costs related to:
Current year	4,301,370		4,291,930
Prior years	35,221		31,922
	4,336,591		4,323,852
Claims paid related to:
Current year	(3,267,115)		(3,158,273)
Prior years	(957,756)		(709,936)
	(4,224,871)		(3,868,209)
Medical claims and related payables, end of the period	$	1,030,115	$	1,178,714