Variable Interest Entities - Schedule of Consolidated Asset and Liabilities Including VIE Assets and Liabilities (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024
Assets
Cash and cash equivalents	$ 173,713	$ 188,231
Receivables, net	673,793	1,017,040
Prepaid expenses and other current assets, net	137,762	35,137
Property, equipment, and capitalized software, net	25,417	28,169
Intangible assets, net	65,725	72,771
Liabilities
Medical claims and related payables	929,770	931,664
Accounts payable and accrued expenses	127,477	220,342
Variable Interest Entity
Assets
Cash and cash equivalents	69,242	78,650
Restricted cash equivalents	0	5,627
Receivables, net	672,773	1,015,753
Prepaid expenses and other current assets, net	37,831	17,725
Property, equipment, and capitalized software, net	632	1,255
Intangible assets, net	55,482	49,406
Other assets, net	4,233	4,790
Liabilities
Medical claims and related payables	929,770	931,664
Accounts payable and accrued expenses	105,157	199,432
Other liabilities	$ 1,285	$ 2,270