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Medical Claims and Related Payables (Tables)
3 Months Ended
Mar. 31, 2026
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):
 March 31,
 20262025
Medical claims and related payables, beginning of the year$895,284 $918,395 
Components of incurred costs related to:
Current year1,281,895 1,369,611 
Prior years(12,267)32,256 
 1,269,628 1,401,867 
Claims paid related to:
Current year(436,608)(421,710)
Prior years(712,982)(801,235)
 (1,149,590)(1,222,945)
Medical claims and related payables, end of the period$1,015,322 $1,097,317