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Medical Expenses Payable (Tables)
12 Months Ended
Dec. 31, 2024
Insurance [Abstract]  
Schedule of Medical Expenses Payable
The following table is a detail of medical expenses payable as of December 31, 2024 and 2023:
 December 31,
2024
December 31,
2023
Claims incurred but not paid$168,357 $95,664 
Capitation and risk-sharing payable52,016 50,894 
Other69,415 58,841 
Medical expenses payable$289,788 $205,399 
Schedule of Components of Change in Medical Expenses Payable
The following table presents components of the change in medical expenses payable as of December 31, 2024, 2023, and 2022 :
 December 31,
2024
December 31,
2023
December 31,
2022
Claims incurred but not paid - beginning balance$95,664 $88,813 $77,073 
Incurred related to:
Current year832,819 492,315 400,939 
Prior years(9,245)(14,555)(15,402)
Total incurred, net of reinsurance823,574 477,760 385,537 
Payments related to:
Current year670,471 400,465 315,187 
Prior years80,410 70,444 58,610 
Total payments, net of reinsurance750,881 470,909 373,797 
Claims incurred but not paid - ending balance168,357 95,664 88,813 
Capitation payable, risk-sharing payable, and other121,431 109,735 81,322 
Total medical expenses payable$289,788 $205,399 $170,135 
Schedule of Information About Incurred and Paid Claims Development
The following tables provide information about incurred and paid claims development as of December 31, 2024:
Cumulative Incurred Claims, Net of Reinsurance For the Years Ended December 31,
202220232024
Claims Incurred Year(in thousands)
2022$400,939 385,746 383,865 
2023492,315 484,951 
2024832,819 
Total$1,701,635 
 Cumulative Claims Paid, Net of Reinsurance For the Years Ended December 31,
Cumulative Number of
Paid Claims(1)
202220232024
Claims Incurred Year(in thousands)
2022$315,187 383,419 382,467 389,689
2023400,465 481,827 537,129
2024670,471 909,451
Total$1,534,765 
(1) Cumulative number of paid claims are presented in whole amounts